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Home My WebLink AboutLA174781 17413 Eastwood Ave 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: Concept Approval ONLYSubject to Field InspectionInspectorDate2015MN BldgCode10/14/2019dmathews -Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ). UFER Ground TOTAL INPUT OF APPLIANCES1, THOUSANDS OF Btu/hr (kW) REQUIRED FREE AREA OF AIR-SUPPLY OPENING OR DUCT, SQUARE INCHES (sq mm) ACCEPTABLE APPROXIMATE ROUND DUCT EQUIVALENT DIAMETER2, INCH (mm) 25 (8)7 (4,500)3 (75) 50 (15)7 (4,500)3 (75) 75(23)11 (7,000)4 (100) 100 (30)14 (9,000)4 (100) 125 (37)18 (12,000)5 (125) 150 (45)22 (14,000)5 (125) 175 (53)25 (16,000)6 (150) 200 (60)29 (19,000)6 (150) 225 (68)32 (21,000)6 (150) 250 (75)36 (23,000)7 (175) 275 (83)40 (26,000)7 (175) 300 (90)43 (28,000)7 (175) 325 (98)47 (30,000)8 (200) 350 (105)50 (32,000)8 (200) 375 (113)54 (35,000)8 (200) 400 (120)58 (37,000)9 (225) 1. For total inputs falling between listed capacities, use next largest listed input. 2. If flexible duct is used, increase the duct diameter by one inch. * *Flexible duct shall be stretched with minimal sags. TABLE 304.1 COMBUSTION AIR REQUIREMENTS FOR GAS-FIRED APPLIANCES WHEN THE COMBINED INPUT IS UP TO AND INCLUDING 400,000 Btu/hr BTU Amount for Non-direct vent appliances_____________________ 1 2 3 4 5 6 2 Conditioned space1 (in sq. ft.) Total/ Continuous Total/ Continuous Total/ Continuous Total/ Continuous Total/ Continuous Total/ Continuous 1000-1500 60/40 75/40 90/45 105/53 120/60 135/68 1501-2000 70/40 85/43 100/50 115/58 130/65 145/73 2001-2500 80/40 95/48 110/55 125/63 140/70 155/78 2501-3000 90/45 105/53 120/60 135/68 150/75 165/83 3001-3500 100/50 115/58 130/65 145/73 160/80 175/88 3501-4000 110/55 125/63 140/70 155/78 170/85 185/93 4001-4500 120/60 135/68 150/75 165/83 180/90 195/98 4501-5000 130-65 145/73 160/80 175/88 190/95 205/103 5001-5500 140/70 155/78 170/85 185/93 200/100 215/108 5501-6000 2 150/75 165/83 180/90 195/98 210/105 225/113 1. Conditioned space includes the basement and conditioned crawl spaces. 2. If conditioned space exceeds 6000 sq. ft. or there are more than 6 bedrooms, use Equation R403.5.2 R403.5.2 Total Ventilation rate. The mechanical ventilation system shall rovide sufficient outdoor air to equal the total ventilation rate average for each 1- hour period in accordance with Table R403.5.2, or Equation 403.5.2, based on the number of bedrooms and square footage of conditioned space, including the basement and conditioned crawl spaces. For the purposes of Table R403.5.2 and Section R403.5.3, the following applies: a. Equation R403.5.2 Total ventilation rate: Total ventilation rate (cfm) = (0.02 x square feet of conditioned space) + (15 x (number of bedrooms +1)) b. Equation R403.5.2.1 Continuous ventilation rate: Continuous ventilation rate (cfm) = Total ventiation rate/2 Amount Total __145___________________ Amount Continuous___73______________ TABLE R403.5.2 NUMBER OF BEDROOMS VENTILATION REQUIREMENTS ONE OR MULTIPLE POWER VENT OR DIRECT VENT APPLIANCES OR NO COMBUSTION APPLIANCESA ONE OR MULTIPLE FAN- ASSISTED APPLIANCES AND POWER VENT OR DIRECT VENT APPLIANCESB ONE ATMOSPHERICALLY VENTED GAS OR OIL APPLIANE OR ONE SOLID FUEL APPLIANCEC MULTIPLE APPLIANCES THAT ARE ATMOSPHERICALLY VENTED GAS OR OIL APPLIANCES OR SOLID FUEL APPLIANCESD 1. Use the Appropriate Column to Estimate House Infiltration a) pressure factor (cfm/sf) b) conditioned floor area (sf) (including unfinished basements) Estimated House Infiltration (cfm): [1a x 1b] 2. Exhaust Capacity a) clothes dryer b) 80% of largest exhaust rating (cfm): (not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust) c) 80% of next largest exhaust rating (cfm):not applicable (not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust) Total Exhaust Capacity (cfm): [2a+2b+2c] 3. Makeup Air Requirement a) Total Exhaust Capacity (from above) b) Estimated House Infiltration (from above) Makeup Air Quality (cfm): [3a - 3b] (if value is negative, no makeup air is needed 4. For Makeup Air Opening Sizing, refer to Table 501.4.2. A. Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances. B. Use this column if there is one fan-assisted appliance per venting system. Other than atmospherically vented appliances may also be included. C. Use this column if there is one atmospherically vented (other than fan-assisted) gas or oil appliance per venting system or one solid fuel appliance. D. Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil appliances and solid fuel appliances. Table 501.4.1 Procedure to Determine Makeup Air Quantity for Exhaust Appliances in Dwelling Units Choose Which Applies TYPE OF OPENING ONE OR MULTIPLE POWER VENT OR DIRECT VENT APPLIANCES OR NO COMBUSTION APPLIANCESA ONE OR MULTIPLE FAN- ASSISTED APPLIANCES AND POWER VENT OR DIRECT VENT APPLIANCESB ONE ATMOSPHERICALLY VENTED GAS OR OIL APPLIANCE OR ONE SOLID FUEL APPLIANCEC MULTIPLE APPLIANCES THAT ARE ATMOSPHERICALLY VENTED GAS OR OIL APPLIANCES OR SOLID FUEL APPLIANCESD PASSIVE MAKEUP AIR OPENING DUCT DIAMETERE,F,G OR SYSTEM (cfm)(cfm)(cfm)(cfm)(inches) Passive opening 1-36 1-22 1-15 1-9 3 Passive opening 37-66 23-41 16-28 10-17 4 Passive opening 67-109 42-66 29-46 18-28 5 Passive opening 110-163 67-100 47-69 29-42 6 Passive opening 164-232 101-143 70-99 43-61 7 Passive opening 233-317 144-195 100-135 62-83 8 Passive opening with motorized damper 318-419 196-258 136-179 84-110 9 Passive opening with motorized damper 420-539 259-332 180-230 111-142 10 Passive opening with motorized damper 540-679 333-419 231-290 143-179 11 Powered makeup airH >679 >419 >290 >179 Not applicable A. Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances. B. Use this column if there is one fan-assisted appliance per venting system. Other than atmospherically vented appliances may also be included. C. Use this column if there is one atmospherically vented (ther than fan-assisted) gas or oil appliance per venting system or one solid fuel appliance. D. Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil appliances and solid fuel appliances. E. An equivalent length of 100 feet of round smooth metal duct is assumed. Subtract 40 feet for the exterior hood and ten feet for each 90-degree elbow to determine the remaining length of straight duct allowable. F. If flexible duct is used, increase the duct diameter by one inch. Flexible duct shall be stretched with minimal sags. G. Barometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is installed. H. Powered makeup air shall be electrically interlocked with the largest exhaust system. Table 501.4.2 Makeup Air Opening Sizing Table for New and Existing Dwelling Units IFGC Appendix E, Worksheet E-1 Residential Combustion Air Calculation Method (for Furnace, Boiler, and/or Water Heater in the Same Space) Step 1: Complete vented combution appliace information: Furnace/Boiler: Draft Hood Fan Assisted Direct Vent Input: Btu/hr (Not fan Assisted) & Power Vent Water Heater: Draft Hood Fan Assisted Direct Vent Input: Btu/hr ( Not fan Assisted) & Power Vent Step 2: Calculate the volume of the Combustion Appliance Space (CAS) containing combustion appliances. The CAS includes all spaces connected to one another by code compliant openings. CAS volume: ft3 Step 3: Determine air Changes per Hour (ACH)1 Default ACH values have been incorporated into Table E-1 for use with Method 4b (KAIR Method). If the year of construction or ACH is not known, use method 4a (Standard Method). Step 4: Determine Required Volume for Combustion Air. 4a. Standard Method Total Btu/hr input of all combustion appliances (DO NOT COUNT DIRECT VENT APPLIANCES) Input: Btu/hr Use Standard Method column in Table E-1 to find Total Required Volume (TRV) TRV: ft3 If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If CAS Volume (from Step 2) is less than TRV then go to STEP 5. 4b. Known Air Infiltration Rate (KAIR) Method Total Btu/hr input of all fan-assisted and power vent appliances (DO NOT COUNT DIRECT VENT APPLIANCES) Input: Btu/hr Use Fan-Assisted Appliances column in Table E-1 to find Required Volume Fan Assisted (RVFA) RVFA: ft3 Total Btu/hr input of all non-fan-assisted appliances Input: Btu/hr Use Non-Fan-Assisted Appliances column in Table E-1 to find Required Volume Non-Fan-Assisted (RVNFA) RVNFA: ft3 Total Required Volume (TRV) = RVFA + RVNFA TRV = + = ft3 If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If CAS Volume (from Step 2) is less than TRV then go to STEP 5. Step 5: Calculate the ratio of available interior volume to the total required volume. Ratio = CAS Volume (from Step 2) divided by TRV (from Step 4a or Step 4b) Ratio = Step 6: Calculate Reduction Factor (RF). RF = 1 minus Ratio RF = - = Step 7: Calculate single outdoor opening as if all combustion air is from outside. Total Btu/hr input of all Combustion Appliances in the same CAS (EXCEPT DIRECT VENT) Input: Btu/hr Combustion Air Opening Area (CAOA): Total Btu/hr divided by 3000 Btu/hr per in2 / Btu/hr per in 2 = in2 Step 8: Calculate Minimum CAOA. Minimum CAOA = CAOA multiplied by RF Minimum CAOA = x = in2 Step 9: Calculate Combustion Air Opening Diameter (CAOD) CAOD = 1.13 multiplied by the square root of Minimum CAOA CAOD = 1.13 x Minimum CAOA = in 1If desired, ACH can be determined using ASHRAE calculation or blower door test. Follow procedures in Section 304. CAOA = IFGC Appendix E, Table E-1 Residential Combustion Air Required Volume (Required Interior Volume Based on Input Rating of Appliances) Known Air Infiltration Rate (KAIR) Method (ft3) Input Rating Standard Method Fan Assisted Non-Fan-Assisted (Btu/hr) (ft3) 19941 to Present Pre 19942 19941 to Present Pre 19942 5,000 250 375 188 525 263 10,000 500 750 375 1,050 525 15,000 750 1,125 563 1,575 788 20,000 1,000 1,500 750 2,100 1,050 25,000 1,250 1,875 938 2,625 1,313 30,000 1,500 2,250 1,125 3,150 1,575 35,000 1,750 2,625 1,313 3,675 1,838 40,000 2,000 3,000 1,500 4,200 2,100 45,000 2,250 3,375 1,688 4,725 2,363 50,000 2,500 3,750 1,875 5,250 2,625 55,000 2,750 4,125 2,063 5,775 2,888 60,000 3,000 4,500 2,250 6,300 3,150 65,000 3,250 4,875 2,438 6,825 3,413 70,000 3,500 5,250 2,625 7,350 3,675 75,000 3,750 5,625 2,813 7,875 3,938 80,000 4,000 6,000 3,000 8,400 4,200 85,000 4,250 6,375 3,188 8,925 4,463 90,000 4,500 6,750 3,375 9,450 4,725 95,000 4,750 7,125 3,563 9,975 4,988 100,000 5,000 7,500 3,750 10,500 5,250 105,000 5,250 7,875 3,938 11,025 5,513 110,000 5,500 8,250 4,125 11,550 5,775 115,000 5,750 8,625 4,313 12,075 6,038 120,000 6,000 9,000 4,500 12,600 6,300 125,000 6,250 9,375 4,688 13,125 6,563 130,000 6,500 9,750 4,875 13,650 6,825 135,000 6,750 10,125 5,063 14,175 7,088 140,000 7,000 10,500 5,250 14,700 7,350 145,000 7,250 10,875 5,438 15,225 7,613 150,000 7,500 11,250 5,625 15,750 7,875 155,000 7,750 11,625 5,813 16,275 8,138 160,000 8,000 12,000 6,000 16,800 8,400 165,000 8,250 12,375 6,188 17,325 8,663 170,000 8,500 12,750 6,375 17,850 8,925 175,000 8,750 13,125 6,563 18,375 9,188 180,000 9,000 13,500 6,750 18,900 9,450 185,000 9,250 13,875 6,938 19,425 9,713 190,000 9,500 14,250 7,125 19,950 9,975 195,000 9,750 14,625 7,313 20,475 10,238 200,000 10,000 15,000 7,500 21,000 10,500 205,000 10,250 15,375 7,688 21,525 10,763 210,000 10,500 15,750 7,875 22,050 11,025 215,000 10,750 16,125 8,063 22,575 11,288 220,000 11,000 16,500 8,250 23,100 11,550 225,000 11,250 16,857 8,438 23,625 11,813 230,000 11,500 17,250 8,625 24,150 12,075 1The 1994 date refers to dwellings constructed under the 1994 Minnesota Energy Code. The default KAIR used in this section of the table is 0.20 ACH. 2This section of the table is to be used for dwellings constructed prior to 1994. The default KAIR used in this section of the table is 0.40 ACH. HEAT LOSS LOAD CALCULATION CUSTOMERS ADDRESS BASEMENT Running Wall Below Grade: X Wall Height: = SQUARE FT OF GROSS WALL BELOW GRADE -MINUS- SQUARE FT OF GROSS WINDOWS & DOORS =EQUALS= FIRST FLOOR Running Walls: X Wall Height: = SQUARE FT OF GROSS WALL FIRST FLOOR SECOND FLOOR + PLUS+ Running Walls: X Wall Height: = SQUARE FT OF GROSS WALL SECOND FLOOR THIRD FLOOR + PLUS+ Running Walls: X Wall Height: = SQUARE FT OF GROSS WALL THIRD FLOOR -MINUS- =EQUALS= NET WALL BELOW GRADE SQUARE FT OF GROSS WINDOWS+DOORS NET WALL ABOVE GRADE WINDOWS + DOORS (SF) X HTM = BTU INFILTRATION (Windows + Doors) X 1.3 X HTM = BTU Net Wall Below Grade (From Above) X HTM = BTU Net Wall above Grade (From Above) X HTM = BTU Ceiling Sq Ft X HTM = BTU Floor Sq Ft X HTM = BTU TOTAL BTU HEAT GAIN COOLING LOAD CALCULATION Address:XXXX Eastwood Ave Basement Running Wall Below Grade 174 X Wall Height:8 =1392 SQUARE FT OF GROSS WALL BELOW GRADE -MINUS- 102 SQUARE FT OF GROSS WINDOWS & DOORS =EQUALS= 1290 NET WALL BELOW GRADE First Floor RUNNING WALLS:174 x WALL HEIGHT:9 =1566 SQUARE FT OF GROSS WALL FIRST FLOOR Second Floor +PLUS+ RUNNING WALLS:x WALL HEIGHT:=SQUARE FT OF GROSS WALL SECOND FLOOR Third Floor +PLUS+ RUNNING WALLS:x WALL HEIGHT:=SQUARE FT OF GROSS WALL THIRD FLOOR -MINUS- 212 SQUARE FT OF GROSS WINDOWS & DOORS =EQUALS= 1354 NET WALL ABOVE GRADE WINDOW & DOORS (SQFT):314 X HTM 32 =10048 BTU HOUSE INFILTRATION HOUSE (SQFT X 1.3) 3136 X HTM 1.3 =4077 BTU NET WALL BELOW GRADE (FROM ABOVE) 1290 X HTM 4 =5160 BTU NET WALL ABOVE GRADE (FROM ABOVE) 1354 X HTM 2 =2708 BTU CEILING SQFT 1530 X HTM 1.6 =2448 BTU FLOOR SQFT 1530 X HTM 0 =0 BTU NUMBER OF BEDROOMS/PEOPLE 4 X HTM 530 =2120 BTU KITCHEN & BATH ALLOWANCE -----X HTM -----------------=1250 BTU =SUBTOTAL BTU/HEAT GAIN= GAINS FROM DUCTWORK IN CRAWL SPACE (SUBTOTAL BTU FROM ABOVE) X HTM .09 =BTU IN ATTIC (SUBTOTAL BTU FROM ABOVE) X HTM .13 =BTU =TOTAL BTU/ HEAT GAIN= 27811 BTU 27811 BTU Builders Associaton of Minnesota version 101014 New Construction Energy Code Compliance Certificate Place your logo here Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel. Date Certificate Posted Mailing Address of the Dwelling or Dwelling Unit City 17413 Eastwood Ave.Lakeville Name of Residential Contractor MN License NumberRobert McNearney Custom Homes 8844 THERMAL ENVELOPE RADON CONTROL SYSTEM Insulation Location Total R-Value of all Types ofInsulationType: Check All That Apply x Passive (No Fan)Non or Not ApplicableFiberglass, BlownFiberglass, BattsFoam, Closed CellFoam Open CellMineral FiberboardRigid, Extruded PolystyreneRigid, IsocynurateActive (With fan and monometer or other system monitoring device) Location (or future location) of Fan: Attic Other Please Describe Here Below Entire Slab x Foundation Wall 10 x x Perimeter of Slab on Grade x Rim Joist (1st Floor)20 x x Rim Joist (2nd Floor+)x Wall 20 x Ceiling, flat 49 Ceiling, vaulted x Bay Windows or cantilevered areas x Floors over unconditioned area x Describe other insulated areas Building envelope air tightness:Duct system air tightness: Windows & Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor (excludes skylights and one door) U: 0.28 x Not applicable, all ducts located in conditioned space Solar Heat Gain Coefficient (SHGC):0.28 R-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic WaterHeater Cooling System x Not required per mech. code Fuel Type Natural Natural Gas Elec.Passive Manufacturer Lennox A.O. Smith Lennox Powered Model ML195 GPVL 13ACXN Interlocked with exhaust device. Describe: Rating or Size Input in BTUS:66000 Capacity in Gallons: 50 Output in Tons:2.5 Other, describe: Efficiency AFUE or HSPF%95 72%SEER /EER 13 Location of duct or system: Residential Load Calculation Heating Loss Heating Gain Cooling Load 46260 27811 18600 Cfm's " round duct OR MECHANICAL VENTILATION SYSTEM " metal duct Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air source heat pump with gas back-up furnace): Combustion Air Select a Type Not required per mech. code Select Type x Passive x Heat Recover Ventilator (HRV) Capacity in cfms:Low: 60 High:168 Other, describe: Energy Recover Ventilator (ERV) Capacity in cfms:Low: High: Location of duct or system: Balanced Ventilation capacity in cfms: Location of fan(s), describe: Cfm's Capacity continuous ventilation rate in cfms:145 6 " round duct OR Total ventilation (intermittent + continuous) rate in cfms:73 " metal duct 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. 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 * If awaiting a MPCA permit transfer, provide MPCA proof of transfer submittal e-mail along with this form to erosion@lakevillemn.gov “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) *Must provide MPCA transfer number once assigned 10/02/19 X KP University of Minnesota 2020 1 Mathews, David From:MN_MPCA_CSW <CSW.PCA@state.mn.us> Sent:Monday, September 23, 2019 9:28 AM To:Kyle McNearney Subject:Your Request Has Been Received by the Minnesota Pollution Control Agency (MPCA) PLEASE READ THIS REPLY! This is an auto-reply confirmation that your request has been received and will be placed in the queue to be processed or answered. Due to heavy volumes of requests/submittals, turnaround may vary for processing on any of our forms. Processing time on our forms are about one to two months. Good to Know – NEW! WE NO LONGER ACCEPT FORMS for terminations via email or mail! WE HAVE A NEW TERMINATION SERVICE THROUGH E-SERVICES WHICH IS MANDATORY TO COMPLETE YOUR TERMINATIONS! Please click on the link for instructions on how to configure your e-Services account to utilize this function: https://www.pca.state.mn.us/sites/default/files/wq- strm2-108.pdf. Make sure to only terminate your project once using the e-Service. Multiple attempts on the same permit can hinder the e-Services process. Check your permit the following day to ensure your permit has terminated through the permit search page (link below). WE HAVE NEW FORMS!! Our transfer/subdivision forms have been updated as of 11/2/2018. Please check our website to acquire the new forms. If you have sent an older version form, it will be rejected. There are 3 forms: Permit Modification (to make changes to your original permits such as site name, acreage, etc), Permit Transfer form (to transfer to a new owner or contractor) and Subdivision Registration form (to transfer a portion of site such as lots/blocks). There is also a guidance document to help you use the forms if you need. Find the forms at: https://www.pca.state.mn.us/water/construction-stormwater. Good to Know – FAQ: For all forms: Please make sure each form you send is its own attachment and that they are PDF’s of the form. We do a limited screening of forms when they come in, but if it is missed that you had more than one form in your attachment or there are pieces of information missing, you will get an email asking you to fix your forms and your request will go to the end of the line in order received, pushing your processing time back even further. Permit Applications: We do not accept permit applications for this program via mail and have never via email. Please use the e-Services portal to apply and pay for your permit online. For more information, please visit: https://www.pca.state.mn.us/data/e-services Permit Search: Did you know you can continuously access your permit(s) online? For this search, less filled out in the fields, the better. Visit this link to search for your permits online and save your Notice of Coverage document or just to view your permits’ details: https://cf.pca.state.mn.us/water/stormwater/csw/search.cfm CSW Online: To view any other info on CSW (great page to bookmark in your browser) visit: https://www.pca.state.mn.us/water/construction-stormwater We appreciate your patience and will get to your request as soon as possible. This email address is monitored regularly. If you have questions, please let us know. 2 Sincerely, Rachel Parlin | State Program Administrator Technical Specialist Minnesota Pollution Control Agency (MPCA) 520 Lafayette Rd N | Saint Paul, MN | 55155 651-757-2118 Rachel.parlin@state.mn.us | www.pca.state.mn.us Our mission is to protect and improve the environment and human health.