Loading...
HomeMy WebLinkAboutLA190680 19092 Iden 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.gov1" Water Meter 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 $TOTAL FIRE SUPPRESSION SYSTEM OCCUPANCY GROUP APPROVED BY: BUILDING INSPECTOR: Date: PLUMBING/MECHANICAL INSPECTOR: Date: COMMENTS: 20195 Holyoke Avenue, Lakeville, MN 55044 952-985-4400  952-985-4499 fax www.lakevillemn.gov Sewer & Water Tie Card Address:________________________________________ Contractor:______________________________________ Permit Number:__________________________________ Final Date:________________ Street Drain-Tile:______ Size of Water Service: 1” Comments: AIRTEST SANITARY OVER 20’/2 FITTINGS THIS CARD MUST BE COMPLETED AND ON-SITE AT TIME OF SEWER & WATER INSPECTION 19092 Iden Avenue Summerlyn-8th AdditionHARDBOARD SIDING ON FRONT ELEVATION.VINYL SIDING ON SIDE & REAR ELEVATIONS.FACE APPLIED STONE VENEERLP HORIZONTAL LAP SIDINGFACE APPLIED STONE VENEERLP VERTICAL BOARD & BATTEN SIDINGHORIZONTAL LAP SIDINGSIZING OF POTABLE WATER PIPING Total Fixture Units: 52.5 Total Length: 100 Ft Water Service Size: 1" Water Meter Size: 1" Water Heater Feed: 1" Building Supply To First Branch: 1-1/4" Softener Inlet Size: 1-1/4 " Secure door closed until deck isconstructed with a separate permit.Concept Approval ONLYSubject to Field InspectionInspectorDate2020MN BldgCode05/13/2021dmathews UFER Ground-Provide 20' Rebar in footing and stubup near electrical service panel.2.52.25 xxxxxxxxxxxxxxxxxxxx555333.25PFHPFH3.52.753 xxxxxxxxxxxxxxxxxxxxx-Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ).-Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ).2.75Shearwall65+/2510/56%564#2#%4155(.1145;56'/61)+4&'4$'#/$'.19 416#6'564#2#54'37+4'& 2418+&'&17$.'567&5#6'#%*'0&1(5*'#49#.. /#;75'$'#4+0)-+0)567&5#54'3ž& *#6%*'&#4'#+0&+%#6'5146*+%-'42.;911&15$':6'4+145*'#6*+0)(#56'0'&61567&5YF0#+.5"1%#62#0'.'&)'5 "1%#6+06'4+14572214656;2+%#.Z567&5"1%(#56'0$1661/2.#6'Y  F0#+.5'8'4;(#56'0(4#/+0)#$18'#55*190(14$4#%'&9#..2#0'.5*'#&'4 $'#4+0)-+0)567&5#65+&'51(12'0+0)5$;5722.+'42'4(14#6'&5*'#49#..4#+5'&#$18'(.1145;56'/5(4#/+0)&'6#+.016'+0(1#22.+'55;//'64+%#..;#%4155&'6#+. 18' 2 7/8"2' 0 1/2"6' 0"4' 7"4' 7"2' 0 1/2"17' 1 3/16"2' 2"6' 11 1/4"TSHd2TSHd26' 0"4' 7"4' 7"AA(3) 2x6 1.3E TIMBERSTRAND® LSLCONNECT W/(4) 16d NAILS @TOP/BOTTOM PLATES.TSHd23-1/2"x5-1/2" 1.3ETIMBERSTRAND® LSLHEADER (PLANK) W/ (1) TRIMMER PERSIDE. CONNECT W/ (4) 16d NAILS PERSIDE.TYPICAL FRAMING:(1) 2x6 1.3E TIMBERSTRAND® LSLSTUD @ 16" O.C. CONNECT W/ (3) 16dNAILS @ TOP/BOTTOM PLATE.ASEE WIND BRACE DETAILWB3ON PAGETW1.FOYER - FRONTDEFLECTION:L/180Foyer - FrontPlotID Length Product Plies Net Qty18' 0" 1 1/2" x 5 1/2" 1.3E TimberStrand® LSL 1 76' 0" 1 1/2" x 5 1/2" 1.3E TimberStrand® LSL 1 3TSHd2 6' 0" 3 1/2" x 5 1/2" 1.3E TimberStrand® LSL 1 28' 0" 2 X 6 SPF No.2 1 86' 0" 2 X 6 SPF No.2 1 14' 0" 2 X 6 SPF No.2 1 62' 0" 2 X 6 SPF No.2 1 8ClipsPlotID Length Product Plies Net QtyRoof Connection Simpson A23 Clip 418' 2 7/8"51/2"8' 6 1/2"4' 2 1/2"6' 11"TSHd18' 6 1/2"4' 2 1/2"AA(2) 2x6 1.3E TIMBERSTRAND® LSLCONNECT W/(4) 16d NAILS @TOP/BOTTOM PLATES.TSHd13-1/2"x5-1/2" 1.3ETIMBERSTRAND® LSLHEADER W/ (1) TRIMMER PER SIDE.CONNECT W/ (4) 16d NAILS PER SIDE.HEADER REQUIRES 2X6 PLATE(S).TYPICAL FRAMING:(1) 2x6 1.3E TIMBERSTRAND® LSLSTUD @ 16" O.C. CONNECT W/ (3) 16dNAILS @ TOP/BOTTOM PLATE.ATTACH ROOF TRUSS TO TOPPLATE WITH (1) A23 SIMPSONSTRONG-TIE® @ 2'-0" O.C. INADDITION TO ANY CONNECTIONSREQ'D BY TRUSS MANUFACTURER.FOYER - SIDE WALLDEFLECTION: L/180AFoyer - SidePlotID Length Product Plies Net Qty18' 0" 1 1/2" x 5 1/2" 1.3E TimberStrand® LSL 1 812' 0" 1 1/2" x 5 1/2" 1.3E TimberStrand® LSL 1 510' 0" 1 1/2" x 5 1/2" 1.3E TimberStrand® LSL 1 3TSHd1 6' 0" 3 1/2" x 5 1/2" 1.3E TimberStrand® LSL 1 18' 0" 2 X 6 SPF No.2 1 26' 0" 2 X 6 SPF No.2 1 22' 0" 2 X 6 SPF No.2 1 8Clips-1PlotID Length Product Plies Net QtyRoof Connection Simpson A23 Clips 6THINK SAFETY- READ INSTALLATION INFORMATION BEFORE PROCEEDINGALL DIMENSIONS SHOWN ARE APPROXIMATE.IT IS THE RESPONSIBILITY OF THE DEALER/BUILDER TO VERIFY ALL DIMENSIONS.ATTACH BOTTOM PLATE TO RIM, FLOORFRAMING AND/OR BLOCKING W/ (2) ROWSOF 16d PNEUMATIC NAILS @ 8" O.C.LOADS MUST BE TRACKED TO FOUNDATIONBY DESIGNER OF RECORD.TRIMMERS, CRIPPLES, AND BLOCKING 10'OR LESS IN LENGTH MAY BE REPLACEDWITH SPF/HF No.2 OR BETTER (BY OTHERS).iLevel prepared these placement plans for the specification of iLevel products based on project information provided to us. This service is solely intended for product application assurance; and, is not intendedto circumvent the need for a design professional as determined by the building codes. The designer of record and/or builder/framer is responsible to assure these drawings are compatible with the overall project.Copyright 2009 Weyerhaeuser NR Company. All rights reserved. Any unauthorized copying or reproduction willconstitute an infringement of copyright.R14-177960020 B,C,D TALL WALSheetTW1Specification Teamservice.request@weyerhaeuser.com(888) 453-8358........www.woodbywy.comWeyerhaeuser prepared these plans for the specification of Trus Joistproducts based on project information provided to us. This service is solelyintended for product application assurance; and, is not intended to circumventthe need for a design professional as determined by the building codes.The designer of record and/or builder/framer is responsible to assure thesedrawings are compatible with the overall project.Copyright 2009 Weyerhaeuser NR Company. All rights reserved.Anyunauthorized copying of reproduction will constitute an infringement of copyright.LENNAR4020ELEVATION B,C,DMNHave a damaged joist or beam?File an electronic damage report forprompt service from your regionaltechnical office. Scan the QR Codewith your smartphone or go to:www.damagereport.wStructural Framer'sPocket Guide.Access with your Smart Phone.http://woodbywy.com/document/tj-9001/Drawn By:DAWN NOriginal Date:11/21/14Architectural Drawings Prepared By:LENNARStructural Drawings Prepared By:N/A11/2014N/ARev.ByDateJLH11-27-18CommentsClips now Simpson, Updated materialMULTIPLE MEMBER CONNECTIONS2 PLY 3 PLY 4 PLYUSE 16d (0.131" x 314") PNEUMATIC NAILS4 PLY ALTERNATE: 2 ROWS,12" DIAMETER BOLTS AT 8" ON-CENTER*MULTIPLE MEMBER CONNECTION MAY VARY DEPENDING ON APPLICATIONSEE WALL LAYOUT FOR ALTERNATE NAILING PATTERN IF APPLICABLEL13Header to columnHeaderColumnFraminganglesPlate widthmust equal wallthickness toprovide lateralbracing. (Platenot required if header widthequals the wallthickness.)Trimmerstud (s)Member OrientationPlate width must equal wall thicknessto provide lateral bracing (plate notrequired if header equals wall thickness)WB2Connection of double top plate to outlooker must bedesigned to tranfer lateral load to roof.Connect outlooker to double topplate with (1) Simpson® Strong-Tie A-23 clip at 24" on center2x_ outlookerContinuous tall-wall framing(from sill plate to top plate)4" o/c nailingrequired fromsheathingto outlookerBlocking betweenoutlookers asrequiredConnect outlooker to trusswith (2) 16d nails for 2x4,(3) 16d nails for 2x6 or 2x82' maxWB3Loads must be trackedto foundation by designerof recordTrusses by othersat 24" on centerConnect truss to double top platewith (1) Simpson®Strong-Tie A-23 clipat 24" on centerGable end wall2x_ solid sawn angle braces to connect double top plate to roof @ 2'-0"o.c. along length of wall fit snug betweenthe two bays. Connect with (3) 16d nails.2x_ solid sawn connected to topof bottom chord with (3) 16d nails at 2'-0" o.c. along length of wall, back 8'-0"Wall bracing is necessary if double top plate is not attacheddirectly to the roof/floor diaphragm.25° to 45°A notch and hole shall not occurin the same cross sectionMaximum diameter:*138"for 312" thick walls*2316"for 512"-1114" thick wallsMaximum notch:One notch may be cut anywhere except themiddle13of the length of the stud or column.*78" for 312" thick walls*138"for 512"-1114" thick walls58" Minimumedge distanceAllowable Holes and NotchesL/3L/3L/3One hole may be cut anywhere along the length ofthe stud or column but must be at least58" from the edge.P5Solid blocking isrequired if columnand trimmer studsdo not extend tosill plateBlockingpanel asrequiredTrimmerstud (s)FraminganglesRimboardSill PlateSoleplateColumnColumn to Bottom PlateP6Column to Top PlateTrimmerStud (s)Doubletop plateFramingangles*Note: Field skewableframing angles requiredfor sloped top plateconnectionsDESIGN PARAMETERSCODE:IBC/IRCSNOW LOAD:35 PSFDEAD LOAD:20 PSFEXPOSURE/WIND LOAD: BWIND SPEED:90 MPHCONNECTIONS: BASED ON .5 SPECIFIC GRAVITYWALL DESIGN ASSUMPTIONS1) DESIGN APPLICATIONS ARE LIMITED TO VERTICAL LOADSAND TO LATERAL WIND LOADS THAT ARE PERPENDICULAR TOTHE WALL FRAMING ONLY (TALL WALL WAS NOT CHECKED ORDESIGNED AS A SHEAR WALL).a) 2009 IBC BRACED WALL PROVISIONS ONLY APPLICABLE TOWALL HEIGHTS 12' OR LESSb) A TALL WALL MAYMEET CODE PROVISIONS IF THE WALL ISNOT BUMPED MORE THAN 4' OUT OF PLANE OF THE REST OFTHE WALL AND THE WALL IS NOT MORE THAN 25' WIDE.2) MEMBER DESIGN AND LATERAL SUPPORT REQUIREMENTSFOR BENDING ARE BASED ON NATIONAL DESIGNSPECIFICATION (NDS®) 2005.3) DESIGN ASSUMES STRUCTURAL SHEATHING ON ONE SIDEOF THE WALL OR A COMBINATION OF GYPSUM WALLBOARDAND NON-STRUCTURAL SHEATHING OR SIDING APPLIED TOEACH SIDE OF THE WALL OR OTHER EQUIVALENT.4) BLOCK/BRACE ALL FRAMING VERTICALLY EVERY 8'-0" O.C.5) BLOCK DOWN ALL COLUMN/TRIMMER LOADS AT RIMBOARDLOCATION.6) WALL REINFORCEMENT IS REQUIRED AT ALL LIFT POINTS TOENSURE WALL STABILITY DURING CONSTRUCTION.7) TYPICAL STUD FRAMING FOR WALLS WITH FLEXIBLEFINISHES ARE DESIGNED AT L/120 DEFLECTION CRITERIA. THEMATERIAL SUPPORTING WINDOWS IN THESE WALLS AREDESIGNED AT L/180 DEFLECTION CRITERIA (U.N.O.).8) TRIMMERS TO BE CONNECTED PER MULTIPLE MEMBERCONNECTIONS (SEE DETAIL BELOW).9) ALL WALL TOP AND BOTTOM PLATES TO BETIMBERSTRAND® LSL TO MATCH WALL WIDTH (U.N.O.).PDF created with pdfFactory Pro trial versionwww.pdffactory.comEH07 Summit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Š)UDPHU V3RFNHW*XLGHIRUPLQLPXPHQGDQGLQWHUPHGLDWHEHDULQJOHQJWKV7-,Š-2,671$,/,1*5(48,5(0(176DW%($5,1*PLQLPXPEHDULQJDWHQGVXSSRUWPLQLPXPDWLQWHUPHGLDWHVXSSRUW7-,Š-RLVWWR%HDULQJ3ODWH6KHDUWUDQVIHU&RQQHFWLRQVHTXLYDOHQWWRIORRUSDQHOQDLOLQJVFKHGXOH2QHG  ER[QDLOHDFKVLGH'ULYHQDLOVDWDQDQJOHDWOHDVWIURPHQG6TXDVK%ORFNVWR7-,Š-RLVW /RDGEHDULQJZDOODERYH 2QHG  ER[QDLOLQWRHDFKIODQJH                     648$5(255(&7$1*8/$5+2/(6,=(0LQLPXPGLVWDQFHIURPHGJHRIKROHWRLQVLGHIDFHRIQHDUHVWLQWHUPHGLDWHRUFDQWLOHYHUVXSSRUW      '2127FXWQRWFKRUGULOOKROHVLQKHDGHUVH[FHSWDVLQGLFDWHGLQLOOXVWUDWLRQVDQGWDEOHV)RUVLPSOHVSDQ  PLQLPXP XQLIRUPO\ORDGHGMRLVWVXVHGLQUHVLGHQWLDODSSOLFDWLRQVRQHPD[LPXPVL]HURXQGKROHPD\EHORFDWHGDWWKHFHQWHURIWKHMRLVWVSDQSURYLGHGQRRWKHUKROHVRFFXULQWKHMRLVW'LVWDQFHVDUHEDVHGRQWKHPD[LPXPXQLIRUPORDGVVKRZQLQFXUUHQW7UXV-RLVWŠ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Š                                                                                                                                                                   648$5(255(&7$1*8/$5+2/(6,=(  5281'+2/(6,=(0LQLPXPGLVWDQFHIURPHGJHRIKROHWRLQVLGHIDFHRIQHDUHVWHQGVXSSRUW                                                                                  7DEOH$(QG6XSSRUW'(37+ 7-,Š                                                                                       $OVRVHHGHWDLO%                                                                                                                                                                      (TimberStrand® LSLDOORZHGKROH]RQHGGMicrollam® LVLDQGParallam® PSLDOORZHGKROH]RQHPLGGOHVSDQ(TimberStrand®LSLKROH]RQHMicrollam® LVLDQGParallam®PSLKROH]RQH[GLDPHWHURIWKHODUJHVWKROH PLQLPXP GGHSWK0$;,0805281'+2/(6,=(+($'(5'(37+WR6HHLOOXVWUDWLRQIRU$OORZHG+ROH=RQH2WKHU7UXV-RLVWŠ7UXV-RLVWŠ+HDGHUVDQG%HDPV(7LPEHU6WUDQGŠ/6/+HDGHUVDQG%HDPV$//2:$%/(+2/(6+HDGHUVDQG%HDPVGHSWK[GLDPHWHURIWKHODUJHVWKROH PLQLPXP [GLDPHWHURIWKHODUJHVWKROH PLQLPXP $OORZHGKROH]RQH6HHLOOXVWUDWLRQIRUDOORZHGKROH]RQHWR+($'(5'(37+0$;,0805281'+2/(6,=(1RKROHVLQKHDGHUVRUEHDPVLQSODQNRULHQWDWLRQ5RXQGKROHVRQO\*HQHUDO1RWHV*HQHUDO1RWHV1RKROHVLQKHDGHUVRUEHDPVLQSODQNRULHQWDWLRQ$OORZHGKROH]RQHVXLWDEOHIRUXQLIRUPO\ORDGHGKHDGHUVDQGEHDPVRQO\5RXQGKROHVRQO\1RKROHVLQFDQWLOHYHUV%($0$77$&+0(17DW%($5,1*7KLVVKHHWLVLQWHQGHGDVDVXSSOHPHQWWRWKH7UXV-RLVWŠ)UDPHU V3RFNHW*XLGHZKLFKVKRXOGEHUHIHUHQFHGIRUDGGLWLRQDOLQIRUPDWLRQ7+,1.6$)(7<5($',167$//$7,21,1)250$7,21%()25(352&((',1*$OORZDEOH/RDG$OORZDEOHORDGGHWHUPLQHGLQDFFRUGDQFHZLWK$&&RUURVLRQUHVLVWDQWIDVWHQHUVUHTXLUHGIRUZHWVHUYLFHDSSOLFDWLRQVTimberStrand®/6/ULPERDUG(;7(5,25'(&.$77$&+0(176WUXFWXUDOH[WHULRUVKHDWKLQJ6HHIDVWHQHUWDEOHEHORZ0DLQWDLQGLVWDQFH PLQLPXP IURPHGJHRIOHGJHUWRIDVWHQHUGLDPHWHUPD[LPXPKROHIRUGHHSEORFNLQJSDQHOVGLDPHWHUPD[LPXPIRUTJI®EORFNLQJSDQHOVGHHSRUVKRUWHUWKDQORQJ'RQRWFXWIODQJHV*(1(5$/7586-2,67352'8&7$66(0%/<'(7$,/6((::HEVWLIIHQHUVUHTXLUHGHDFKVLGHDW(:%DFNHUEORFN,QVWDOOWLJKWWRWRSIODQJH WLJKWWRERWWRPIODQJHZLWKIDFHPRXQWKDQJHUV $WWDFKZLWKWHQG  ER[QDLOVFOLQFKHGZKHQSRVVLEOH+%DFNHUEORFNERWKVLGHVRIZHEZLWKVLQJOHTJI®MRLVW)LOOHUEORFN$WWDFKZLWKWHQG  ER[QDLOVFOLQFKHG8VHWHQG  ER[QDLOVIURPHDFKVLGHZLWKTJI®MRLVWIODQJHZLGWKV8VHILIWHHQQDLOVZLWKTJI®MRLVWGHSWKVJUHDWHUWKDQODJEROW/$ODJEROW)DVWHQHU)ODVKLQJ7UHDWHG[BOHGJHU1$ Trus Joist®ULPERDUG:HEVWLIIHQHUHDFKVLGH6HHVL]HVEHORZ:7LJKWILW:(%67,))(1(5$77$&+0(17*DSPLQLPXPPD[LPXP7KUHHG  ER[QDLOVFOLQFKHG 7KUHHG  ER[QDLOVDWTJI®MRLVWIODQJHZLGWKV/RDGEHDULQJRUVKHDUZDOODERYH PXVWVWDFNRYHUZDOOEHORZ TJI®EORFNLQJSDQHO:HEVWLIIHQHUVUHTXLUHGHDFKVLGHDW%:DQG%:%%%:%:[PLQLPXPVTXDVKEORFNV8VH[PLQLPXPVTXDVKEORFNVWRWUDQVIHUORDGDURXQG7-,ŠMRLVW&6/RDGIURPDERYH[PLQLPXPVTXDVKEORFNV:LWKWRSIODQJHKDQJHUVEDFNHUEORFNUHTXLUHGRQO\IRUGRZQZDUGORDGVH[FHHGLQJOEVRUIRUXSOLIWFRQGLWLRQV127(678&785$/'2&80(176)257+,6352-(&73(57+('(6,*1352)(66,21$/2)5(&25'6+$//683(5&('($//$66(0%/,(66+2:1,17+,66(&7,21$/625()(5727586-2,67Š3/$&(0(173/$16 $1'0$7(5,$/6&+('8/(6 )255(48,5('0$7(5,$/&RRUGLQDWHORDGUHTXLUHPHQWVZLWKWKHGHVLJQSURIHVVLRQDORIUHFRUG/DFNRISURSHUEUDFLQJGXULQJFRQVWUXFWLRQFDQUHVXOWLQVHULRXVDFFLGHQWV2EVHUYHWKHIROORZLQJJXLGHOLQHV$OOEORFNLQJKDQJHUVULPERDUGVDQGULPMRLVWVDWWKHHQGVXSSRUWVRIWKH7-,Š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ŠMRLVWEHIRUHDGGLWLRQDOORDGVFDQEHSODFHGRQWKHV\VWHP:$51,1*127(6:$51,1*-RLVWVDUHXQVWDEOHXQWLOEUDFHGODWHUDOO\%UDFLQJ,QFOXGHV%ORFNLQJ+DQJHUV6KHDWKLQJ5LP%RDUG6WUXW/LQHV5LP-RLVW'2127VWDFNEXLOGLQJPDWHULDOVRQXQVKHDWKHGMRLVWV6WDFNRQO\RYHUEHDPVRUZDOOV'2127ZDONRQMRLVWVWKDWDUHO\LQJIODW'2127ZDONRQMRLVWVXQWLOEUDFHG,1-85<0$<5(68/7:H\HUKDHXVHU0LFUROODPŠ3DUDOODPŠ6LOHQW)ORRUŠ7LPEHU6WUDQGŠ7-,ŠDQG7UXV-RLVWŠDUHUHJLVWHUHGWUDGHPDUNVRI:H\HUKDHXVHU15‹ :H\HUKDHXVHU15&RPSDQ\$OOULJKWVUHVHUYHGTimberStrand® LSLTrusJoist® ULPERDUGRU Microllam® LVLZLWK(25DSSURYDO VHHSODFHPHQWSODQTimberStrand® LSLTrusJoist® ULPERDUGRU Microllam®LVLZLWK(25DSSURYDO TimberStrand® LSLTrusJoist® ULPERDUGRU Microllam®LVLZLWK(25DSSURYDO TimberStrand® LSLTrusJoist® ULPERDUGRU Microllam®LVLZLWK(25DSSURYDO VHHSODFHPHQWSODQ%(QGRIMRLVWDWFHQWHUOLQHRIVXSSRUW%ORFNLQJSDQHOVUHTXLUHG/RDGEHDULQJRUVKHDUZDOODERYH PXVWVWDFNRYHUZDOOEHORZZKHQSUHVHQW 3ODWHQDLOG [ DWRQFHQWHU )ORRUSDQHOQDLOG [ DWRQFHQWHU $::7RHQDLOG [ DWRQFHQWHU :KHQVKHDWKLQJWKLFNQHVVH[FHHGVWULPVKHDWKLQJWRQJXHDWULPERDUG:HE6WLIIHQHUVUHTXLUHGHDFKVLGHDW$B:$$$ $$:$:$TimberStrand® LSLTrus Joist®ULPERDUGRU Microllam® LVLZLWK(25DSSURYDO VHHSODFHPHQWSODQ)RUULPERDUGWKLFNHUWKDQ$WWDFKTJI®-RLVWWRULPERDUGZLWKRQHG [ QDLO7RSQDLOIURPTJI®MRLVWLQWRULPERDUG&RQQHFWFRUQHUZLWKIRXUG [ QDLOV7RHQDLOIURPVLGHRISDUDOOHOFORVXUHLQWRULPERDUG &RQYHQWLRQDOFRQVWUXFWLRQFRGHPLQLPXPIRUXVHZLWK$RQO\6HHWKH7UXV-RLVW7-,Š6SHFLILHU V*XLGH7-DQGWKH7UXV-RLVWŠ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ŠOLWHUDWXUH//%($5,1*$7&2/801&ROXPQ6HHFXUUHQW7UXV-RLVWŠ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imberStrand® LSL Trus Joist® ULPERDUG Microllam® LVLZLWK(25DSSURYDO RU7-,®EORFNLQJIRUODWHUDOVXSSRUW%($0'(7$,/6 7-,Š-2,67[ PLQ VROLGVDZQRUZLGH7LPEHUVWUDQGŠ/6/ULPERDUGIXOOOHQJWKLQED\DQGWLJKWWRHDFKMRLVWIODQJH&RQQHFWWRSODWHZLWKG [ QDLOVDWRQFHQWHUVSDQUDWHGVKHDWKLQJ 0LQ $WWDFKZLWKG [ QDLOVDWRQFHQWHUDORQJSDQHOHGJHVDQGLQILHOG8VHSUHVVXUHWUHDWHGSO\ZRRGIRUJURXQGOHYHOFDQWLOHYHUV( $/7:$51,1*-RLVWVDUHXQVWDEOHXQWLOEUDFHGODWHUDOO\6DIHW\EUDFLQJUHTXLUHGGXULQJLQVWDOODWLRQ/DWHUDOORDGWUDQVIHUIRUWKLVGHWDLOLV3/) SRXQGVSHUOLQHDOIRRW $GGLWLRQDOFRQQHFWLRQVPD\EHUHTXLUHGWRWUDQVIHUODWHUDOORDGVIURPZDOODERYH PD[GHFN 7-,Š PD[GHFN 7-,Š[B)XUULQJVSDQUDWHGVKHDWKLQJ 0LQ $WWDFKZLWKG [ QDLOVDWRQFHQWHUDORQJSDQHOHGJHVDQGLQILHOG8VHSUHVVXUHWUHDWHGSO\ZRRGIRUJURXQGOHYHOFDQWLOHYHUV,QYHUWHGKDQJHU VHHKDQJHUOLVWRQ7UXV-RLVWVWUXFWXUDOOD\RXW 7UHDWHGOHGJHU[Trus Joist® ULPERDUG,QYHUWHGKDQJHU VHHKDQJHUOLVWRQL/HYHOVWUXFWXUDOOD\RXW 7UHDWHGOHGJHU( $/7/$VSDQUDWHGVKHDWKLQJ 0LQ $WWDFKZLWKG [ QDLOVDWRQFHQWHUDORQJSDQHOHGJHVDQGLQILHOG8VHSUHVVXUHWUHDWHGSO\ZRRGIRUJURXQGOHYHOFDQWLOHYHUV( $/7/$[ PLQ VROLGVDZQRUZLGH7LPEHUVWUDQGŠ/6/ULPERDUGIXOOOHQJWKLQED\DQGWLJKWWRHDFKMRLVWIODQJH&RQQHFWWRSODWHZLWKG [ QDLOVDWRQFHQWHU7LPEHUVWUDQGŠ/6/ULPERDUGWRPDWFK7-,ŠGHSWK[ PLQ VROLGVDZQRUZLGH7LPEHUVWUDQGŠ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®MRLVWZLWKG  FRPPRQQDLOVDWRQFHQWHU:KHQUHLQIRUFLQJERWKVLGHVVWDJJHUQDLOV(( PD[LPXP)DFHJUDLQKRUL]RQWDO OHQJWKRIUHLQIRUFHPHQWRQRQHVLGHDW(ERWKVLGHVDW($/7 $/77LPEHUVWUDQGŠ/6/ULPERDUGWRPDWFK7-,ŠGHSWK[ PLQ VROLGVDZQRUZLGH7LPEHUVWUDQGŠ/6/ULPERDUGIXOOOHQJWKLQED\DQGWLJKWWRHDFKMRLVWIODQJH&RQQHFWWRSODWHZLWKG [ QDLOVDWRQFHQWHUVSDQUDWHGVKHDWKLQJ 0LQ $WWDFKZLWKG [ QDLOVDWRQFHQWHUDORQJSDQHOHGJHVDQGLQILHOG8VHSUHVVXUHWUHDWHGSO\ZRRGIRUJURXQGOHYHOFDQWLOHYHUV:$51,1*-RLVWVDUHXQVWDEOHXQWLOEUDFHGODWHUDOO\6DIHW\EUDFLQJUHTXLUHGGXULQJLQVWDOODWLRQ/DWHUDOORDGWUDQVIHUIRUWKLVGHWDLOLV3/) SRXQGVSHUOLQHDOIRRW $GGLWLRQDOFRQQHFWLRQVPD\EHUHTXLUHGWRWUDQVIHUODWHUDOORDGVIURPZDOODERYH7LPEHUVWUDQGŠ/6/ULPERDUGWRPDWFK7-,ŠGHSWK81/(66127('27+(5:,6()/225/,9(/2$''()/(&7,21&5,7(5,$/)/225/,9(/2$'36))/225'($'/2$'36)612:/,9(/2$'36)522)'($'/2$'36) 75866('522)6 522)'($'/2$'36)  7-,5$)7(5 'HDG/RDGVDUHDGMXVWHGIRUVORSHFRUUHFWLRQTJI®EORFNLQJSDQHO$3%MRLVWVSDQ PD[$SSO\VXEIORRUDGKHVLYHWRDOOFRQWDFWVXUIDFHV2SWLRQ2SWLRQ2SWLRQTJIŠ-RLVWEORFNLQJZLWKHQGEORFNVLQVWDOOHGDWMRLVWVSDQORFDWLRQVXVLQJWZRG [ QDLOVRUVFUHZVW\SLFDO[BVWUDSSLQJLQVWDOOHGDWMRLVWVSDQORFDWLRQVXVLQJWZRVFUHZVSHUMRLVWW\SLFDO'LUHFWO\DSSOLHGFHLOLQJ:KHQVSHFLILHGRQWKHOD\RXWRQHRIWKHDERYHEUDFLQJRSWLRQVLVUHTXLUHG$GGLWLRQDO1RWHV(7LPEHU6WUDQGŠ/6/3UHVFULSWLYH&KDUWGHSWK[GLDPHWHURIWKHODUJHVWKROH PLQLPXP 6HHLOOXVWUDWLRQIRUDOORZHGKROH]RQH5RXQGKROHVRQO\*HQHUDO1RWHV1RKROHVZLWKLQRIMRLVWHQGV0D[LPXP5RXQG+ROH6L]H-RLVW'HSWK$OORZHGKROH]RQH(7LPEHU6WUDQGŠ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prev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Š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‹ :H\HUKDHXVHU15&RPSDQ\$OOULJKWVUHVHUYHG$OOEORFNLQJKDQJHUVULPERDUGVDQGULPMRLVWVDWWKHHQGVXSSRUWVRIWKH7-,Š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ŠMRLVWEHIRUHDGGLWLRQDOORDGVFDQEHSODFHGRQWKHV\VWHP7+,1.6$)(7<5($',167$//$7,21,1)250$7,21%()25(352&((',1*$&203/(7(-$9(/,1Š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ŠHQJLQHHUHGZRRGSURGXFWVRQO\7KHVXEVWLWXWLRQRIRWKHUHQJLQHHUHGZRRGSURGXFWVZLWKWKLV OD\RXWLV1273(50,77('3OHDVHLGHQWLI\WKH7-,Š7LPEHU6WUDQGŠ/6/0LFUROODPŠ/9/DQG3DUDOODPŠ36/VWDPSVRQWKHSURGXFWWRHQVXUHWKDWWKLVOD\RXWLVYDOLGIRUWKHSURGXFWVDFWXDOO\LQVWDOOHGEH07 SUMMIT E/I B,C,D (prev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‹ :H\HUKDHXVHU15&RPSDQ\$OOULJKWVUHVHUYHG$OOEORFNLQJKDQJHUVULPERDUGVDQGULPMRLVWVDWWKHHQGVXSSRUWVRIWKH7-,Š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ŠMRLVWEHIRUHDGGLWLRQDOORDGVFDQEHSODFHGRQWKHV\VWHP7+,1.6$)(7<5($',167$//$7,21,1)250$7,21%()25(352&((',1*$&203/(7(-$9(/,1Š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ŠHQJLQHHUHGZRRGSURGXFWVRQO\7KHVXEVWLWXWLRQRIRWKHUHQJLQHHUHGZRRGSURGXFWVZLWKWKLV OD\RXWLV1273(50,77('3OHDVHLGHQWLI\WKH7-,Š7LPEHU6WUDQGŠ/6/0LFUROODPŠ/9/DQG3DUDOODPŠ36/VWDPSVRQWKHSURGXFWWRHQVXUHWKDWWKLVOD\RXWLVYDOLGIRUWKHSURGXFWVDFWXDOO\LQVWDOOHGEH07 SUMMIT E/I B,C,D (prev. 4020) ©                                                                               ©                ©                                   © xxx  40,000 X X 40,000 40,000 3000 3000 3000 40,000 40,000 13.33 13.33 66000 1152 1152 .38 .38 .62 .62 8.3 3.3 280 415 415 4524 678 678 -263 190 95 19092 Iden Avenue 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-20 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 " round duct OR " metal duct Duct system air tightness: Heating or Cooling Ducts Outside Conditioned Spaces Ceiling, vaulted Bay Windows or cantilevered areas Floors over unconditioned area Describe other insulated areas Building envelope air tightness: Windows & Doors Average U-Factor (excludes skylights and one door) U: 0.31 Solar Heat Gain Coefficient (SHGC):0.29 R-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Heater Cooling System Nat Gas Nat Gas Elect GPVL-50 13ACXN36-230 Fuel Type Manufacturer Lennox AOSmith Lennox Model ML193UH070XE36B 13 Location of duct or system: Rating or Size 50 Output in Tons:3 Efficiency SEER /EER Residential Load Calculation Heating Loss Heating Gain Cooliing 58,364 28,104 33,361 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): Combustion Air Select a Type Select Type Heat Recover Ventilator (HRV) Capacity in cfms:190 MN License Number Lennar 1413 THERMAL ENVELOPE RADON CONTROL SYSTEM Type: Check All That Apply Insulation Location Total R-Value of all Types of InsulationNon or Not ApplicableFiberglass, BlownFiberglass, BattsFoam, Closed CellFoam Open CellMineral FiberboardRigid, Extruded PolystyreneRigid, IsocynurateNew Construction Energy Code Compliance Certificate Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel.4/29/2021 Mailing Address of the Dwelling or Dwelling Unit City Lakeville19092 Iden Avenue Name of Residential Contractor Below Entire Slab Foundation Wall Perimeter of Slab on Grade Rim Joist (1st Floor) Rim Joist (2nd Floor+) Wall Ceiling, flat Interior R5 + R10 Exterior Interior Interior Balanced Ventilation capacity in cfms:Mech Room Capacity continuous ventilation rate in cfms: Total ventilation (intermittent + continuous) rate in cfms: 95 High: Energy Recover Ventilator (ERV) Capacity in cfms:High: Location of duct or system: 000000Builders 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) ruction site at least once every seven (7) days during active con (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 05/11/21 X KP