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Home My WebLink AboutLA186925 17879 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 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 19SCALE: 1/4" = 1'-0"FRONT ELEVATIONGENERAL NOTES:1. ALL DOOR AND WINDOW HEADERS TO BE S.P.F. #2 OR BETTER, SEE PLANS FOR SIZES.2. HOUSE TO BE BUILT PER CURRENT I.R.C. CODES.3. VERIFY GRADES AND ADJUST FOUNDATION/FOOTING STEPS AS NEEDED.4. SEE PLANS FOR CEILING HEIGHTS5. 4' HIGH POURED FDN. WALLS STD.6. FLOOR PLAN DIMENSIONS ARE TO FACE OF FRAMING AND FOUNDATION.7. ALL TRADES & SUPPLIERS TO REVIEW & VERIFY INFORMATION PERTINENT TO THEIR WORK AND NOTIFY CONST. OF ANYDISCREPANCIES PRIOR TO CONSTRUCTION.8. NOTED CABINET SIZES ARE +/- AND TO BE FIELD VERIFIED.9. TRADES TO VERIFY BASE AND TRIM SIZE PRIOR TO CONSTRUCTION.10. ALL WALLS MORE THAN 10' H. TO BE S.P.F. #2 OR BETTER. 11. EXTERIOR ELEVATIONS ARE CONCEPTUAL ONLY:HOME SITE, FILL AND TOPOGRAPHY WILL DICTATEACTUAL GRADES AND MAY VARY FROM THOSE SHOWN ON THE PLAN.12. NOTE: SUBFLOOR JOINTS SHALL BESTAGGERED FROM FLOOR TRUSS ORJOIST JOINTSOFSHEET07-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3SEE ROOF PLAN FORROOF PITCHES ANDOVERHANGS25'-6"CONC. PORCH4" TRIM TYP.6:12ALUM. SOFFIT& FASCIA30 YR. ARCH. ASPHALT SHINGLES2x OVER 6" TRIM14" LP COLUMN, TYP. 9'-1 1/8"T.O. SUBFLR.T.O. PLATE 1'-8 1/4"T.O. FDN.9'-9 1/8"@ GARAGET.O. PLATE 121212121'-0" 6" TRIM12" CANT.10" TRIMMETAL CORNERSTYP.SADDLEC/LT.O. FDN.6'-3"@ DORMERT.O. PLATEFP CHASE24"x60" FALSE6" TRIM & BATTENPER SPECS10" TRIMC/L2x OVER 6" TRIMGLS.GLS.GLS.GLS.LP BOARDSTONE TOTAL: 79 SQ. FT. (29.4%)TOTAL SQ. FT.: 269 SQ. FT.MATERIAL CALCULATIONS: FRONT ELEV.LP LAP SIDING TOTAL: 30 SQ. FT. (11.2%)LP B&B TOTAL: 117 SQ. FT. (43.5%)LP TRIM / PANEL: 43 SQ. FT. (16%)STONE TOTAL: 129 SQ. FT. (8.3%)TOTAL SQ. FT.: 1,900MATERIAL CALCULATIONS: ALL ELEV.LP LAP SIDING TOTAL: 1075 SQ. FT. (68.6%)LP B&B TOTAL: 230 SQ. FT. (14.8%)LP TRIM / PANEL: 123 SQ. FT. (7.9%)LP PANEL8" BOXED HEADERConcept Approval ONLYSubject to Field InspectionInspectorDate2020MN BldgCode04/02/2021dmathews EXTERIOR ELEVATIONS ARE CONCEPTUAL ONLY:HOME SITE, FILL AND TOPOGRAPHY WILL DICTATEACTUAL GRADES AND MAY VARY FROM THOSE SHOWN ON THE PLAN.2907-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3OFSHEETSIDE ELEVATIONSIDE ELEVATIONSCALE: 1/8" = 1'-0"SCALE: 1/8" = 1'-0"REAR ELEVATIONSCALE: 1/8" = 1'-0"@ GARAGE9'-1 1/8"T.O. FDN.A/C UNIT12:12126126T.O. PLATESEE ROOF PLANFOR PITCHES ANDOVERHANGS8" TRIM6'-3"@ DORMERT.O. PLATE12:12LP CORNERS4" LP TRIM @ WDWS. & DOORS TYP.10" TRIMT.O. PLATE9'-1 1/8"T.O. SUBFLR.T.O. FDN.1'-8 1/4"12:12ALUM. SOFFIT& FASCIA12612" CANT.FP VENTSEE ROOF PLANFOR PITCHES ANDOVERHANGSLP SIDING PER SPECSLP CORNERS4" LP TRIM @ WDWS. & DOORS TYP.12:1212:12T.O. PLATE9'-1 1/8"T.O. SUBFLR.T.O. FDN.1'-8 1/4"SEE ROOF PLANFOR PITCHES ANDOVERHANGSALUM. SOFFIT& FASCIA6:12LP SIDING PER SPECS12" CANT.10" TRIMLP CORNERS4" LP TRIM @ WDWS. & DOORS TYP.T.O. PLATE9'-1 1/8"T.O. SUBFLR.T.O. FDN.1'-8 1/4"10" TRIM SCALE: 3/16" = 1'-0"FOUNDATION PLAN3907-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3OFSHEETA/C UNITw/ BRACKETFURNF.D.WHMECH. / STORAGEWS3068CONC.H.B.H.B.2" LEDGE TYP. TO PROVIDE ADD'L.SUPPORT FOR FILL FOR SLABTYP. FND @ HOUSE / GARAGE10" POURED CONC. W/ 4" LEDGE INSIDE20X8 CONC. FTG.2" FOAMSUMPH204" LEDGE2" FOAMTYP. FND @ STOOP10" POURED CONC. W/ 4" LEDGE INSIDE20X8 CONC. FTG.UNEXCAVATED2"NOTE: NO DRYWALL @ CLG.REQUIRED IN THIS AREA -FIRE BLOCK @ PERIMETEROF OPNG. (80 SQ. FT. MAX.)6"2"RADON VENT TOTERMINATE IN SUMP BASKET6"4"10"GARAGE/HOUSE COMMON WALL2x8 TREATED SILLOVERHANG FDN. 2''GARAGE SLAB2'' RIGID INSUL.MAIN FLRSEE FIRST FLOOR FORGARAGE DOOR SIZE FOR M.O.NOTE:4" LEDGE6"2"3 1/2'' CONC. FLOORTYP. FND @ HOUSE8" POURED CONC. (8'-4" H.)20X8 FTGREBAR PER CODETYP. FND @ BRG. WALL2x4 STUDS 16" O.C.16X8 FTGREBAR PER CODE4" CONC. CURB KITCHEN ISLAND ABV.FLR. TRUSS CO. OPT.18" FLR. TRUSSES 19.2" O.C. SPACING 2-2x10 (DR)RADON VENTFOUND. HELD IN 2"FOR INSULATIONNOTE:(TYP.)NOTE: EXTERIOR HOUSE AND GARAGE/HOUSECOMMON FDN. WALLS TO BE HELD 2'' IN. DIMENSIONS SHOWN ARE TO FACE OF 2''EXTERIOR RIGID INSULATION & FRAMING ABOVE TO BE 5000 PSI CONC.NOTE: ALL FOOTINGS 2'' MIN.2x8 TREATEDSILL-OVERHANGFDN. 1 1/2''8"2"TYP. SIDEWALL DETAILFOUND. HELD IN 2"FOR INSULATIONNOTE:(TYP.)2"2"8'-4" POURED FDN.FILL FOR SLABUP 17 R (10" T.,7-3/4" MAX. R.)40'-0"15'-0"12'-0"60'-0" 60'-0" 5'-0"28'-0"27'-0" 14'-4"13'-8"9'-0 1/2"11'-6"5'-0" 5'-6"16'-6" 10'-6"40'-0"19'-0"21'-0"7'-0"13'-0"6'-0" & HOUSE/PORCH 10'-0"11'-0"10'-0"18" FLR. TRUSSES 19.2" O.C. SPACING3-9 1/2" LSL (DR)FOUND. HELD IN 2"FOR INSULATIONNOTE:(TYP.)2x10 TRTD. JOISTS 16" O.C. SPACING 3-2x10 TRTD. (FL) SMOKECM / 12" CANT. ABV.2x6 BRG.2x6 BRG.18" FLR. TRUSSES 19.2" O.C. SPACING9'-4" H. FOUND. WALL@ FRONT OF HOMENOTE:9'-4" H. FOUND. WALL@ FRONT OF HOMENOTE:w/ TOP HUNG TRUSSESw/ TOP HUNG TRUSSES9'-4" H. FOUND. WALL@ FRONT OF HOMENOTE:w/ TOP HUNG TRUSSES11'-1 1/2"15'-10 1/4"11'-8 3/4"3'-2"1'-3"3'-0"7'-10"13'-0 1/4"3'-9"3'-10"7'-1 1/2"21'-3"11'-6"27'-3"9'-1 1/2"10'-4"30"x30" CONC.PAD FTG.6x6 COL.16" DIA. FROSTFOOTING (60" D.)6x6 TRTD. COL.2-2x10 (DR)2-2x10 (FL)(2) TR3-9 1/2" LSL (DR)5'-5"2'-11"2'-9"2'-4"FUT. 2668R.I. BATH5/0 BI-PASS FUT. 20682"FUT. BDRM. #5FUT. FAMILY ROOMCONC.CONC.(9'-0"x11'-10")(25'-62"x12'-6")W/ LADDER6042 GLIDERR.O.=5'-0"x3'-6"EGRESS PITFUT. 24683'-6"7'-4"29'-2"7'-2"1-COURSE DROP2" 6"1'-0"4'-0"Interior BWP Above#1 SP required or(3)2x12 #2 SP SCALE: 3/16" = 1'-0"MAIN FLOOR PLAN4907-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3OFSHEETP.H. TB TR DWGAS RANGEMICRO ABV. FLUSH OH. LNDRY.DRYERWASHER9' CLG. / LVPWIRE SH. 29 (OPT. UPPERS)39(VENT TO OUTSIDE)NOTE: - STD. BASE & CASING TO BE PRINCETON- 1/2 WALL w/ WD. CAP & INVERTED CASINGNOTE: 2X6 EXT. WALLS U.N.O.2X4 INT. WALLS U.N.O.- 42" UPPER CABINETSDOOR ROUGH OPENINGS:83" HEIGHT82" OVER VINYLCERAMIC TILE & WOOD82" OVER CARPETSRO = SHEET ROCKED OPNGBIFOLD DOORS:PREHUNG UNITS:2" WIDER THAN DOOR(EXAMPLE: 2668 )1 3/8" WIDER THAN DOORFINISH SIZE NOTED ON PLANCO = CASED OPENING ( WOOD )(EXAMPLE: 2668 )FINISH SIZE NOTED ON PLANRO. 1 1/2" WIDER, 83" HIGHR.O. 1" WIDER, 83" HIGHPER SPECSDRIVEWAYNOTE:REF.49KITCHEN9' CLG. / LVP12'-3" x 12'-6" (155 SQ. FT.)59BUILT-INS 793-14" LVLGREAT ROOM9' CLG. / LVP FLR.36" GAS F.P.12'-8" x 13'-0" (167 SQ. FT.)42" CONC. SIDEWALKOPT.FIBRGLS.60x36 SHWR.UNIT5'-0"210682-9 1/2" LSLFOYER9' CLG. / LVP6'-11" x 7'-1" (51 SQ. FT.)PORCHCONCRETEO. BATH9' CLG. / VIN.2x6 WALLS U.N.O.4" SLOPED CONC.GARAGE CEIL. TO BE 5/8" TYPE 'X'GYP. BD. WALLS TO BE 1/2" GYP.SHEATHING. ALL WALLS & CEILINGS TOHAVE ONE COAT FIRETAPEGARAGESLOPE CONC.6'x8' PATIO DR.16'x7' O.H.D.R.O. 16'-1" FRAMINGO. CLST8' CLG. / CARPET36" VAN. BATH 2BEDROOM #23648 SH @ 8'9' CLG. / CARPET9' CLG. / VIN.1/2 WALL w/ WD. CAPMANUF. TRUSSES 24 O.C. OPT. BUFFET CABS.(12'-0"x12'-0")EXTERIOR FLOOR PLAN DIMENSIONSARE TO OUTSIDE OF SHEATHING, INTERIORDIMENSIONS ARE TO FRAMING.NOTE: ALL DRS/ WIN.'S REQUIRE 4" ON SIDES FOR CASINGNOTE: 2X6 EXT. WALLS U.N.O.2X4 INT. WALLS U.N.O.HEADER SPANS:UP TO 4'-11'' = 1 TRIMMER5'-0'' AND BIGGER = 2 TRIMMERSUNLESS NOTED OTHERWISEINDICATES LOCATION OF SOLID BRG.32x60FGLS. TUB / SH (134 SQ. FT.)OWNERS BDRM.9' CLG. / CARPET(12'-6"x13'-0") (164 SQ. FT.) SMOKECM / SD2 - 4072 SH @ 8'DN 17 R (10" T.,7-3/4" MAX. R.)2x68/0 H. SOFFIT12" LP COL.* BEADBD. CLG.ATTIC ACCESSAPPROX. 490 SQ. FT.MUDRM.9' CLG. / LVPBENCH / APPROX. 9'-0'' CLG. @ MAIN LEVELAPPROX. 1,720 SQ. FT. HOOKSOPT. PORCH3068 MTL.3080 MTL. R&SH 2 - 2068 R&SH 2 6 6 8 8' SOFFIT 2868(5) SH.(5) SH.9' CLG. / LVP 2 6 6 8 R&SH R&SH 36" VAN. LIN.CAB. 30683068 PKT.FLDG. C'TOP. (OPEN UNDER)2 - 4072 SH @ 8'30" VAN. DINING9' CLG. / LVP FLR.10'-0" x 9'-0" (90 SQ. FT.)3672 SH @ 8'3672 SH @ 8'4872 PICT. @ 8'12'x10' DECKDECKING PER SPECSOPT. 15'X10' EXP. DECKMANUF. TRUSSES 24 O.C.40'-0"15'-0"12'-0"8'-10"11'-6"12'-11"6'-9"60'-6" 60'-0" 5'-5 1/2"5'-7 7/8"5'-7 7/8"12'-8 3/4"7"3'-11"5'-2 1/2"4'-4 3/4" 6'-2 1/4"6'-6 1/2" 60'-6" 5'-0"28'-0"27'-0" 14'-4"13'-8" 3'-2"9'-0 1/2"11'-6"5'-0" 5'-6" 16'-6" 10'-6"40'-0"6'-0"21'-0"10'-0"10'-6"10'-6"RADON VENTPA6'-8"4"2-2x8 (DR)LP SOFFITSD SMOKECM / OPT. VAULT6919BUILT-INSOPT. 2'-4 1/4"1'-10 1/2" 2424 PICT. @ 8'2424 PICT. @ 8' 2'-0 1/2"2'-0 1/2"OPT. EXP.ISLANDINDICATEDSTONE WHERE2448 SH @ 8' 5'-0"WD. STEP2'-9"4'-4"3'-9"2'-9"5'-4 3/4"6'-1 1/4"6'-1 1/4"4'-8 3/4"12'-11 1/4"7'-0 3/4"2'-0"1'-4"7'-10"15'-0 1/2"2'-7 1/2"2'-4"3'-11"2'-8 3/4"10'-0"5'-0"12"CANT.9'-4"5'-2" 6'-8"7'-8"4'-0"9'-8" 3'-9"3'-10" 3'-5"3'-5"3'-0"3'-0"3'-0"2-2x10 2-2x10 2-2x10 2-2x10 4 1/2"4 1/2"8'-10 1/2"MANUF. TRUSSES 24 O.C.FP CHASEFALSE2-9 1/2" LSL (CONT.)2-9 1/2" LSL2-2x10(2) TR(2) TR2-2x102-9 1/2" LSLP.H.TRTB4x4 TRTD. COL.593068 PKT.3'-5"RECESSED STEP1-COURSE DROP5/0 BI-PASSR&SH5/0 BI-PASSR&SH26682668OPT. 2-2668 PKT. 2 - 4072 SH @ 8' 2-9 1/2" LSL 2'-4 1/2"11'-6 7/8"2'-5 1/2"BEDROOM 3/OFFICE9' CLG. / CARPET(12'-0"x12'-0") (134 SQ. FT.)4'-1 1/4"8'-10 3/4"246813'-0"6'-6"6'-6"6" 6" MICRO/ OVENOPT. UPGRADED KITCHENDWGAS COOKTOPHOOD VENT ABV.(VENT TO OUTSIDE)REF.KITCHENOPT. EXP.ISLANDTemper88CS-PFCS-PF-Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ). 5907-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3OFSHEETSCALE: 1/4" = 1'-0"SECTION15N.T.S.HOUSE / DECK CONNECTION DETAIL45R-5 THERMAX ATINTERIOR FOUND.AS REQUIRED3/4" T & G FLOORNOTE: SUBFLOOR JOINTS SHALL BESTAGGERED FROM FLOOR TRUSS ORJOIST JOINTSR=0.61R=49.00R=50.25R=0.58R=.061TOTALTRUSSES - 24" OCBLOWN INSULATIONINTERIOR AIR FILMVAPOR BARRIER15/32" OSB SHTG.15# FELTEXTERIOR AIR FILMICE AND SNOW SHIELD30 YR. ARCH. ASPHALT SHINGLES5/8" GYP BDALUM. SOFFIT & FASCIA1/2" GYP BDINTERIOR AIR FILMTOTALSIDING PER SPECS2x6 STUDS 16" OCR=1.06R=R=R=21.00R=0.45R=0.17R=23.36VAPOR BARRIERFULL WALL BATT INSUL.EXTERIOR AIR FILMR=0.687/16" OSB SHTG.8" AGGREGATE6 MIL POLY. LAP SEAMS 12"10"HEEL HT.1/2" GYP. SHEATHING ON GARAGE WALLS5/8" TYPE 'X' GYP. BD. ON GARAGE CEILS.18" FLOOR TRUSSES1'-8 1/4" 9'-1 1/8"T.O. FOUND.T.O. SUBFLR.T.O. PLATETRUSSES @ 24" O.C.(DESIGNED BY MFR)612R-49 INSUL.9'-4"GARAGE4" SLOPED CONC.W/ REBAR PERENGINEERS REPORT9'-4" POURED WALLDRAIN TILE 10" POURED WALLR-5 INSUL. ATINTERIOR FOUND.9'-1 1/8"O. BATHOWNERS BDRM.20x8 CONC. FTG.16x8 CONC. FTG.16x8 CONC. FTG.NOTE: TOP HUNG TRUSSESAT FRONT OF HOME(10'-0" H. FDN. WALL)SPRAY FOAM RIMSPRAY FOAM RIM8'-2" +/-FOUND. HELD IN 2"FOR INSULATION TYP.NOTE:(INSUL. FLUSH w/ SHTG.)CANT. 2x8 SILL PLT. 1-1/2"3 1/2" CONC. FLOOR2" RIGID INSULATIONR-10 w/ WATCHDOGWATERPROOF COATINGAROUND HOUSE FOUND.20x8 CONC. FTG.8 1/4" 6"HEEL HT.6124"HEEL HT. 8'-4"FUT. BDRM. #5R.I. BATH8 1/4"4"2'-6"6'-3"LP SIDING PER SPECSJOISTW/ 2-3/8" LAG BOLTSICE & WATER EXTENDS5" UP SHEATING UNDERINSTALL TOP OF LEDGER3 5/8" BELOW TOP OF3/4" SUBFLOOR (THISALLOWS 5/4 X 4 THRESHOLDAT DOOR)HANGERTREATED 2X10 LEDGERRUN HOUSE WRAP BEHINDLEDGER (LEAVE 6" TAIL@ TOP, BOTTOM, & SIDES)HOUSEWRAP@ 24" O.C. -OR-EMBED 2" MIN.8 INCHES O.C. MAX OR EQUAL,W/ "LEDERLOK" FASTENERSCONT. 2X4 RIBBONSPRAY FOAM INSUL. R-21 MIN.RIM BOARDTREATEDJOISTJOISTRIMBD.SKIRT1"HOUSEEND OF DECKHOUSE LATERAL LOAD SIMPSON DTT1Z DECK-TOCONNECTOR - (4) PER DECKOR 8-10DX1 1/2" NAILS6-SD#9X1 1/2" SCREWSHDG WASHER OR SDWH 3/8" HDG LAG SCREW WITHTIMBER-HEX HDG SCREW(SHOWN) INTO TOP PLATE,STUDS, OR HEADERCONT. 2X8 RIBBONDRAIN TILE3/4" WASHED ROCKCONTINUOUSUNDER SLAB0'-16"SILT FABRICFOUNDATION WALLCONC. FTG.4" DRAIN TILE 2SCALE: NO SCALE5TOP OF FDN.RIM DETAIL3SCALE: NO SCALE52" RIGID INSULATIONR-10 w/ WATCHDOGWATERPROOF COATINGAROUND HOUSE FOUND.2" RIGID INSULATIONR-10 w/ WATCHDOGWATERPROOF COATINGAROUND HOUSE FOUND.2x8 TRTD. SILLSHEATHING FLUSHWITH INSULATION NOTE:FOUNDATION TO BEHELD IN 2" FROMSHEATHING & OUTSIDEDIMENSIONS.CANTED 1-1/2" 6907-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3OFSHEETSCALE: 1/4" = 1'-0"SECTION16N.T.S.PORTAL FRAME DETAIL26N.T.S.RADON DETAIL36SIMPSON STRONG TIE Ab46z4" LEDGEHEADERHURRICANE CLIP ATTACHEDTO COLUMN& BEAM11 7/8" OSB STRINGERW/ 2X4 BRACING10 1/2" BULLNOSE LSL TREAD1X8 PINE S4S RISERNOTE:MAX RISE= 7 3/4"MIN. RUN= 10"6'-8" CLEAR HEADROOMBATH 2BEDROOM #2GREAT RM.3/4" T & G FLOORNOTE: SUBFLOOR JOINTS SHALL BESTAGGERED FROM FLOOR TRUSS ORJOIST JOINTSALUM. SOFFIT & FASCIA8" AGGREGATE6 MIL POLY. LAP SEAMS 12"18" FLOOR TRUSSES1'-8 1/4" 9'-1 1/8"T.O. SUBFLR.T.O. PLATETRUSSES @ 24" O.C.(DESIGNED BY MFR)R-49 INSUL.9'-4"W/ REBAR PERENGINEERS REPORT9'-4" POURED WALLDRAIN TILE 10" POURED WALLR-5 INSUL. ATINTERIOR FOUND.20x8 CONC. FTG.16x8 CONC. FTG.NOTE: TOP HUNG TRUSSESAT FRONT OF HOME(10'-0" H. FDN. WALL)SPRAY FOAM RIMSPRAY FOAM RIM8'-2" +/-FOUND. HELD IN 2"FOR INSULATION TYP.NOTE:(INSUL. FLUSH w/ SHTG.)CANT. 2x8 SILL PLT. 1-1/2"3 1/2" CONC. FLOORCONC. STOOP2" RIGID INSULATIONR-10 w/ WATCHDOGWATERPROOF COATINGAROUND HOUSE FOUND.PORCH12" SQ.LP COLUMN20x8 CONC. FTG.10"HEEL HT.612T.O. FOUND.MECH. / STORAGEFUT. FAMILY ROOM6128'-4"KITCHEN8 1/4"4x4 TRTD. COL.2x OVER 10" TRIM2535R-5 THERMAX ATINTERIOR FOUND.AS REQUIRED8" BOXED HEADERSIMPSON STHD14 HOLD DOWNSIMPSON LSTA36 STRAP ON INSIDE FACE OF WALL5/8" ANCHOR BOLT1/2" OSB SHEATHINGHEADER- SEE PLAN FOR SIZEFASTEN SHEATHING TO HEADER WITH 8d COMMON ORGALVANIZED BOX NAILS IN 3" GRID PATTERN ASSHOWN, AND 3" O.C. IN ALL FRAMING MEMBERS TYP.SHEATHING SPLICE (IF NEEDED) MUST BELOCATED WITH-IN 24" OF THE MID HEIGHTOF THE DOOR OPENING. PROVIDE 2-2X6BLOCKING BEHIND SPLICEFASTEN TOP PLATE TO HEADER WITH2 ROWS OF 16d SINKER NAILS 3" O.C.BLOCK BACK SIDE OF HEADER FLUSH WITH STUDSAT STRAP LOCATIONSUNEXCAVATED SOILALL SLABS WILL HAVE A MIN. 4" CLEAN AGGREGATE, COVERED BY6 MIL POLY. THIS POLY WILL HAVE 12" LAP AT ALL SEAMS. ALL TEARS ORPUNCTURES WILL BE SEALED OR COVERED BY POLY. ALL OPENINGS WILL BESEALED USING POLYURETHANE CAULK OR ELASTOMERIC SEALANT AT ALL OPNGS.AN INSTALLED 3" GASTIGHT PVC PIPE WILL BE CONNECTED TO THE DRAINTILE SYSTEM. A "T" FITTING WILL BE INSTALLED WITH 10 L.F. EACH ENDOF THE "T", OF PERFORATED PIPE, INTO THE DRAIN TILE SYSTEM. THE SHORTEST ROUTE WILL BE USED TO EXIT THE ROOF SYSTEM, WITH A MAX. OF 2 90DEGREE ELBOWS. IN UNCONDITIONED AREAS, THE RADON EXHAUST PIPE WILLBE INSULATED WITH AN R4 SLEEVE. THIS PIPE WILL BE LABELED "PASSIVERADON" AT ALL ACCESSIBLE LOCATIONS.AT ROOF EXIT LOCATIONS, MAINTAIN A 10' DISTANCE TO ANY WINDOWLOCATION, 2' BELOW EXHAUST POINT AND ANY ADJACENT STRUCTURE. THELOCATION OF THE EXIT POINT, IN TRUSS AREA, WILL BE CLEAR OF ANYOBSTRUCTIONS WITHIN 24" HORIZONTALLY AND 36" VERTICALLY. INSTALL AN OUTLET AND PULL CHORD LIGHT FOR FUTURE EXHAUST FANADDITION. 7907-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3OFSHEETSCALE: 3/16" = 1'-0"ROOF PLAN17SADDLE NOTE: SEE ROOF TRUSS LAYOUTFOR TRUSS DIRECTION AND GIRDER LOCATIONSPROVIDED BY MANUFACTURERPROVIDE ATTIC VENTILATION EQUAL TO 1/150thATTIC AREA. IF 50% OR MORE IS PROVIDED INUPPER PORTION OF THE ROOF AND REMAINDERIS PROVIDED IN SOFFIT VENTS, IT MAY BEREDUCED TO 1/300th ATTIC AREA.ICE AND WATER SHIELD6'-0" IN FROM EAVES1'-6" ON EACH SIDE OF VALLEYWHERE WALLS MEET ROOFICE & WATER SHIELD SHOULDRUN UP WALL 1'-6" AND OUTFROM WALL 1'-6"NOTE: NOTE: NOTE: 1'-6"1'-6"12:12RIDGE RIDGE1'-6"1'-6"1'-6"6:12 6:1212:1212:12RIDGE 12:1212:121'-6"1'-6" 1'-6"1'-0"1'-0" SCALE: 1/4" = 1'-0"MAIN FLR. ELECTRICAL PLAN8907-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3OFSHEETSCALE: 1/4" = 1'-0"LOWER LEVEL ELECTRICAL PLANSSTVABV. FP.NOTE:TECH TUBETVW.P.RGH.-IN FANS3S3 OPT.LTS.PENDANT3SSC/L7'-6"3'-2"4'-9 1/2"DWGAS RANGEMICRO ABV.LNDRY.DRYERWASHER(VENT TO OUTSIDE)REF.KITCHENGREAT ROOMFOYERO. BATHGARAGEO. CLSTOWNERS BDRM. SMOKECM / SDATTIC ACCESSMUDRM.DINING12'x10' DECKGDOG.F.I.P.SG.F.I.P.G.F.I.P. G.F.I.P.W.P.SSS3S3S3 S3S3 S S3S3S3S3SS3 SS S3 DISPSSS3STO LIGHTRGH.-IN FANOPT.SSG.F.I.P.G.F.I.P.BENCH / HOOKSR&SHSDTVBEDROOM #2S SMOKECM / BEDROOM 3/OFFICEBATH 2S G.F.I.P.S SDTVSS PORCHDUPLEX CONVENIENCE OUTLETDUPLEX OUTLET ABOVE COUNTERWEATHERPROOF DUPLEX OUTLETHALF-SWITCHED DUPLEX OUTLETDUPLEX OUTLET IN FLOOR220 VOLT OUTLETWALL SWITCHTHREE-WAY SWITCHFOUR-WAY SWITCHCEILING MOUNTED INCANDESCENT LIGHT FIXTUREWALL MOUNTED INCANDESCENT LIGHT FIXTURERECESSED INCANDESCENT LIGHT FIXTURELIGHT FIXTURE WITH PULL CHAINTRACK LIGHTFLOURESCENT LIGHT FIXTUREEXHAUST FANEXHAUST FAN/LIGHT COMBINATIONCHIMES (OPTIONAL)SMOKE DETECTORTELEPHONE (OPTIONAL)TELEVISION (OPTIONAL)THERMOSTATELECTRIC METERELECTRIC PANELSPEAKER (OPTIONAL)TVTMCHSDP.C.SSS43W.P.ELECTRICAL KEYDUPLEX OUTLET (GROUND FAULT PROTECTED)G.F.I.P.RECESSED INCANDESCENT EYE BALL FIXTURECARBON MONOXIDE DETECTORCMGARAGE DOOROPENER OUTLETGDOFLUORESCENTLIGHT PER SPECFAN/LIGHT COMBOPREWIRE, PROVIDEADEQUATESUPPORT4 BULB FIXTURE3 BULB FIXTURE200 AMP SERVICELIGHTING PACKAGE: T.B.D.LINE TO DRYER: T.B.D.G.F.I.P.EXCH.AIRFURNF.D.WHMECH. / STORAGEWSFUT. BDRM. #5FUT. FAMILY ROOMR.I. BATHSUMPH20OPT.RADON VENT SMOKECM / SS3STO LIGHTA/C UNITw/ BRACKETG.F.I.P.G.F.I.P. 9907-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3OFSHEET49" +/-NO HEARTHPER SPECS12" SURROUND @ FRONT ONLYGATHERING RM. F.P. ELEV. 91SCALE: 3/8"=1'-0"MANTLE PER SPECS3'-0"3'-0"5'-0"4KITCHEN ELEV.9SCALE: 3/8"=1'-0"67" FIN.2KITCHEN ELEV.9SCALE: 3/8"=1'-0"2'-0"REFRIG.SPACE2'-0"3'-0"24" DEEPCROWN MLDGEND PANEL2'-0"3KITCHEN ELEV.9SCALE: 3/8"=1'-0"(SHTRCK. @ SIDES)60" TV(REF. ONLY)3'-8 1/2"2'-0"3'-0"2'-0"12'-6"D.W.SPACESINK1'-6"3'-0"CROWN 4'-6"3'-0" MLDG2'-0"2'-6"15" D.MICRORANGESPACE(VENT TOOUTSIDE)1'-6"1'-9"3'-0"OPT. BUILT-INS3'-0"1'-0"1'-9"3'-0"12'-3"1'-0"OPT. BUILT-INS3'-8 1/4"36" W.GAS F.P.R.O. 37"x34 1/4" x 16 1/4"2'-11 1/4"5'-0"BATH 2 ELEV.96SCALE: 1/4"=1'-0"7'-0"MIRRORSPACEWASH.LNDRY. ELEV.SCALE: 3/8"=1'-0"DRYERSPACE30"CROWN MOULDING98C'TOPRAISEDOPT. 2" SUPPORT w/ FRONTLOAD W&D3'-5"2'-11 1/4"3'-0" 7'-0"WALL MOUNT7'-9"O. BATH ELEV.97SCALE: 3/8"=1'-0"3'-0"1'-9"3'-0"MARBLE C'TOP.WHITE CULT.NOTE:OPT. w/ RAISED TOPWALL MOUNTMIRRORMARBLE C'TOP.WHITE CULT.NOTE:5OPT. BUILT-INS @ DINING ELEV.9SCALE: 3/8"=1'-0"CROWN MOULDINGGRANITE TOP w/ OPT. BUILT-INSGLASSGLASSGLASSGLASS NOTE: PUCK LTS. ATGLASS DOORS15" D.1'-9"1'-9"5'-5 1/4"2'-6"2'-6"3'-0"3'-0"5'-0"4KITCHEN ELEV.9SCALE: 3/8"=1'-0"2KITCHEN ELEV.9SCALE: 3/8"=1'-0"2'-0"REFRIG.SPACE2'-0"3'-0"24" DEEPCROWN MLDGEND PANEL2'-0"3KITCHEN ELEV.9SCALE: 3/8"=1'-0"3'-0"2'-0"12'-6"D.W.SPACESINK1'-6"3'-0"CROWN 4'-6"3'-0" MLDG2'-0"2'-6"15" D.MICRORANGESPACE(VENT TOOUTSIDE)1'-6"1'-9"3'-0"3'-0"1'-0"1'-9"3'-0"12'-3"1'-0" BW07-00-BUYERPROJECT #BUYER S/OBUYER S/OREVISIONS:STARTED:AGENT:XX17879 HAMBURG AVE., LAKEVILLE LOT 5, BLOCK 12 SUMMER'S CREEK SONOMA 1600 PLAN MARK ELLIOTT HOMES10-20-20 PERMIT11-10-20 REV 112-5-20 REV 21-5-21 REV 33-22-21 BED 3SHEETN.T.S.MAIN LEVEL BRACEWALL1BWN.T.S.BRACEWALL DETAILS2BWLNDRY.DRYERWASHERKITCHENGREAT ROOMFOYERPORCHO. BATHGARAGEO. CLSTOWNERS BDRM.ATTIC ACCESSMUDRM.DININGGARAGE PORTAL FRAMING PER BUILDING CODE IRC R602.10.6.4BRACED WALL METHOD CS-WSP3'-2" PANEL4'-0" PANEL 4'-0" PANEL4'-0" PANEL4'-0" PANEL 4'-0" PANEL BRACED WALLLINE 1BRACED WALLLINE ABRACED WALLLINE CBRACED WALL LINE 2 4'-0" PANEL4'-0" PANEL4'-0" PANEL 4'-0" PANEL 3'-2" PANEL3'-5" PANEL3'-5" PANEL6'-7" PANEL3'-1" PANELBRACED WALLLINE B8'-0" GYP. PANEL8'-0" GYP. PANEL1'-4" PANEL1'-4" PANELR&SHBEDROOM #2BEDROOM 3/OFFICEBATH 2MIN. 3''x11 1/4'' NET HEADER(STEEL HDR. PROHIBITED)EXTENT OF HEADER W/ SINGLE PORTAL FRAMEONE BRACED WALL PANEL10'-0'' MAX. HEIGHT(TOP OF HDR.)TOP OF FDN.TOP OF CONC FLOOR AT OPENINGMIN. 2-2x4 FRAMINGSTUD POSTCONTINUOUS HEADER WITH DOUBLE PORTAL FRAMESTWO BRACED WALL PANELS6' TO 18' OPENINGFASTEN TOP PLATE TO HEADER W/ 2ROWS OF 16d SINKER NAILS @ 3'' O.C. TYP.1000 LB. STRAP OPPOSITE SIDE OF SHEATHINGFASTEN SHEATHING TO HEADER W/ 8dCOMMON OR GALV. BOX NAILS IN 3'' GRIDPATTERN SHOWN AND 3'' O.C. IN ALLFRAMING(STUDS, BLOCK'G AND SILLS)TYP.MIN. WIDTH PER TABLE R602.10.53/8'' MIN. WOOD STRUCTURAL PANEL SHEATH'G.MIN. 2-2x4MIN. 4200 LB. TIE DOWN DEVICE(EMBED INTOFOUNDATION AND NAILED INTO FRAMINGMIN. (2) 1/2'' DIA. ANCHOR BOLT INSTALLED PER R403.1.6WSEE LEFT FORTYP. PORTALFRAME CONST.FOR A PANEL SPLICE(IF NEEDED) PANELEDGES SHALL BEBLOCKED AND OCCURWITHIN 24'' OF MID-HEIGHT. ONE ROW OFTYP. SHEATH'G. TOFRAMING NAILING ISREQUIRED.IF 2x4 BLOCK'G. IS USEDTHE 2x4'S MUST BE NAILEDTOGETHER W/ 3 16dSINKER NAILSW/ 2''x2''x3/16'' PLATE WASHER12'-0'' MAX. HEIGHT(TOP OF WALL)FULL HEIGHT OF WALL - SEE TO RIGHT FOR SPLICESPONY WALL HT.EXTENT OF HEADERTENSION STRAP PERTABLE R602.10.6.4 (ONOPPOSITE SIDE OFSHEATHINGANCHOR BOLTSPER SECTIONR403.1.6BRACED WALL LINECONTINUOUSLYSHEATHED WITHWOOD STRUCTURALPANELSTOP OF FLOOR AT OPENINGFLOOR FRAMING ASSEMBLY PER PLAN W/ WOOD STRUCTURAL PANEL SHEATHINGTOP OF FLOOR AT OPENINGFLOOR FRAMING ASSEMBLY PER PLANWOOD STRUCTURAL PANEL SHEATHINGTO TOP OF BAND OR RIM JOISTNAIL SOLE PLATE TO FLRFRAMING PERTABLE R602.3(1)(2) FRAMING ANCHORS APPLIED ACROSSSHEATHING JOINT WITH A CAPACITY OF670# IN HORIZ. AND VERT. DIRECTIONSSEE LEFT FORTYP. PORTALFRAME CONST.ON CONCRETE FOUNDATIONON RAISED WOOD FLOOR - FRAMING ANCHOR OPTIONTOP OF FLOOR AT OPENINGFLOOR FRAMING ASSEMBLY PER PLAN W/ WOOD STRUCTURAL PANEL SHEATHINGTOP OF FLOOR AT OPENINGFLOOR FRAMING ASSEMBLY PER PLANWOOD STRUCTURAL PANEL SHEATHINGTO TOP OF BAND OR RIM JOISTNAIL SOLE PLATE TO FLRFRAMING PERTABLE R602.3(1)SEE LEFT FORTYP. PORTALFRAME CONST.ON RAISED WOOD FLOOR - OVERLAP FLOOR OPTIONMIN. OVERLAP 9 1/4''WOOD STRUCTURAL PANEL SHEATHINGCONTINUOUS OVER BAND OR RIM JOISTMIN. OVERLAP 9 1/4''ATTACH TO RIM/BAND JOIST W/ 8dCOMMON NAILS AT 3'' O.C. AS SHOWNDBL TOP PLATEBOTTOM PLATESTUDS AT 16'' O.C.W/ 6d NAILS @ 6'' O.C.4'-0"8'-0'' MIN., SEE PLANINTERMEDIATE6''3"W/ 6d NAILS @ 3'' O.C.EDGES NAILED NEW RESIDENTIAL CONSTRUCTION SWPPP VERIFICATION This form must be completed and submitted with all new residential permit applications. A National Pollutant Discharge Elimination System (NPDES) Construction Stormwater Permit is required for “Construction activity that results in land disturbance of equal to or greater than one (1) acre or if a project is part of a common plan of development that will ultimately disturb greater than one (1) acre,” (NPDES Permit, Section 1.2). Project Site Address: _____________________________________________________________________ Company Name: _________________________________________________________________________ *Primary Company Contact: _________________________________________________________________ *Should a site be deemed noncompliant, this individual will be notified Phone #: ____________________________ Email: ______________________________________________ If you are not covered under a NPDES Construction Stormwater Permit administered by the Minnesota Pollution Control Agency (MPCA), an erosion and sediment control plan MUST be approved as part of the residential building permit application. “Permittees must ensure a trained person will 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 ½ inch in 24 hours,” (NPDES Permit, Section 11.2). The City of Lakeville reserves the right to request weekly inspection logs. 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. Contact information of person CERTIFIED to provide weekly onsite erosion and sediment control inspections and corrective actions: Name: ____________________________________ 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 I understand the above information to be accurate and I have read, understood, and accepted all terms and conditions of the NPDES Permit (MN R 100001). Signature: ________________________________________________ Date:_________________________ Contact the City of Lakeville with questions at erosion@lakevillemn.gov or 952-985-4500 X11/30/2020 KP