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Home My WebLink AboutLA184219 19820 Hamburg 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 CANNOT HOOK TO CITY SEWER/WATER 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 Secure door closed until deck isconstructed with a separate permit.Concept Approval ONLYSubject to Field InspectionInspectorDate2020MN BldgCode09/22/2020dmathews UFER Ground-Provide 20' Rebar in footing and stubup near electrical service panel. Verify loads with girdertruss specs, may requireremoval of top plates atbearing due to crushing.CS-PFCS-PFCS-PFCS-PFCS-PF Verify loads with girdertruss specs, may requireremoval of top plates atbearing due to crushing.Temper-Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ). Stone Cottage HVAC Load Calculations for Stone Cottage 19820 Hamburg Ave Lakeville,mn Prepared By: Brian Stone Cottage 14787 Energy Way Apple Vallley, MN 55124 Monday, August 31, 2020 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:Monday, August 31, 2020 Client Name:Stone Cottage Client Address:19820 Hamburg Ave Client City:Lakeville,mn Company Name:Stone Cottage Company Representative:Brian Company Address:14787 Energy Way Company City:Apple Vallley, MN 55124 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:1,373 CFM Per Square ft.:0.387 Square ft. of Room Area:3,552 Square ft. Per Ton:1,078 Volume (ft³) of Cond. Space:31,968 Building Loads Total Heating Required Including Ventilation Air:55,781 Btuh 55.781 MBH Total Sensible Gain:29,651 Btuh 83 % Total Latent Gain:6,270 Btuh 17 % Total Cooling Required Including Ventilation Air:35,921 Btuh 2.99 Tons (Based On Sensible + Latent) 3.29 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:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 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 2.99 1,187 3,552 29,651 6,270 35,921 55,781 1,067 1,373 1,373 System 1 Yes 2.99 1,187 3,552 29,651 6,270 35,921 55,781 1,067 1,373 1,373 24x10 Ventilation 340 1,352 1,692 4,550 Zone 1 3,552 29,311 4,918 34,229 51,231 1,067 1,373 1,373 24x10 1-Main Level 1,149 12,045 1,855 13,900 19,548 407 564 564 7--6 2-Upper Level 1,254 12,604 2,444 15,048 19,516 406 590 590 7--6 3-Lower Level 1,149 4,662 619 5,281 12,167 253 218 218 3--6 C:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 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 0.34, SHGC 0.33 546 16,151 0 16,046 16,046 11N: Door-Metal - Polystyrene Core 42 1,096 0 302 302 12F-0sw: Wall-Frame, R-21 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs 2796 15,811 0 2,417 2,417 15B0-15sf-10: Wall-Basement, , R-15 board insulation to floor, no interior finish, 10' floor depth 1116 4,077 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 1254 2,182 0 1,204 1,204 21A-24: 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 24' wide 1149 2,499 0 0 0 Subtotals for structure:41,816 0 19,969 19,969 People:7 1,400 1,610 3,010 Equipment:2,500 7,000 9,500 Lighting:0 0 0 Ductwork:0 0 0 0 Infiltration: Winter CFM: 101, Summer CFM: 53 9,415 1,018 732 1,750 Ventilation: Winter CFM: 140, Summer CFM: 70 4,550 1,352 340 1,692 Total Building Load Totals:55,781 6,270 29,651 35,921 Check Figures Total Building Supply CFM:1,373 CFM Per Square ft.:0.387 Square ft. of Room Area:3,552 Square ft. Per Ton:1,078 Volume (ft³) of Cond. Space:31,968 Building Loads Total Heating Required Including Ventilation Air:55,781 Btuh 55.781 MBH Total Sensible Gain:29,651 Btuh 83 % Total Latent Gain:6,270 Btuh 17 % Total Cooling Required Including Ventilation Air:35,921 Btuh 2.99 Tons (Based On Sensible + Latent) 3.29 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:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 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 55,781 Btuh Floor 4%Roof 4% Wall 36% Glass 29% Door 2% Infiltration 17% Ventilation 8% Building Gain 35,921 Btuh Roof 3%Wall 7% Glass 45% Door 1% People 8% Equipment 26% Infiltration 5%Ventilation 5% C:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 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 0.34, SHGC 0.33 546 16,151 0 16,046 16,046 11N: Door-Metal - Polystyrene Core 42 1,096 0 302 302 12F-0sw: Wall-Frame, R-21 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs 2796 15,811 0 2,417 2,417 15B0-15sf-10: Wall-Basement, , R-15 board insulation to floor, no interior finish, 10' floor depth 1116 4,077 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 1254 2,182 0 1,204 1,204 21A-24: 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 24' wide 1149 2,499 0 0 0 Subtotals for structure:41,816 0 19,969 19,969 People:7 1,400 1,610 3,010 Equipment:2,500 7,000 9,500 Lighting:0 0 0 Ductwork:0 0 0 0 Infiltration: Winter CFM: 101, Summer CFM: 53 9,415 1,018 732 1,750 Ventilation: Winter CFM: 140, Summer CFM: 70 4,550 1,352 340 1,692 System 1 Whole House Load Totals:55,781 6,270 29,651 35,921 Check Figures Supply CFM:1,373 CFM Per Square ft.:0.387 Square ft. of Room Area:3,552 Square ft. Per Ton:1,078 Volume (ft³) of Cond. Space:31,968 System Loads Total Heating Required Including Ventilation Air:55,781 Btuh 55.781 MBH Total Sensible Gain:29,651 Btuh 83 % Total Latent Gain:6,270 Btuh 17 % Total Cooling Required Including Ventilation Air:35,921 Btuh 2.99 Tons (Based On Sensible + Latent) 3.29 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:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 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 - Main Level (Average Load Procedure) General Calculation Mode:Htg. & clg.Occurrences:1 Room Length:1,149.0 ft.System Number:1 Room Width:1.0 ft.Zone Number:1 Area:1,149.0 sq.ft.Supply Air:564 CFM Ceiling Height:9.0 ft.Supply Air Changes:3.3 AC/hr Volume:10,341.0 cu.ft.Req. Vent. Clg:0 CFM Number of Registers:7 Actual Winter Vent.:53 CFM Runout Air:81 CFM Percent of Supply.:9 % Runout Duct Size:6 in.Actual Summer Vent.:29 CFM Runout Air Velocity:411 ft./min.Percent of Supply:5 % Runout Air Velocity:411 ft./min.Actual Winter Infil.:45 CFM Actual Loss:0.106 in.wg./100 ft.Actual Summer Infil.:24 CFM Item Description Area Quantity -U- Value Htg HTM Sen Loss Clg HTM Lat Gain Sen Gain N -Wall-12F-0sw 40 X 9 330 0.065 5.7 1,866 0.9 0 285 S -Wall-12F-0sw 40 X 9 290 0.065 5.7 1,640 0.9 0 251 E -Wall-12F-0sw 44 X 9 309 0.065 5.7 1,747 0.9 0 267 W -Wall-12F-0sw 44 X 9 293 0.065 5.7 1,657 0.9 0 253 W -Door-11N 3 X 7 21 0.300 26.1 548 7.2 0 151 W -Door-11N 3 X 7 21 0.300 26.1 548 7.2 0 151 N -Gls-4A-1a-o shgc-0.33 100%S 30 0.340 29.6 887 10.7 0 320 S -Gls-4A-1a-o shgc-0.33 0%S 70 0.340 29.6 2,071 19.4 0 1,361 E -Gls-4A-1a-o shgc-0.33 0%S 87 0.340 29.6 2,573 35.3 0 3,068 W -Gls-4A-1a-o shgc-0.33 0%S 61 0.340 29.6 1,804 35.3 0 2,151 Subtotals for Structure:15,341 0 8,258 Infil.: Win.: 45.3, Sum.: 23.6 1,512 2.782 4,207 0.216 455 327 People: 200 lat/per, 230 sen/per:2 400 460 Equipment:1,000 3,000 Room Totals:19,548 1,855 12,045 C:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 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 - Upper Level (Average Load Procedure) General Calculation Mode:Htg. & clg.Occurrences:1 Room Length:1,254.0 ft.System Number:1 Room Width:1.0 ft.Zone Number:1 Area:1,254.0 sq.ft.Supply Air:590 CFM Ceiling Height:9.0 ft.Supply Air Changes:3.1 AC/hr Volume:11,286.0 cu.ft.Req. Vent. Clg:0 CFM Number of Registers:7 Actual Winter Vent.:53 CFM Runout Air:84 CFM Percent of Supply.:9 % Runout Duct Size:6 in.Actual Summer Vent.:30 CFM Runout Air Velocity:430 ft./min.Percent of Supply:5 % Runout Air Velocity:430 ft./min.Actual Winter Infil.:44 CFM Actual Loss:0.116 in.wg./100 ft.Actual Summer Infil.:23 CFM Item Description Area Quantity -U- Value Htg HTM Sen Loss Clg HTM Lat Gain Sen Gain N -Wall-12F-0sw 43 X 9 347 0.065 5.7 1,962 0.9 0 300 S -Wall-12F-0sw 43 X 9 363 0.065 5.7 2,053 0.9 0 314 E -Wall-12F-0sw 39 X 9 276 0.065 5.7 1,561 0.9 0 239 W -Wall-12F-0sw 39 X 9 286 0.065 5.7 1,617 0.9 0 247 N -Gls-4A-1a-o shgc-0.33 100%S 40 0.340 29.6 1,183 10.7 0 427 S -Gls-4A-1a-o shgc-0.33 0%S 24 0.340 29.6 710 19.5 0 467 E -Gls-4A-1a-o shgc-0.33 0%S 75 0.340 29.6 2,219 35.3 0 2,645 W -Gls-4A-1a-o shgc-0.33 0%S 65 0.340 29.6 1,923 35.3 0 2,292 UP-Ceil-16B-50 1254 X 1 1254 0.020 1.7 2,182 1.0 0 1,204 Subtotals for Structure:15,410 0 8,135 Infil.: Win.: 44.2, Sum.: 23.0 1,476 2.782 4,106 0.216 444 319 People: 200 lat/per, 230 sen/per:5 1,000 1,150 Equipment:1,000 3,000 Room Totals:19,516 2,444 12,604 C:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 9 Detailed Room Loads - Room 3 - Lower Level (Average Load Procedure) General Calculation Mode:Htg. & clg.Occurrences:1 Room Length:1,149.0 ft.System Number:1 Room Width:1.0 ft.Zone Number:1 Area:1,149.0 sq.ft.Supply Air:218 CFM Ceiling Height:9.0 ft.Supply Air Changes:1.3 AC/hr Volume:10,341.0 cu.ft.Req. Vent. Clg:0 CFM Number of Registers:3 Actual Winter Vent.:33 CFM Runout Air:73 CFM Percent of Supply.:15 % Runout Duct Size:6 in.Actual Summer Vent.:11 CFM Runout Air Velocity:371 ft./min.Percent of Supply:5 % Runout Air Velocity:371 ft./min.Actual Winter Infil.:12 CFM Actual Loss:0.087 in.wg./100 ft.Actual Summer Infil.:6 CFM Item Description Area Quantity -U- Value Htg HTM Sen Loss Clg HTM Lat Gain Sen Gain E -Wall-12F-0sw 44 X 9 302 0.065 5.7 1,708 0.9 0 261 W -Wall-15B0-15sf-10 44 X 9 396 0.042 3.7 1,447 0.0 0 0 N -Wall-15B0-15sf-10 40 X 9 360 0.042 3.7 1,315 0.0 0 0 S -Wall-15B0-15sf-10 40 X 9 360 0.042 3.7 1,315 0.0 0 0 E -Gls-4A-1a-o shgc-0.33 0%S 94 0.340 29.6 2,781 35.3 0 3,315 Floor-21A-24 1 X 1149 1149 0.025 2.2 2,499 0.0 0 0 Subtotals for Structure:11,065 0 3,576 Infil.: Win.: 11.9, Sum.: 6.2 396 2.783 1,102 0.217 119 86 Equipment:500 1,000 Room Totals:12,167 619 4,662 C:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Stone Cottage Farmington, MN 55024 Page 10 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 Main Level 1,149 19,548 407 7-6 411 12,045 1,855 564 564 2 Upper Level 1,254 19,516 406 7-6 430 12,604 2,444 590 590 3 Lower Level 1,149 12,167 253 3-6 371 4,662 619 218 218 Ventilation 4,550 340 1,352 System 1 total 3,552 55,781 1,067 29,651 6,270 1,373 1,373 System 1 Main Trunk Size:24x10 in. Velocity:824 ft./min Loss per 100 ft.:0.095 in.wg Cooling System Summary Cooling Tons Sensible/Latent Split Sensible Btuh Latent Btuh Total Btuh Net Required:2.99 83% / 17%29,651 6,270 35,921 Recommended:3.29 75% / 25%29,651 9,884 39,535 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:\ ...\19820 HAMBURG LAKEVILLE 08312020.rhv Monday, August 31, 2020, 9:54 AM Builders Associaton of Minnesota version 101014 Date Certificate Posted x Passive (No Fan) Active (With fan and monometer or other system monitoring 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: 70,000 Capacity in Gallons: Other, describe: AFUE or HSPF% 93% 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: 35,921 Below Entire Slab Rigid, Extruded Polystyrene Ceiling, flat Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel. Place your logo here New Construction Energy Code Compliance Certificate Name of Residential Contractor Stone Cottage Construction Inc. MN License Number Lakeville19820 Hamburg Ave BC636874 Mech Room Heat Recover Ventilator (HRV) Capacity in cfms: Energy Recover Ventilator (ERV) Capacity in cfms: 55,781 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 Foam Open Cell Wall Rigid, Isocynurate Perimeter of Slab on Grade RADON CONTROL SYSTEM Non or Not Applicable Cooling SystemTotal R-Value of all Types of InsulationType: Check All That Apply Mineral Fiberboard Insulation Location Foam, Closed Cell0.22 Describe other insulated areas Fiberglass, BlownFiberglass, Batts Foundation Wall R-value Average U-Factor (excludes skylights and one door ) U: Duct system air tightness: Building envelope air tightness: Rim Joist (1st Floor) GPVL-50 13ACXN042-230 Model Heating System Natrual Gas Lennox 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): 29,651Residential 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: ML193UH070 Heating Loss Manufacturer Lennox Natural Gas Output in Tons: 3 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 DJM X9/9/2020