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HomeMy WebLinkAboutLA183209 -19182 Impala 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: 20195 Holyoke Avenue, Lakeville, MN 55044 952-985-4400  952-985-4499 fax www.lakevillemn.gov Sewer & Water Tie Card Address:________________________________________ Contractor:______________________________________ Permit Number:__________________________________ Final Date:________________ Street Drain-Tile:______ Size of Water Service: 1” Comments: AIRTEST SANITARY OVER 20’/2 FITTINGS THIS CARD MUST BE COMPLETED AND ON-SITE AT TIME OF SEWER & WATER INSPECTION The Clearwater E/I ®19182 Impala Avenue Summerlyn-8th Addition Finished Basement - Rec/Bed/Bathroom Walkout Foundation - A2.2W 2' Garage Extension - A3.8C Concept Approval ONLY Subject to Field Inspection Inspector Date 2015 MN Bldg Code 08/14/2020shutchins ®SEE A4.5 Hard Board Siding on Front Elevation. Vinyl Siding on Side and Rear Elevation. LP SHAKE SIDING FACE APPLIED STONE VENEER LP HORIZONTAL LAP SIDING FACE APPLIED STONE VENEER ®Walkout Foundation A2.2 UFER Ground -Provide 20' Rebar in footing and stub up near electrical service panel. ® ®Secure door closed until deck is constructed with a separate permit. 4 4444 4 ®SEE A4.5 GB (2)GB (2)GB (2) 1 1 Portal FrameA/SD 3 Portal FrameA/SD 3 ® ® ® (REAR WALL ONLY)® HOUSE GARAGE ® ® ® ® ® ®1900 AM Dr., Suite 201, Quakertown PA 18951 Phone: (215) 804-4449 FAX: (215) 804-4459 www.kse-eng.com ENGINEERINGK S E C/SD-3. ®1900 AM Dr., Suite 201, Quakertown PA 18951 Phone: (215) 804-4449 FAX: (215) 804-4459 www.kse-eng.com ENGINEERINGK S E C/SD-3. ▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪MINNESOTAI hereby certify that this plan, specification, or reportwas prepared by me or under my direct supervisionand that I am a duly licensed Professional Engineerunder the laws of the State of Minnesota.Print Name: _______________________________Signature: ________________________________Date: ____________________ License # _______James P. Shedlauskas417764/13/20*ENE5$L N27ES $NDDE7$ILS I hereby certify that this plan, specification, or reportwas prepared by me or under my direct supervisionand that I am a duly licensed Professional Engineerunder the laws of the State of Minnesota.Print Name: _______________________________Signature: ________________________________Date: ____________________ License # _______James P. Shedlauskas417764/13/20 I hereby certify that this plan, specification, or reportwas prepared by me or under my direct supervisionand that I am a duly licensed Professional Engineerunder the laws of the State of Minnesota.Print Name: _______________________________Signature: ________________________________Date: ____________________ License # _______James P. Shedlauskas417764/13/20 I hereby certify that this plan, specification, or reportwas prepared by me or under my direct supervisionand that I am a duly licensed Professional Engineerunder the laws of the State of Minnesota.Print Name: _______________________________Signature: ________________________________Date: ____________________ License # _______James P. Shedlauskas417764/13/20 I hereby certify that this plan, specification, or reportwas prepared by me or under my direct supervisionand that I am a duly licensed Professional Engineerunder the laws of the State of Minnesota.Print Name: _______________________________Signature: ________________________________Date: ____________________ License # _______James P. Shedlauskas417764/13/20 FOUNDATION DETAILAT FOOTING STEP LOCATIONS1S1DescriptionDateRevisionProject Number:Date:S11Sheets: of2Print Name:Signed: License Number:Nick Hanson46665Date:I hereby certify that this plan, specification or reportwas prepared by me or under my direct supervisionand that I am a duly Licensed Professional Engineerunder the laws of the State of Minnesota.April 1, 20200.0014-1-202020 FOUNDATION GUIDEWALL SECTIONWALKOUT WALL CONDITION2S1WALL SECTIONLOOKOUT WALL CONDITION3S1WALL SECTIONEXTERIOR UNBALANCED FILLCONDITION4S1WALL SECTIONFULL HEIGHT WALL CONDITION5S1REBAR TABLE6S1SITE ADDRESS:City:State:Zip:MNCOPYRIGHT HANSON GROUP LLC 2020©3407 Kilmer Lane NorthSuite 4Plymouth, MN 55441Tel 612-708-3572www.hansongroupmn.comDRAWING USE GUIDELINES AND LIMITATIONSTHE CONTRACTOR LISTED IN THE TITLE BLOCK BELOW IS LICENSED BY THE HANSON GROUP TO USE THISPACKET WITHIN THESE LIMITATIONS NOTED FOR PROJECTS WHICH THE LICENSEE IS DIRECTLY RESPONSIBLE.THE LICENSEE MAY RELEASE THIS PACKET TO ITS SUB-CONTRACTORS AND CLIENTS FOR USE IN THEPROCUREMENT OF BUILDING PERMITS FOR PROJECTS WHICH THE LICENSEE IS USING THESE DRAWINGS.THE FOUNDATION GUIDELINES ARE TO BE ISSUED TO THE APPROPRIATE BUILDING DEPARTMENT INACCORDANCE WITH THEIR APPROVED PROCEDURE FOR USE BY THE BUILDING AGENCY DURING PLAN REVIEWAND INSPECTIONS.LIMITATIONS1.BASEMENT FOUNDATION WALLS TEN FOOT OR LESS IN CLEAR HEIGHT (FROM TOP OF FLOOR SLAB TO TOPOF CONCRETE WALL AT SILL PLATE BEARING-NOT NECESSARILY BASEMENT CEILING HEIGHT).2.STRUCTURE HEIGHT IS NOT TO EXCEED TWO STORIES ABOVE THE BASEMENT.3.OVERALL BUILDING IS ASSUMED TO FALL WITHIN THE PRESCRIPTIVE LIMITATIONS OF THE CODE. A SITESPECIFIC PLAN REVIEW HAS NOT BEEN PERFORMED.4.STRUCTURES CONSTRUCTED OF WOOD FLOOR, WOOD ROOF, AND WOOD WALLS ONLY. NO PRECAST ORSTRUCTURAL CONCRETE BEARING ON FOUNDATION WALLS IS PERMITTED.5.EXTERIOR GRADE SLOPING DOWN AND AWAY FROM THE FOUNDATION WALLS.6.ANY CASE BEYOND THE ABOVE NOTED ITEMS REQUIRES SEPARATE AND SPECIFIC STRUCTURALENGINEERING DOCUMENTS.COLD WEATHER GUIDELINES:1.THE CONTRACTOR AND CONCRETE SUPPLIER ARE TO WORK TO OBTAIN A MIX DESIGN WHICH WILLADEQUATELY PERFORM UNDER THE EXPECTED CONSTRUCTION CONDITIONS. THE USE OF ADDITIONALCEMENT, HIGH-EARLY STRENGTH CONCRETE, AND/OR ACCELERATOR IS RECOMMENDED ATTEMPERATURES AND CONDITIONS EXPECTED LESS THAN TWENTY DEGREES F.2.DELIVER CONCRETE WARM AND IN A TIMELY MANNER. PLACE CONCRETE EARLY IN THE DAY WHENPOSSIBLE.3.DO NOT ADD ADDITIONAL WATER TO THE CONCRETE. THE USE OF WATER REDUCING AGENTS ISRECOMMENDED WHEN WORKABILITY CONCERNS EXIST. NO CONCRETE IS TO BE PLACED ON SNOW OR INCONTACT WITH FROZEN MATERIALS.4.REBAR DOES NOT NEED TO BE PRE-HEATED, BUT IS TO BE FREE OF FROST, SNOW, AND ICE.5.BLANKETS OR OTHER ACCEPTED PROTECTION IS HIGHLY RECOMMENDED FOR THE TOP 24" OF THE WALLSWHEN THE AIR TEMPERATURE IS LESS THAN TEN DEGREES F AND FOR THE FULL HEIGHT OF THE WALLWHEN THE AIR TEMPERATURE IS LESS THAN ZERO DEGREES F.**THE ABOVE COLD WEATHER GUIDELINES ARE GENERAL RECOMMENDATIONS AND ALL ACI COLD WEATHERREQUIREMENTS ARE TO BE FOLLOWED AT THE RESPONSIBILITY OF THE LICENSEE.MATERIALSCONCRETE WALLS:F'c = 3000 PSI @ 28 DAYSMIX DESIGN AND PROPORTIONED BY CONCRETE SUPPLIERCONCRETE FOOTINGS:F'c = 5000 PSI @ 28 DAYS (OR 3000 PSI WITH AN APPROVED ADMIXTURE THAT PROVIDESA WATER AND VAPOR RESISTANCE AT LEAST OR EQUIVALENT TO 5000 PSI CONCRETE.AGGREGATE: FOOTINGS - 1 12" MAX. WALLS/SLABS - 34" MAX.REINFORCING STEEL: #4- BARS - ASTM A615 GRADE 40#5+ BARS - ASTM A615 GRADE 60TREATED SILL PLATE:SYP GRADE #2 OR BETTERALLOWABLE SOILBEARING PRESSURE1,500 PSF MINIMUMGENERAL NOTES1.DO NOT BACKFILL BASEMENT WALLS UNTIL THE CONCRETE HAS REACHED A MINIMUM COMPRESSIVESTRENGTH OF 2,250 PSI. IN ADDITION, DO NOT BACKFILL UNTIL THE BASEMENT WALLS ARE LATERALLYSUPPORTED BY THE FINAL INSTALLED FLOOR CONSTRUCTION AT THE TOP AND BOTTOM, UNLESSADEQUATE SHORING IS INSTALLED AS REQUIRED. SHORING IS THE SOLE RESPONSIBILITY OF THE GENERALCONTRACTOR.2.STRIP FOOTING MAY BE PLACED AT ELEVATIONS LOWER THAN SHOWN IN THE DETAILS.3.112" DEEP BY 312" WIDE BY CONTINUOUS KEYWAYS MAY BE USED IN LIEU OF DOWELS FOR FULL HEIGHT ANDFROST WALLS.4.STRIP FOOTING TO WALL CENTERLINES MAY BE OFFSET UP TO 2", HOWEVER, A MINIMUM OF 2" OF STRIPFOOTING IS TO EXTEND BEYOND THE WALL FACE ON EACH SIDE.5.PROVIDE CODE REQUIRED FROST PROTECTION TO THE BOTTOM OF ALL FOOTINGS.6.SLOPE GRADE DOWN AND AWAY FROM THE STRUCTURE A MINIMUM OF 6" WITHIN THE FIRST TEN FEETUNLESS ADEQUATE DRAINAGE OR SWALES ARE PROVIDED.7.BOTH MATERIALS AND INSTALLATION OF DRAIN TILE, WATER-PROOFING, CONTROL JOINTS, FLASHING, ANDINSULATION ARE TO BE IN ACCORDANCE WITH THE CODE BY THE GENERAL CONTRACTOR, UNLESS NOTEDOTHERWISE.8.ALL WALL WIDTHS SHOWN ARE NOMINAL DIMENSIONS, UNLESS NOTED OTHERWISE. OVERALL WALLTHICKNESS MAY VARY BY UP TO 12" FROM THAT SHOWN ON THE DRAWINGS.9.REINFORCING PLACEMENT TOLERANCE IS NOT TO EXCEED 12". BARS BEING SPLICED ARE TO BE WITHIN 2"OF CENTERLINE. MINIMUM SPLICE LENGTHS ARE 30 BAR DIAMETERS FOR GRADE 40 STEEL AND 48 BARDIAMETERS FOR GRADE 60 STEEL. TYING IS NOT REQUIRED PROVIDED THESE TOLERANCES ARE MET.10.PROVIDE MATCHING HOOK BARS FOR ALL HORIZONTAL BARS AT WALL CORNERS AND INTERSECTIONS.HORIZONTAL BARS MAY BE PLACED ANYWHERE WITHIN THE WALL AS LONG AS A 2" MINIMUM CLEAR COVERIS ACHIEVED ON ALL SIDES.11.REINFORCING MAY BE BUNDLED UP TO A MAXIMUM OF THREE BARS.12.DOWELS MAY BE DRILLED AND GROUTED IN PLACE. VERTICAL BARS AND DOWELS DO NOT NEED TO ALIGN.VERTICAL BARS MAY BE DRILLED AND EMBEDDED 5" INTO THE STRIP FOOTING IN LIEU OF DOWELS.13.THE BOND BETWEEN CONCRETE AND REINFORCING WILL NOT BE APPRECIABLY REDUCED IF VERY MINORFORM OIL IS PRESENT FOR THE CONDITIONS CONTAINED WITHIN THESE DRAWINGS.14.SILL PLATES ARE TO BE ANCHORED WITH A MINIMUM OF TWO ANCHORS PER SILL SECTION. ALL SECTIONSARE TO HAVE AN ANCHOR WITHIN 4" TO 12" OF EACH END. AN ANCHOR IS TO BE PLACED AT ALL WALLCORNERS AND INTERSECTIONS ON WALLS MORE THAN TWO FEET IN LENGTH. WALLS TWO FEET OR LESS INLENGTH REQUIRE A MINIMUM OF ONE ANCHOR. REQUIREMENTS FOR SHEAR WALLS AND BRACED PANELSMAY BE IN EXCESS OF THESE REQUIREMENTS. TWO INCH WASHERS ARE ONLY REQUIRED AT FULL HEIGHTFOUNDATION WALLS. BUILDING DESIGNER IS TO ACCOMMODATE LOAD PATH FOR ANY VERTICAL LOADTRANSFER OVER A SILL PLATE OVERHANG CONDITION.15.ANCHOR BOLTS 12" DIAMETER OR LARGER ARE NOT REQUIRED TO BE CORROSION PROTECTED INACCORDANCE WITH CODE SECTION R317.3.1 EXCEPTION 1.16.ALL PRE-MANUFACTURED FASTENERS AND CONNECTORS ARE TO BE INSTALLED IN ACCORDANCE WITHTHE MANUFACTURER'S REQUIREMENTS.17.FLOOR BLOCKING IS ONLY REQUIRED AT FULL HEIGHT FIRST FLOOR NON-BEARING FOUNDATION WALLS.18.CARE IS TO BE TAKEN DURING CONCRETE PLACEMENT TO MINIMIZE INADEQUATE HORIZONTAL ANDDIAGONAL COLD JOINTS, AND TO PREVENT THESE JOINTS ENTIRELY IN WALLS WITHOUT VERTICALREINFORCEMENT. ADEQUATELY VIBRATE CONCRETE AT POTENTIAL JOINT LOCATIONS AS REQUIRED,BASED ON PLACEMENT CONDITIONS TO ELIMINATE HONEYCOMBING AND TO ENSURE SUFFICIENT BONDINGIS ACHIEVED.19.TOP AND BOTTOM OF FOUNDATION WALLS ARE TO BE LATERALLY SUPPORTED PRIOR TO BACKFILLING.MEANS AND METHODS OF LATERAL SUPPORT ARE BY OTHERS.EQUIVALENT REBAR TABLEFOR BUNDLED HORIZONTAL BARS(2)#4 = (1)#6(3)#4 = (2)#5(3)#5 = (2)#6GRADE 60 #6 VERTICAL BAR SPACING FOR FULL HEIGHT WALLS w/ F'c = 3000 PSIALTERNATIVE TO CODE TABLE R404.1.2EQUIVALENT VERTICAL REBARSUBSTITUTION TABLEBACKFILL TYPECLEAR HEIGHT(SEE 5/S1)BACKFILL HEIGHT(SEE 5/S1)8'-0"9'-0"10'-0"7'-6"7'-0" OR LESS8'-6"8'-0"7'-0"6'-0" OR LESS9'-6"9'-0"8'-0"7'-0"6'-0" OR LESS8"10"12"8"10"12"8"10"12"NONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONENONE* = NONE IF F'c = 4,000 PSI*36"*36"*36"*36"*36"*36"36"36"36"36"36"36"36"36"24"24"24"24"SAND (30 PSF/FT)WALL THICKNESSSANDY CLAY (45 PSF/FT)WALL THICKNESSCLAY (60 PSF/FT)WALL THICKNESS#6 @ 24" = #5 @ 18" = #4 @ 12" (GRADE 60) = #4 @ 8" (GRADE 40)(1)#6 = (2)#4 (GRADE 60)#6 @ 36" = #5 @ 24" = #4 @ 18" (GRADE 60) = #4 @ 12" (GRADE 40)(2) #4 HORIZONTAL BARSBOTH TOP & BOTTOMEXTENDED AT LEAST 24"BEYOND EACH END OF STEPSTABLE BANKHIGH FOOTING MAY BEEXTENDED PROVIDEDBARS ARE PLACED ASSHOWNHORIZ. BARSTOP & BOTTOM6" MIN THICK CONCRETEFOUNDATION, SEE OTHERDETAILS FOR MORE INFOOPTIONAL CONTROL JOINTAT EACH END OF STEP72" MAX SPANEQ.EQ.24" MINDETAIL B3" MIN TYPCONCRETE STRIPFOOTING11BDETAIL A36" MINSTEP2 x STEPSTEP NOTE:DO NOT LOCATE CONCENTRATED LOADS IN EXCESS OF 2,000 PLF OR 10,000 POUNDS ABOVE STEPLOCATIONS SHOWNREAR FROST WALLLOOKOUTWALLFULL HEIGHTWALLGARAGE FROSTWALLELEVATIONSHOWN FORREPRESENTATIONPURPOSES ONLY-MAY NOT APPLYELEVATIONSTEP SPACING REQUIREMENTSATYP.6"MIN.WOOD FRAMING ABOVE BY OTHERS12"Ø x 10" LONG ANCHORBOLTS (7" MIN. EMBED)@ 72" O.C. MAX. OREQUIVALENT METALSTRAP ANCHORSSLOPE GRADE AWAYFROM FOUNDATIONOPTIONAL STEM WALLMINIMUM THICKNESS TOMATCH SILL PLATESILL PLATE TO MATCHFRAME WALL ABOVE16" MAX FOR 4" THICK STEM24" MAX. FOR 6" THICK STEMSLAB-ON-GRADE BY OTHERS(1) #4 x CONTINUOUSHORIZONTAL BAR ATTOP OF WALL6" MIN. C.I.P. CONCRETEFOUNDATION WALLUNREINFORCED CONCRETESTRIP FOOTING SEE 5/S1#4x2'-0" DOWELS @ 72" O.C. MAX(5" MIN. EMBED) DOWELS ARENOT REQUIRED IF BACKFILL ISPLACED EQUALLY ON BOTHSIDES IN LIFTS NOT TO EXCEED24"-ALTERNATE EACH SIDE6"MIN.6'-0" MAX WOOD FRAMINGABOVE BY OTHERS12"Ø x 10" LONG ANCHORBOLTS (7" MIN. EMBED)@ 72" O.C. MAX. OREQUIVALENT METALSTRAP ANCHORSSLOPE GRADE AWAY FROMFOUNDATION AT A GRADUAL 2%SLOPE PER GENERAL NOTE 6SILL PLATE TO MATCHFRAME WALL ABOVE#4 x CONTINUOUS HORIZONTALBARS @ 24" O.C. TYP.OPTIONAL 2" RIGID INSULATION ONINSIDE FACE AND UNDERSLAB-ON-GRADE FOR 24" MIN.UNREINFORCED CONCRETESTRIP FOOTING SEE 5/S1(DROP FOR FROST ASREQUIRED PER SITE DESIGN)#4x2'-0" DOWELS @ 48" O.C.MAX (5" MIN. EMBED)(1) #4 x CONTINUOUS HORIZONTALBAR AT TOP OF WALLOPTIONAL SLAB LEDGECONCRETE SLAB-ON-GRADE8" MIN. C.I.P. CONCRETEFOUNDATION WALL#4x4'-0" HOOKS @ 24" O.C. BENT ORDRILLED AND EPOXY GROUTED3'-0"1'-0 " NO HOOKS @ 3'-0" OR LESS GRANULAR MATERIAL (SAND)DETAIL ABOVE MAY ONLY BE UTILIZED FOR A LENGTH OF 15'-0"#5 VERTICAL BARS @ 24" O.C.CENTERED IN WALL TO AID INTHE REDUCTION OF CRACKINGAND BACKFILLING ISSUES PRIORTO TOP OF WALL PINNINGCONTRACTOR IS TO PROVIDETEMPORARY TOP OF WALLBRACING UNTIL GARAGESLAB-ON-GRADE IS IN PLACE(HOOKS INTO GARAGE SLABPROVIDE REQUIRED TOP OFWALL LATERAL SUPPORT) CLEAR HEIGHT BACKFILL HEIGHT112" CLEARUNREINFORCED CONCRETE STRIPFOOTING PER CODE OR BY BUILDINGDESIGNER, AS AN ALTERNATIVE GUIDEUSE TABLE SHOWN AT LEFT8" MIN. C.I.P. CONCRETEFOUNDATION WALL-SEEREBAR TABLE 6/S1 FORVERTICAL REBARANCHOR BOLTS SEE WALLANCHOR INFO ON 2/S2FLOOR TO SILLCONNECTION SEE 1/S2WOOD FLOORSYSTEM BY OTHERSSLOPE GRADE AWAYFROM FOUNDATION2x6 MIN SILL PLATECLEAR HEIGHT OF 8'-0" OR LESS(2)#4xCONT. HORIZONTAL BARSCLEAR HEIGHT OF 8'-0" OR MORE(3)#4xCONT. HORIZONTAL BARSGENERAL STRIP FOOTING SIZE GUIDEONE-STORYSTRUCTURE16" WIDE x 8" THICK20" WIDE x 8" THICKTWO-STORYSTRUCTURE20" WIDE x 8" THICK26" WIDE x 8" THICK2000 PSFSOIL1500 PSFNOTE: TABLE ABOVE IS A GENERAL FOOTING SIZE GUIDE THAT SHOULD BE VERIFIED BY HOMEDESIGNER AND IS BASED ON 25'-0" FLOOR SPANS & 50'-0" ROOF SPANSCONCRETESLAB-ON-GRADEPLACED TIGHT TOFOUNDATION WALL6"MIN.3'-0" MAX GRADE HEIGHT ABOVE TOP OF SLAB#4 x 2'-0" DOWELS (5" MIN.EMBED) CENTERED IN WALL @48" O.C. (SAND SOIL)OR 36" O.C. (SANDY-CLAY SOIL)OR 24" O.C. (CLAY SOIL)DOWELS MUST BE WET SET ORDRILLED AND EPOXY GROUTED6" MIN. THICK C.I.P.CONCRETEFOUNDATION WALLSLOPE GRADE AWAYFROM FOUNDATION12"Ø x 10" LONG ANCHORBOLTS (7" MIN. EMBED)@ 72" O.C. MAX. OREQUIVALENT METALSTRAP ANCHORS(1) #4 x CONTHORIZONTAL BARAT TOP OF WALLFRAMING & SILLPLATE BY OTHERSSLAB-ON-GRADEBY OTHERS#4x2'-0" DOWELS @ 72" O.C.MAX (5" MIN. EMBED)Lennar Corporation16305 36th Ave N. Suite 600Plymouth, MN 55446UNREINFORCED CONCRETESTRIP FOOTING SEE 5/S1(18" MIN WIDTH FOR CLAYBACKFILL OR 16" MIN WIDTH IF2'-6" MAX UNBALANCED BACKFILL)SCOPE OF DRAWINGS:THESE CAST-IN-PLACE CONCRETE FOUNDATION WALL GUIDELINE DRAWINGS ARE PREPARED ANDCERTIFIED BY THE HANSON GROUP IN COMPLIANCE WITH THE 2020 MINNESOTA RESIDENTIAL CODE.THESE DRAWINGS CONTAIN STRUCTURAL INFORMATION FOR USE IN THE CONSTRUCTION OFSTANDARD C.I.P. CONCRETE FOUNDATIONS FOR TYPICAL RESIDENTIAL CONDITIONS. THISINFORMATION IS RELEVANT TO THE CONCRETE CONTRACTOR, THE GENERAL CONTRACTOR, AND THEFRAMING CONTRACTOR. THESE DRAWINGS EXPIRE ON DECEMBER 31, 2020. COPYRIGHT HANSON GROUP LLC 2020©DescriptionDateRevisionApril 1, 2020Project Number:Date:0.001S22Sheets: of2Print Name:Signed: License Number:Nick Hanson4-1-2046665Date:I hereby certify that this plan, specification or reportwas prepared by me or under my direct supervisionand that I am a duly Licensed Professional Engineerunder the laws of the State of Minnesota.CONNECTION INFOTOP OF WALL CONNECTION TOFLOOR SYSTEM1S2BRICK LEDGE INFO5S2WALL SECTIONAT WINDOW WELL LOCATIONS6S2STOOP INFO7S2WALL ANCHOR INFOANCHOR BOLT AND ALTERNATIVESPACING2S2BLOCKING DETAILFLOOR JOIST CONDITION3S2BLOCKING DETAILFLOOR TRUSS CONDITION4S2SITE ADDRESS:City:State:Zip:MN3407 Kilmer Lane NorthSuite 4Plymouth, MN 55441Tel 612-708-3572www.hansongroupmn.comVENEER ORSLAB-ON-GRADEBY OTHERSFOUNDATIONWALL SEE 5/S1WOOD FLOORSYSTEM BYOTHERSFRAMING BY OTHERS16" HIGH MAX x6" THICK MINSTEM6"MINWOOD FLOORSYSTEM BYOTHERSFRAMING BY OTHERS6" MIN THICK STEM#4 DOWELS @ 36" O.C.EMBEDDED 24" INTOLOWER WALLFOUNDATIONWALL SEE5/S1VENEER ORSLAB-ON-GRADEBY OTHERS12"VENEER ORSLAB-ON-GRADEBY OTHERSFOUNDATION WALLSEE 2/S1 OR 3/S1FRAMING BYOTHERS16" HIGH MAXx 4" THICK MINSTEMTHICKNESS TOMATCH SILLPLATE6"3'-0" MAX VENEER ORSLAB-ON-GRADEBY OTHERSFOUNDATION WALLSEE 4/S1SLAB-ON-GRADEFRAMING BYOTHERS6" MIN THICKSTEMDETAIL @ HIGH GRADESIM @ NON-BEARINGDETAIL @ LOOKOUTSIM @ FROST WALLDETAIL @ FROST WALLSw/ LOW GRADEDETAIL @ LOW GRADESIM @ NON-BEARING112"CLEARMINMAX #4 DOWELS @36" O.C.EMBEDDED 24"INTO LOWERWALL (CENTERIN STEMWALL)6"12"Ø ANCHOR BOLTS w/ NUT & 18" THICKx 2"Ø OR SQUARE WASHER SEE 2/S2FOR SPACING (7" EMBED MIN)-METAL STRAP ANCHORS TO BEINSTALLED AT MANUFACTUREREQUIVALENT SPACINGFLOOR SYSTEM, TYPE,SIZE, AND SPACING TO BEDETERMINED BY OTHERSRIM BOARD OR BRACINGMATERIAL BY OTHERS2x6 SILL PLATE MINIMUMFLOOR TO SILL CONNECTION ATEACH MEMBER SEE TABLE BELOWWASHER TO BE COUNTERSUNKFLUSH w/ TOP OF SILL PLATESEE FULL HEIGHT WALL SECTIONON 5/S1 FOR FOUNDATION WALLREQUIREMENTSSLOPE GRADE AWAYFROM FOUNDATIONMINTRUSS/JOIST CONNECTION FOR FULL HEIGHT WALLS****BACKFILL TYPECLEAR HEIGHT(SEE 5/S1)FLOOR MEMBERSPACING8'-0"9'-0"10'-0"16"19.2"A(4) 0.131"Ø x 3" TOP NAILS AT EACH MEMBERSAND(30 PSF/FT)SANDY CLAY(45 PSF/FT)CLAY(60 PSF/FT)24"16"19.2"24"16"19.2"24"AAAAAAABAABBBBBCCCDDDDDDDCCONNECTION A(4) 0.148"Ø x 3" TOP NAILS AT EACH MEMBERCONNECTION B(2) 0.131"Ø x 3" TOP NAILS & MECHANICAL CLIPS : SIMPSON A35/USP MPA1 OR USP LJC ATEACH MEMBERCONNECTION CCONNECTION D(2) 0.131"Ø x 3" TOP NAILS & MECHANICAL CLIPS : SIMPSON FWANZ* OR USP LJQ**OR (2) SIMPSON A35s***/(2) USP MPA1s*** AT EACH MEMBER12"Ø ANCHOR BOLT AND NON-BEARING WALL BLOCKING SPACING FOR FULL HEIGHT WALLS*ALTERNATIVE TO CODE TABLE R404.1.(1)BACKFILL TYPECLEAR HEIGHT(SEE 5/S1)BACKFILL HEIGHT(SEE 5/S1)8'-0"9'-0"10'-0"7'-6"7'-0"8'-6"8'-0"7'-0" OR LESS9'-6"9'-0"8'-0"7'-0" OR LESS72"* 12"Ø EPOXIED THREADED ROD w/ 6" EMBED MAY BE USED AT SPACING SHOWNSAND(30 PSF/FT)SANDY CLAY(45 PSF/FT)CLAY(60 PSF/FT)6'-0" OR LESS72"72"72"72"72"72"72"72"72"72"72"72"48"60"72"48"60"72"36"48"72"36"36"72"72"72"48"24"24"ALTERNATIVE ANCHOR SPACING FOR FULL HEIGHT WALLS**ALTERNATIVE TO CODE TABLE R404.1.(1)BACKFILL TYPECLEAR HEIGHT(SEE 5/S1)BACKFILL HEIGHT(SEE 5/S1)8'-0"9'-0"10'-0"7'-6"7'-0"8'-6"8'-0"7'-0" OR LESS9'-6"9'-0"8'-0"7'-0" OR LESS48"** APPLIES TO MAB 15/FA1, MAB23/FA2, MAS/FA3, 12"Ø EXPANSION BOLT w/ 6" EMBED,12"Ø SELF-CUTTING ANCHOR BOLT w/ 4" EMBED, OR SIMPSON FWAZ ANCHORSAND(30 PSF/FT)SANDY CLAY(45 PSF/FT)CLAY(60 PSF/FT)6'-0" OR LESS60"72"30"36"72"18"24"42"72"72"24"18"20"24"18"24"24"30"42"16"12"14"16"12"16"36"36"N/AN/A10'-0" MAX TO T.O.S. 1'-8" MAX FLASHING & WOODPROTECTION BYOTHERSFLOOR FRAMING ORBLOCKINGFLOORCONNECTIONSEE 1/S2 &2/S2C.I.P. CONCRETEWALL SEEADJACENTPLANS FORTHICKNESS &MAXIMUM WALLLENGTHSSEE FULLHEIGHT WALLSECTION 5/S1FORREINFORCINGSTOOPSLAB BYOTHERS13'-6" @ 10" WALL3'-0" MIN.10'-6" @ 8" WALL13'-6" @ 10" WALL3'-0" MIN.10'-6" @ 8" WALL13'-6" @ 10" WALL10'-6" @ 8" WALL13'-6" @ 10" WALL3'-0" MIN.10'-6" @ 8" WALL13'-6" @ 10" WALL10'-6" @ 8" WALL3'-0" FULL HEIGHT BASEMENTMIN FULL HEIGHT FULL HEIGHT EXAMPLE CORNEROR STRAIGHT WALLOPTIONS -TYPSTOOP AREA8" MIN C.I.P. CONCRETEWALL SEE FULL HEIGHTWALL SECTION 5/S1NOTES:1.ADD RETURN WALLS OR BUTTRESSES IN STOOP AREA AS SHOWN IF OVERALL STOOP CENTER TO CENTERWIDTH EXCEEDS DIMENSIONS SHOWN.2.STOOP WALLS REQUIRE MINIMUM 16" WIDE x 8" DEEP CONCRETE STRIP FOOTING.EXAMPLE '1'EXAMPLE '2'EXAMPLE '3'SLOPE GRADEAWAY FROMFOUNDATIONSLOPE GRADEAWAY FROMFOUNDATIONSLOPE GRADEAWAY FROMFOUNDATIONSLOPE GRADEAWAY FROMFOUNDATIONNOTE: INCREASE STRIP FOOTING WIDTH AT ALL WALLS SUPPORTING MORE THAN 6'-0" OF VENEER.WIDTH TO INCREASE BY THICKNESS OF VENEER MULTIPLIED BY NUMBER OF STORIES.TYP * FWANZ TO BE USED WITH A MIN. 118" OSB RIM AND LOCATED w/IN 5" OF EACH MEMBER. WITH FLOOR TRUSSES,FWANZ MUST BE IN CONTACT WITH A TRUSS OR A MINIMUM 2x4 CONTINUOUS BOTTOM BRACE MUST BE IN PLACE.** LJQ IS TO BE APPROPRIATELY SIZED BASED ON MEMBER WIDTH.*** MEMBER MUST BE A MINIMUM OF 3" WIDE FOR PLACEMENT OF (2) SIMPSON A35s/(2) USP MPA1s.****CONNECTIONS ARE CLASSIFIED A TO D, WITH D BEING THE STRONGEST. IT IS ACCEPTABLE TO USE ASTRONGER CLASS CONNECTION THAN NOTED IN THE TABLE ABOVE.2x8 SILL PLATE TO BE USED w/MAXIMUM OF 112" OVERHANG(MAINTAIN 234" EDGE DISTANCETO BOTH CONCRETE AND INSIDEOF SILL PLATE) - VERTICAL LOADTRANSFER BY SUPPLIERBACKFILL BELOWEXTERIOR STOOP SLABSWITH COMPACTEDGRANULAR MATERIALTO FROST DEPTH(4'-0" MINIMUM)NAIL SHEATHING TO BLOCKING/JOISTS0.131 Ø x 3" LONG NAILS @ 6" O.C.STRUCTURAL RIM BOARD BY OTHERSTYPE D CONNECTOR@ BLOCKING SEE 1/S22 x 6 MINSILL PLATEFOUNDATION WALL SEE OTHER SHEETSFOR ANCHORS & WALL INFOSLOPE GRADE AWAY FROMFOUNDATIONIF REQUIRED, PROVIDE 2 x 4 MINSPACERS UNTIL SPACES IN WHICH FULLHEIGHT BLOCKING CAN BE INSTALLED,TOE NAIL TO FLOOR MEMBERS EACH ENDw/ (12) 0.131"Øx3" LONG NAILSFRAMINGBY OTHERSOPTIONAL OPEN SPACE AS SHOWNOR SHIFT FULL HEIGHT BLOCKINGPROVIDE BLOCKINGAS REQUIRED TO ACHIEVENAILING SHOWN. (MIN 2SPACES) BLOCKING HEIGHTTO MATCH JOIST DEPTH &BE OF LUMBER, I-JOIST, OROTHER MANUFACTUREDMATERIAL ATTACHBLOCKING TO JOISTS w/ TOENAILS EACH ENDJOISTS BY OTHERSSEE 2/S2 FOR SPACING OFBLOCKING SYSTEM SHOWNNOTES:1.MAIN LEVEL FLOOR SHEATHING TO BE 34" PLYWOOD/OSB PLACED IN STAGGERED PATTERN NAILED w/ 0.131"Ø x3" LONG NAILS @ 6" O.C. AT PANELS EDGES & @ 12" O.C. @ PANEL INTERIOR SUPPORTS OF EQUIVALENT.2.NAILS IN BLOCKING ARE TO BE PLACED SUCH THAT THE WOOD DOES NOT SPLIT.3.BLOCKING MEMBERS SHOWN MAY BE REPLACED WITH PRE-MANUFACTURED TRUSS STYLE OR FULL DEPTHMEMBER BLOCKING SUCH AS I-JOIST OR LVL DESIGNED FOR 1,500 POUND LATERAL COMPRESSIVE LOAD.NAILING SHOWN IS TO BE USED AT MINIMUM.4.BLOCKING DOES NOT HAVE TO BE PLACED IN ADJACENT BAYS. IF REQUIRED USE ADDITIONAL 2x4 SPACERS ASSHOWN IN FIRST SPACE.5.HOLES MAY BE INSTALLED IN BLOCKING IF REQUIRED UP TO 4" IN DIAMETER, MAINTAIN 3" EDGE DISTANCE.NAIL SHEATHING TO BLOCKING/TRUSSESw/ (12) 0.131"Øx3" LONG NAILSDUCT/MECHANICAL (AS REQUIRED)BY OTHERSFRAMINGBY OTHERS0.131 Ø x 3" LONGNAILS @ 6" O.C.RIM TRUSSBY OTHERSTOP NAIL RIM TO SILLw/ MIN OF (12)0.131 Ø x3" LONG NAILS EACHSIDE OF BLOCKING ORTYPE D CONNECTOR @BLOCKING SEE 1/S22 x 6 MINSILL PLATEFOUNDATION WALL SEEOTHER SHEETS FORANCHORS & WALL INFOSLOPE GRADE AWAYFROM FOUNDATIONIF REQUIRED, PROVIDE 2 x 4 MIN SPACERSTOP & BOTTOM AT MECHANICAL UNTILSPACES IN WHICH BLOCKING CAN BEINSTALLED, TOE NAIL TO FLOOR MEMBERSw/ (2) 0.131 Ø x 3" LONG NAILS3/4" PLYWOOD/OSB ONE SIDEOF BLOCKING w/ (6) 0.131 Ø x 3" LONG NAILS TOP & BOTTOMOR 1/2" PLYWOOD/OSB EACHSIDE OF BLOCKING EACH w/(4) 0.131 Ø x 3" LONG NAILS TOP & BOTTOMPROVIDE 2 x 4 MIN BLOCKINGTOP & BOTTOM OF TRUSSESAS REQUIRED TO ACHIEVENAILING SHOWN.INSTALL w/ (2) 0.131 Ø x 3"LONG TOE NAILSTRUSSES BY OTHERSNOTES:1.MAIN LEVEL FLOOR SHEATHING TO BE 34" PLYWOOD/OSB PLACED IN STAGGERED PATTERN NAILED w/ 0.131"Ø x 3"LONG NAILS @ 6" O.C. AT PANELS EDGES & @ 12" O.C. @ PANEL INTERIOR SUPPORTS OF EQUIVALENT.2.NAILS IN BLOCKING ARE TO BE PLACED SUCH THAT THE WOOD DOES NOT SPLIT.3.BLOCKING MEMBERS SHOWN MAY BE REPLACED WITH PRE-MANUFACTURED TRUSS STYLE OR FULL DEPTH MEMBERBLOCKING SUCH AS I-JOIST OR LVL DESIGNED FOR 1,500 POUND LATERAL COMPRESSIVE LOAD. NAILING SHOWN IS TOBE USED AT MINIMUM.4.BLOCKING DOES NOT HAVE TO BE PLACED IN ADJACENT BAYS. IF REQUIRED USE ADDITIONAL 2x4 SPACERS ASSHOWN IN FIRST SPACE.5.HOLES MAY BE INSTALLED IN BLOCKING IF REQUIRED UP TO 4" IN DIAMETER, MAINTAIN 3" EDGE DISTANCE.SEE 2/S2 FOR SPACING OFBLOCKING SYSTEM SHOWN10'-0" MAX 3'-8" MAX 2'-6" MIN OPENING 1'-6" MIN 3'-0" EACH WAY MIN112" TYP SLOPE GRADE AWAYFROM FOUNDATION#4 HORIZONTAL BARS @12" O.C. CENTERED INWALLS LAP AROUNDCORNERS AND HOOKINTO FOUNDATION WALL@ EACH SIDE (REFER TO5/S1 FOR HORZ. BARREQUIREMENTS w/ 8"C.I.P. WALLS)6" MIN C.I.P.CONCRETE WALL#4 VERTICAL BARS @EACH OUTSIDECORNER OF WELL(1)#4 x2'-0" DOWEL @EACH OUTSIDECORNER OF WELL (5"MIN EMBED)12" WIDE x 8" THICK MINSTRIP FOOTING(1) #4 HORIZONTALBAR AT TOP OF WALL(2) #4 HORIZONTAL BARSTOP & BOTTOM OFLINTEL EXTEND 24" MINPAST OPENING EACHEND (WOOD OR STEELOPTION BY OTHERS)WALL BEYONDPLACE (2) #4 VERTICALBARS FULL HEIGHT ANDONE ANCHOR w/IN 12" OFOPENING EACH END8" MIN C.I.P.CONCRETE WALLSLAB-ON-GRADEUNREINFORCED CONCRETESTRIP FOOTING SEE FULLHEIGHT WALL SECTION 5/S1LOOKOUTWALLSEE 3/S1GRANULARMATERIAL(SAND)SLOPEWINDOW WELLLADDER/ESCAPEMEANS BYOTHERS5'-0" EACH WAY MAXFLOOR SYSTEM BY OTHERS(DO NOT PLACE GIRDERS ORBEAMS OVER CONCRETE LINTELDESIGNED FOR 1500 PLF)IF CONCRETEOPTIONAL RIGID INSULATION w/IN WINDOW WELL ATTHE DISCRETION OF THE BUILDER FOR ADDITIONALFROST PROTECTION AS REQUIRED PER SITE DESIGN6"MIN.Lennar Corporation16305 36th Ave N. Suite 600Plymouth, MN 55446A SECTION A 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 R-15 X X R-20 X R-20 X R-21 X R-49 X R-49 X R-30 X R-30 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: 66,000 Capacity in Gallons: Other, describe: AFUE or HSPF% 93% Cfm's " round duct OR " metal duct Not required per mech. code X Passive X Low: Other, describe: Low: Location of fan(s), describe: Cfm's 6" " Flex " metal duct Capacity continuous ventilation rate in cfms: Total ventilation (intermittent + continuous) rate in cfms: Energy Recover Ventilator (ERV) Capacity in cfms:High: MECHANICAL VENTILATION SYSTEM 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): Efficiency SEER /EER 13 Location of duct or system: Balanced Ventilation capacity in cfms:Mechanical Room Combustion Air Select a Type Select Type Heat Recover Ventilator (HRV) Capacity in cfms:82 High:192 Location of duct or system: Residential Load Calculation Heating Loss Heating Gain Cooling Load ERV/HRV in Mechanical Room Model ML193UH070XE GPVL50 13ACXN024 Rating or Size 50 Output in Tons: 2 60928 17531 20638 Fuel Type Natural Gas Natural Gas Electric Manufacturer Lennox AO Smith Lennox MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Heater Cooling System Windows & Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor (excludes skylights and one door) U: 0.30 Solar Heat Gain Coefficient (SHGC):0.30 R-value Floors over unconditioned area Describe other insulated areas Building envelope air tightness:Duct system air tightness: Ceiling, flat Ceiling, vaulted Bay Windows or cantilevered areas Rim Joist (1st Floor) Rim Joist (2nd Floor+) Wall Below Entire Slab Foundation Wall R402.2.8, Exception; a. R-10 - by plan Perimeter of Slab on Grade Foam, Closed CellFoam Open CellMineral FiberboardRigid, Extruded PolystyreneRigid, IsocynurateIF fan is required; Attic Lennar BC001413 THERMAL ENVELOPE RADON CONTROL SYSTEM Insulation Location Total R-Value of all Types of InsulationType: Check All That Apply Non or Not ApplicableFiberglass, BlownFiberglass, BattsNew Construction Energy Code Compliance Certificate Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel. - COPY OF THIS DOCCUMENT WILL BE POSTED ON THE PLENTUM OF FURNACE 7/26/2020 Mailing Address of the Dwelling or Dwelling Unit:City: 19182 Impala Avenue Lakeville Name of Residential Contractor: MN License Number Builders Association of Minnesota version 101014 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 08/04/2020 KP X