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LA187377 - 16417 Duluth Tr Permit Pack
RESIDENTIAL 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 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 1 14 APPROXIMATE SQUARE FOOTAGE ABOVE GRADE FINISHED BELOW GRADE FINISHED Square footages are measured to the exterior finished surface of the outside walls. Square footage calculations were made based on plan dimensions only and may vary from the finished square footage of the house as built. In addition, plan dimensions are not exact and are subject to some variance. However, all construction shall be in substantial compliance with the Contract Documents. BELOW GRADE UNFINISHED GARAGE SQ. FT. SQ. FT. SQ. FT. SQ. FT. 3,898 2,424 237 875 Concept Approval ONLY Subject to Field Inspection Inspector Date 2020 MN Bldg Code 01/05/2021dmathews Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 2 14 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 3 14 3.5 3.5 10 10 5 .10)+67&+0#.$#45 #66121((116+0) *14+<$#45 "1% /+0%+2%10%4'6'9#.. 8'46+%#.$#4126+105 $#45"1% 14$#45"1% $#45"'0& $'0&1(*11- Ä*11-126+105 *11-5"1%14 *11-5"1% 64#058'45'$#45126+105 $#45"1%14 $#45"1% /+06*+%-%+2 %10%4'6'(116+0) ÄÄ618'46+%#.$#45 *11-5 Ä Ä 5.12')4#&'#9#; (41/(170+10 )#4#)'5.#$#65+/Y 126+10#.5.#$.'&)' Ä/#: /+0 5.#$Ä10Ä)4#&'911&9#..Z.10)#0%*14$1.65 /+0'/$'& "1%/#:14'37+8 Z(4#/'9#..106121( 5;20114$'66'4Z/+0 5+..2.#6'Y/#:18'4*#0) %1064#%614/#;75'9#..%105647%6'& 5+/+.#461$'.19Y6*'(1..19+0)%*#0)'5 x Ä*11-126+105 *11-5"1%14*11-5"1% x 8'46+%#.$#4126+105 $#45"1%14$#45"1% 9#..5'%6+10 54'6#+0+0)9#..6;2'52146 %1746(170+109#.. .10)+67&+0#.$#45 #66121((116+0) *14+<$#45 "1% 14%+2%10%4'6' 9#.. 148'46+%#. $#45"1% $#45"'0& $'0&1(*11- 14ZÄ *11-5"1% 64#058'45'$#45 126+105 "1%14 "1% 6*+%-%+2 %10%4'6'(116+0) ÄÄ618'46+%#.$#45 *11-5 Ä Ä 5.12')4#&'#9#;(41/(170+10 Ä/#: /+0 5.#$Ä10Ä)4#&' Z.10)#0%*14$1.65 /+0'/$'& "1%/#:14'37+8911&9#..Z(4#/'9#..106121( 5;20114$'66'4Z/+0 5+..2.#6'Y/#:18'4*#0) 9#..5'%6+10 54'6#+0+0)9#..6;2'52146%1746 (170+109#..Ä.19)4#&' 61$'.1%#6'&+06*'(+'.6'37+4'& #0&#..19'&9+6*5+6')4#&' 9#..5'%6+10 5.11-176(170+109#.. 61$'.1%#6'&+06*'(+'.& #54'37+4'�&#..19'& 9+6*5+6')4#&'Ä/#: /+0 5.12')4#&'#9#; (41/(170+10 /+09+&'Z/+0 6*+%-%10%4'6'(116+0) %'06'4'&70&'49#.. 5.#$Ä10Ä)4#&' *14+<$#4 "6121(9#.. %+2 %10%4'6' 9#.. ZÄ&19'.5 /+0 '/$'& %'06'4'&+09#.. "1%&19'.5/756 $'9'65'614&4+..'& #0&'21:;)4176'& Z.10)#0%*14$1.65 /+0'/$'& "1%/#: 64'#6'&Z5+..2.#6' Y/#:18'4*#0) 5''5(146#..911& 9#..(4#/+0) UFER Ground -Provide 20' Rebar in footing and stub up near electrical service panel. 2418+&'&17$.' 567&5(#56'0'& 61*1.&190 5*190+05 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 4 14 ATTIC ACCESS BWPs Above 3 3 5 5 5 5 5 95 2.5 3 5 8 5 5 5 BWP Above 3.5 3.5 2.5 2.5 10 PFH PFH 52146%1746':6'4+146#..911& 9#.. * Ä 61$' %105647%6'(1..195 x Z"1%6;2+%#.(7..*'+)*6 9#..(4#/+0) $#..110(4#/'& x2418+&'Z$.1%-+0)$'69''0 567&5#6/+&Ä*'+)*61(9#.. x 2418+&' Z$'#4+0)567& Z(7..*'+)*6-+0)567&'#%* 5+&'1(9+0&1912'0+0)5 /+02.;911&15$':6'4+145*'#6*+0)(#56'0'&61567&5YF 0#+.5"1%#62#0'.'&)'5 " 1%#6+06'4+1457221465 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 5 14 ATTIC ACCESS W/ LIGHT, SWITCH, & OUTLET 2.5 2.5 2.5 -Min. 15" clearance to any obstruction from center of W.C., 24" in front(typ). Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 6 14 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 7 14 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 8 14 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 9 14 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 10 14 Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 11 141/4"1-1/2"HOUSE 1" END OF PORCH 1" END OF DECK Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 12 14 CFL INCANDESCENT LED LED LED LED LOW VOLTAGE LED Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 13 14 ATTIC ACCESS CFL INCANDESCENT LED LED LED LED LOW VOLTAGE LED Copyright of these documents is owned by Robert Thomas Homes, Inc. and reserves ALL rights. These plans may not be re-used, copied or assigned to another party nor shall they be modified or used in part in other designs without the prior written consent of Robert Thomas Homes, Inc. OF SHEETBROBACK RESIDENCE16417 DULUTH TRAIL, LAKEVILLE, MN 55044SBF22.02.02 - THE BROADMOOR - ELEVATION BDRAWN BY:JJS | C C.O.10/25/20 CUSTOMER 10/26/20 C.O.10/28/20 PERMIT 12/21/20 REVISIONS: 10/30/20 - SECTIONS 11/4/20 - C.O. 16-22 11/9/20 - C.O. 23-25 11/11/20 - C.O. 26 11/19/20 - C.O. 27-37 11/30/20 - C.O. 38 1-14 15 14 14 ATTIC ACCESSW/ LIGHT, SWITCH, &OUTLET CFL INCANDESCENT LED LED LED LED LOW VOLTAGE LED &GUETKRVKQP&CVG4GXKUKQP2TQLGEV0WODGT &CVG 55JGGVU QH4QDGTV6JQOCU*QOGU+PE$TCPFVLGP(CTO&TKXG.CMGXKNNG/0-KNOGT.CPG05WKVG2N[OQWVJ/06GNÄÄ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Ä/#:9#..55.#$5Ä/#:10Ä5+6'51+. %.#; 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Burnsville Pkwy, Suite 120, Burnsville, MN 55337 Phone 952‐894‐0005 – Fax 952‐894‐0925 – Web www.burnsvilleheating.com _____________________________________________________________________________________ Ventilation, Makeup and Combustion Air Calculations Submittal Form for New Dwellings Site address 16417 Duluth Trail Date 11/6/20 Contractor Burnsville Heating & Air Conditioning, Inc Completed By Alan Dobson VENTILATION REQUIREMENTS TABLE R403.5.2 NUMBER OF BEDROOMS 1 2345 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 90/40 105/53 120/60 135/68 150/75 165/83 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 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 6000sp. Ft. or there are more than 6 bedrooms, use Equation R403.5.2 R403.5.2 Total Ventilation rate. The mechanical ventilation system shall provide 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 ventilation rate/2 Amount Total _________221_________ Amount Continuous _______111_________ TABLE 304.1 COMBUSTION AIR REQUIREMENTS FOR GAS‐FIRED APPLIANCES WHEN THE COMBINED INPUT IS UP TO AND INCLUDING 400,000 Btu/hr 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) 50 (15) 75 (23) 100 (30) 125 (37) 150 (45) 175 (53) 200 (60) 225 (68) 250 (75) 275 (83) 300 (90) 325 (98) 350 (105) 375 (113) 400 (120) 7 (4,500) 7 (4,500) 11 (7,000) 14 (9,000) 18 (12,000) 22 (14,000) 25 (16,000) 29 (19,000) 32 (21,000) 36 (23,000) 40 (26,000) 43 (28,000) 47 (30,000) 50 (32,000) 54 (35,000) 58 (37,000) 3 (75) 3 (75) 4 (100) 4 (100) 5 (125) 5 (125) 6 (150) 6 (150) 6 (150) 7 (175) 7 (175) 7 (175) 8 (200) 8 (200) 8 (200) 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. BTU Amount for Non‐direct vent appliances ____________________ 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 combustion appliance information. Furnace/Boiler: ___Draft Hood ___Fan Assisted ___Direct Vent Input (Not fan assisted) & Power Vent ______Btu/hr Water Heater: ___Draft Hood ___Fan Assisted ___Direct Vent Input: (Not fan assisted) &Power Vent ______Btu/hr 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 Hours (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 Input:_____________ Btu/hr (DO NOT COUNT DIRECT VENT APPLIANCES) 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 Input:_____________ Btu/hr (DO NOT COUNT DIRECT VENT APPLIANCES) Use Fan‐Assisted Appliances column in Table E‐1 to find Required Volume Fan Assisted (RVFA) RFVA:_____________ 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 RV=_______________+______________=_______________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 = 1 ‐ = m 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 CAOA = /3000 Btu/hr per in2= 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 √ Minimum CAOA =__________ in. 1 If desired, ACH can be determined using ASHRAE calculation or blower door test. Follow procedures in Section G304. IFGC Appendix E, Table E‐1 Residential Combustion air (Required Interior Volume Based on Input Rating of Appliance) Input Rating (Btu/hr) Standard Method (ft3) Known Air Infiltration Rate (KAIR) Method (ft3) Fan Assisted Non‐Fan‐Assisted 19941 to present Pre‐1994 1994 to present Pre‐1994 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 1,675 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 22,525 10,783 210,000 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 16,875 8,438 23,625 11,813 230,000 11,500 17,250 8,625 24,150 12,075 1 The 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. 2 This 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. Table 501.4.1 Procedure to Determine Makeup Air Quantity for Exhaust Appliances in Dwelling Units 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 1. Use Appropriate Column to Estimate House Infiltration a) pressure factor (cfm/sf) 0.15 0.09 0.06 0.03 b) conditioned floor area (sf) 6,559 (including unfinished basements) Estimated House Infiltration (cfm): [1ax 1b] 983.85 2. Exhaust Capacity a) Clothes dryer 135 135 135 135 b) 80% of largest exhaust rating (cfm) 240 (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): 64 (not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust Total Exhaust Capacity (cfm): [2a+2b+2c] 439 3. Makeup Air Requirement 547) Total Exhaust Capacity (from above) 439 b) Estimated House Infiltration (from above) 983.85 Makeup Air Quality (cfm): [3a‐3b] ‐544.85 (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 venter 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 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 Table 501.4.2 Makeup Air Opening Sizing Table for New and Existing Dwelling Units TYPE OF OPENING OR SYSTEM 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 APPLIANES 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 (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 w/motorized damper 318 – 419 196 – 258 136 – 179 84 – 110 9 Passive opening w/motorized damper 420 – 539 259 – 332 180 – 230 111 – 142 10 Passive opening w/motorized damper 540 – 679 333 – 419 231 – 290 143 – 179 11 Powered makeup airH >679 >419 >290 >179 NA 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 on atmospherically vented (other than fan‐assisted) gas or oil appliance per venting system or one solid fuel appliance. D. Use this column if there is multiple atmospherically vented gas or oil appliances using a common vent or I 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 b 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. 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-10 X R-21 X R-21 X R-21 X R-49 X R-30 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:100,000 Capacity in Gallons: Other, describe: AFUE or HSPF%92% Cfm's " round duct OR " metal duct Not required per mech. code 6"Passive Low: Other, describe: XLow: Location of fan(s), describe: Cfm's " round duct OR " metal duct Total ventilation (intermittent + continuous) rate in cfms: Balanced Ventilation capacity in cfms: High: High: MECHANICAL VENTILATION SYSTEM Capacity continuous ventilation rate in cfms: 43VP50E2 DX13SN042 Location of duct or system: Heating or Cooling Ducts Outside Conditioned Spaces R-410A Make-up Air Select a Type Rheem Domestic Water Heater Gas MECHANICAL SYSTEMS Rating or Size Efficiency 13SEER /EER Model Heating System Gas Daikin DM92SE1004C Manufacturer Daikin 50 Output in Tons:3.5 Appliances Cooling SystemTotal R-Value of all Types of InsulationType: Check All That Apply Mineral FiberboardTHERMAL ENVELOPE Insulation Location Foam, Closed CellFoam Open Cell Wall Non or Not ApplicableFiberglass, BlownFiberglass, Batts Foundation Wall R-value Average U-Factor (excludes skylights and one door ) U: Duct system air tightness: Fuel Type Solar Heat Gain Coefficient (SHGC):0.34 Describe other insulated areas RADON CONTROL SYSTEM Rim Joist (2nd Floor+) 0.28 Building envelope air tightness: 6 MIL POLY - 4" AGG INTERIOR INTERIOR Below Entire Slab Rigid, Extruded PolystyreneRigid, Isocynurate Perimeter of Slab on Grade Ceiling, flat ATTIC EXTERIOR SEALANT Rim Joist (1st Floor) Windows & Doors Ceiling, vaulted Heat Recover Ventilator (HRV) Capacity in cfms: Energy Recover Ventilator (ERV) Capacity in cfms: Combustion Air Select a Type Location of duct or system: 41,00083,395 Heating Gain Cooling Load 111 221 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): 33,889 Residential Load Calculation Heating Loss Bay Windows or cantilevered areas Floors over unconditioned area Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel.11/6/2020 New Construction Energy Code Compliance Certificate Name of Residential Contractor Robert Thomas Homes MN License Number BC644819 City Mailing Address of the Dwelling or Dwelling Unit Lakeville16417 Duluth Trail Builders Associaton 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 16417 Duluth Trail Robert Thomas Homes Sean McNamara 952-412-4356 sean.mcnamara@robertthomashomes.com Excavation/construction of single family home 15765 Rob St. Sauver Robert Thomas Homes 952-292-2419 rob.stsauver@traditiondevelopment.com UofMN 5/31/2022 R 100001)))))))))))))))))))))))))))))))))ooooooooooooooooooooooooooooooooooooooor rrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrr ererereeeereeeeerrrrrrreereeeeeeerereeeerererrererrrreeerereereereeeeerrrrrrreeeeeeeereeerrrosooosoooooososososoooooosooosososososososooosssososososososososossssssooososossssssoosooooooooosoosssssssosooooossssssssosssssssssssssssssion anddd sediment control plan. e:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ D 11/6/20 12/30/2020 X KP