HomeMy WebLinkAboutLA190591 19985 Harrisburg Way Permit PackRESIDENTIAL BUILDING
PERMIT APPLICATION
CITY OF LAKEVILLE
BUILDING INSPECTIONS DEPARTMENT
20195 HOLYOKE AVENT'E
LAKEVILLE, MN 550,14
952-985-4440
OfficeUse Only
Pemit Number
R"*tr"d By
Date Received
Fee Total
SITE ADDRESS:
MAILING ADDRESS:
JOB DESCRIPTION: Ng\rJ hofna MASTERpLAN: (NumberorAddress)
LIST OTHER STRUCTURES ON PROPERTY:
ESTIMATED vALUATIoN' LlsO, DOO PROPOSED START DATE:
(New Residential Only): LEGAL DESCRIPTION: LOT: lL BLOCK: a. tTTDIVISION:
APPLICANT IS: ENESTOENT OWNER ECONITRACTOR EMAIL
EI vps il ", GF vES-ADMINISTF,ATIVE pERMrrREeurRED)NEW MODEL HOME:
www.laltev illemn.gov
END DATE:FSN
PLEASE FILL OUT THE FOLLOWING COMPLETELY (All Contractorinformation must be as listedon State License)
RESIDENT OWNER
GENERAL CONTRACTOR
! Homeowner
I Contractor
LICENSE +'rc f,,I? Obb re.dcBnrIFICATE#
CELL PHONE:
(PRE 1978 S1
>- Ll90 -
PLI]MBINGWORI(
! Homeowner
[(l Contractor
oFFrcEpHoNE#31? - qtq -
sr:Vln ,t ,6505-l
CELL PHONE:
MECHANICALWORK
I Homeowner
fl Contractor sr:TY\n 4P,65 Oaq
BOND #:EXPIRATION DATE
SEWER/WATER CONTRACTOR
New Construction Only
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 W]TH 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 V/ITH THE APPROVED PLAN.
NAME OF APPLICANT (Please
APPLICAIIT'S SIGNATURE:
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
Table 501.4.1
Procedure to Determine Makeup Alr Quantlty for Exhaust Appliances in Dwelling Units
ONE OR MULTIPLE POWER VENT
OR DIRECT VENT APPTIANCES OR
NO COMBUSTION APPLIANCESa
ONE OR MUTTIPLE FAN.
ASSISTED APPLIANCES AND
POWER VENT OR DIRECT
VENTAPPLIANCESS
ONE ATMOSPHERICAI.LY
VENTED GAS OR OIt
APPTIANE OR ONE
SOIID FUELAPPLIANCEc
MULTIPTE APPI-IANCES THAT
ARE ATMOSPHERICATTY
VENTED GAS OR OIt
APPTIANCES OR SOLID FUEI.
APPUANCESo
Column lnfiltratlonUse the Appropriate to Estimate House
a) pressure factor
{cfm/sf)0.15 0.09 0.05 0.03
b) conditioned floor
area (sf)394c
unfinished basements)
Estimated House
lnfiltration (cfml:
1ax1
b) 80% of largest
(not ble if
cl 8oo/o of next largest
exhaust r
interlocked and
not
Total Exhaust Capacity
(cfm):
makeup air is electricall interlocked and matched to
Air
a) Total Exhaust
Capacity
from above)
b) Estimated House
lnfiltration (from
above
\4akeup Air
Quality (cfm):
3a-
(if value is negative, no makeup air is needed
For Makeup Air Opening Sizing, refer to Table 501.4.2.
Use this column if there are other than fan'assisted or atmospherically vented gas or oll oppliances or if there are no combustion oppliances.
Use this column if there is one fan-assisted applionce per venting system. Other than atmospherically vented oppliances may also be included.
Use this column if there is one atmospherically vented (other than fan-assisted) gas or oll opptionce per venting system or one solid tuel opplionce.
Use this column if there are multiple atmospherically vented gas or oil opplionces using a common vent or if there are atmospherically
vented gas or oll appliances and solid fuel appliances.
Table 501.4.2
Makeup Air Openlng Slzing Table for New and Existing Dwelllng Unlts
ONE OR MUITIPIE POWER
VENT OR DIRECT VENT
APPTIANCES OR NO
coMBusrloN
APPUAilCESA
ONE OR MUTTIPTE FAN.
ASSISTED APPLIANCES
Af{D POWER VENT OR
DIRECI VCNT APPLIANCESS
ONE
ATMOSPHERICAI.TY
VENTED GAS OR OIt
APPIIANCE OR ONE
SOTID FUEI
APPUANCEc
MUI.TIPI.E APPTIA}ICES
THAT ARE
ATMOSP}IERICAI.LY
VENTED GAS OR OII.
APPUANCES OR SOIID
FUEI APPLIANCESo
tt1-742
PASSIVE MAKEUP
AIR OPENING
DUCT
rssive opening
th rnotorized
ssive opening
th motorized
isive opening
:h motorized
,vered makeup
H
Jse this column if there are other than fan-assisted or atmospherically vented ga s or oil opplionces or if there are no combustion oppliances.
lse this column if there is one fan-assi sled applionce per venting system. Other than atmospht-fically vented opplionces may also be included.
lse this column if there is one atmospherically vented (ther than fan-assisted) gas or oll opplionce per venting system or one solid fuel opplionce.
lse this column if there are multiple atmospherically vented gas or oil opplionces using a common vent or if there are atmospherically vented
as or oil opplionces and solid fuel opplionces.
n equivalent length of 100 feet of round smooth metal duct is assumed. Subtract 40 feet for the exterior hood and ten feet for each 90-degree
bow to determine the remaining length of straight duct allowable.
flexible duct is used, increase the duct diameter by one inch. Flexible duct shall be stretched with minlmal sags.
arometric dampers are prohibited in passive mokeup off openlngs when any atmospherically vented opplionce is installed.
rrvered mokeup oir shall be electrically interlocked with the largest exhaust system.
TYPE OF OPENING
OR SVSTEM (cfml {c (cfm)
1-36 t-22 1-15 1-9 3
37-66 23-41 15-28 to-77 4
67-749 42-66 29-46 18-28 5
110-163 67-100 47-69 29-42 6
164-232 101-143 70-99 43-51 7
233-317 144-795 100-135 62-83
318-419 196-258 136-179 84-tto 9
420-539 259-332 180-230
540-679 - 1??-d1q rcr -zqn 743-779 11
>679 >290 >179 Not apolicable
VENTILATION REqUIREMENTS
TABTE R403.5.2
NUMBER OF BEDROOMS
t 2 3 4 5 6z
Conditioned spacer (in sq. ft.)
Total/
Continuous
Total/
Continuous
TotaU
Continuous
TotaU
Continuous
Total/
Continuous
Total/
Continuous
1000-1500 60140 7s/40 90145 LOs/s3 t20160 13s/68
L501-2000 70/40 8s143 1Oo/s0 11sls8 130/6s L4s/73
2001-2500 8Ol40 e5148 LTAlss 12s153 t4o/7o Lss/78
2501-3000 9A/4s LOs/53 12O/60 13s/68 1-so/7s L6s/83
3!0!4s00 100/s0 11sls8 130/6s 14s173 160/80 t7s/88
3501-4000'110/ss 72s/63 L4017O ($sfie )t7ol8s 78sls3
a'mr4sof ,2al60 13s/58 LsolTs $5183 180/90 1esls8
4501-5000 130-65 t4s/73 150/80 77s188 LgOles 20s/t03
s001-5500 L40170 Lss/78 t7ol8s L&s/93 2OO/rO0 LLsltog
5501-6000 z Lso/7s L6s/83 !8O/90 195/s8 zto/Los 22s/713
1. Conditioned space includes the basernent and conditioned crawl spaces.
2. lf conditioned space exceeds 6000 sq. ft. orfhere are more than 6 bedrooms, use Equation R403.5.2
R403.5.2 Total Ventilation rate.
The mechanical ventilation system shall rovide sufficient outdoor air to equqJ the total ventilation rate average
for each 1- hour period in accordance with Table R403.5.2, or Equation 403.5), based on the number of bedrooms and
square footage of conditioned space, including the basement and conditioned crawl spaces.
For the purposes of Table R403.5.2 and Section R403.5.3, the following applies:
a. Equation R403.5.2 Totalventilation rate:
Total ventilation rate (cfm) = (0.02 x square feet of conditioned space) + (15 x (number of bedrooms +1.))
b. Equation R403.5.2.1 Continuous ventilation rate: Continuous ventilation rate (cfm) = Total ventiation rate/2
Amount Total
Amount Continuous ? g
TABTE 304.1
COMBUSTION AIR REQUIREMENTS FOR GAS.FIRED
APPLIANCES WHEN THE COMBINED INPUT IS UPTO
AND INCLUDING 400,qn Btulhr
TOTAT INPUT OF APPLIANCEST,
THOUSANOS OF Btu/hr
(kw)
For total inputs falling between listed capacities, use next largest listed input.
lf flexible duct is used, increase the duct diameter by one inch. *
lexible duct shallbe stretched with minimalsags.
2s (8)@
7s(23!,
100 (30)
12s (37)
1s0 (4s)
17s (s3)
2oo {60)
22s (58)
2so (7s)
27s (83)
3oo (eo)
32s (e8)
3s0 (10s)
37s (113)
400 (120)
BTU Amountfor Non-direct vent apptianc.s *l), 0 Or) S f U
VLl" J-(.'P. v.,{ o,
G(.(s
REQUIRED FREE AREA OF AIR.SUPPIY
OPENING OR DUCT, SQUARE INCHES
(sq mm)
7 (4,5OOl
7 l4,5OOl
L1 (7,000)
14 (9,000)
18 (12,000)
22l1.4,0OOl
25 (16,000)
29 (19,000)
32 (21,000)
35 (23,000)
40 (26,000)
43 (28,000)
47 (30,000)
50 (32,000)
54 (35,000)
ACCEPTABLE APPROXIMATE ROUND DUCT
EqUIvAtENT DIAMETERz,
INCH (mm)
q
CA
Duat
F{€Y
e (22s)
3 (7s)
<_T@)
4 (100)
4 (100)
s (12s)
s (12s)
6 (1s0)
6 (1so)
5 (lso)
7 (t7sl
7 (7751
7 (7751
I (2oo)
8 (2oo)
8 (2oo)
9>?,f). v.h ow€-
Ooo
IFGC Appendix E, Worksheet E-l
Resldentlal Combustion Air Calculation Method
(for Furnace, Eoiler, and/or Water Heater in the Same Space!
Step 1: Complete vented combustion appliance information.
Furnace/Boiler:
_Draft Hood
(Not fan assisted)
Water Heater:
_Draft Hood
(Not fan assisted)
_Fan Assisted _Direct Vent lnput:
& PowerVent _Btu/hr
& Power Vent _ Btu/hr
Step 2: Calculate the volume of the Combustion Appliance Space (CAS) containing combustion appliances.
The CAS includes all spaces connected to one another
by code compliant openings,CAS volume: fts
Step 3: Determine Air Changes per Hours (ACH!
Default ACH values have been incorporated into Table E-1 for use with Method 4b (KAIR Method). lf the
year of construction or ACH is not know, use method 4a (Standard Method).
p 4: Determine Required Volurne for Combustion Alr.
4a. Standard Method
Total Btu/hr input of allcombustion appliances
(DO NOT COUNT DIRECTVENT APPTTANCES)
Use Standard Method column in Table E-1 to find Total Required Volume (TRV)
lF CAS Volume (from Step 2) ls greater than TBV then no outdoor openings are needed.
lf CAS Volume (from Step 2) ls less than TRV then go to STEP 5.
4b. Known Air lnfiltration Rate (KAIR) Method ..
Total Btu/hr input of all fan-assisted and powel vent appliances
(DO NOT COUNT DTRECT VENT AppLTANCES)
Use Fan-Assisted Appliances column in Table E-1 to find
Required Volume Fan Assisted (RVFA)
Total Btu/hr input of all non-fan-assisted appliances
Use Non-Fan-Assisted Appliances column in Table E-1 to find
Reguired Volume Non-Fan-Assisted (RVNFA)
Total Required Volume (TRV) = RVFA + RVNFA
lf CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed.
lf CAS Volume (from Step 2) ls less than TRV then go to STEP 5.
lnput:Btu/hr
lnput:_Btu/hr
ft:
RVFA: fts
lnput:-Btu/hr
RVNFA:_ftr
RV=_+_=_fta
Step 5: Calculate the ratio of available interior volume to the total required volume.
Ratio = CAS Volume (from Step 2) divlded by TRV (from Step 4a or Step 4b) Ratio = I =_._
Step 6: Calculate Reduction Factor (RF).
RF-lminusRatio RF=1- =
Step 7: Calculate single outdoor opening as if all combustion air is from outside,
TotalBtu/hrinputofallCombustionAppliancesinthesamecAs(ExcEPTDlRECrVENT)lnput:-Btu/hI
Combustion Air Opening Area {CAOA):
Total Btu/hr divlded by 3000 Btu/hr per inz CAOA = /3000 Btu/hr per inz =_ inz
r 8: Calculate Minimum CAOA.
Minimum CAOA = CAOA multiplled by RF
Step 9: Calculate Combustion AirOpening Diameter (CAOD)
CAOD = 1.13 multiplled by the sguare root of Minimum CAOA cAoD = 1.13 Minimum CAOA =_
r lf desired, ACH can be deterrnined usine ASHRAE calculation or blower door test. Follow orocedures in Section G304.
MinimumCAOA= x =
using procedures
IFGC APPENOTX E, TAELE E-1
Residentlal Combustion Alr Required Volume lnterior Volume Based on
Known Air lnfiltratlon Rate
Fan-Assisted
Method (ftr)
Non Fan-Asslsted
1994r to Present Pre 19942 1994r to Present Pre 79942
525
1,050
1,313
2,700
725
4,988
775
.563
7.350
7,875
8,663
9,188
238
10,500
763
77,O25
11,288
220,000 550
11,813
230,000 72,075
rThe 1994 date refers to dwelllngs constructed under the 1994 Minnesota Energy Code. The KAIR used in this section of the table is 0.20 ACH.
263
788
363
300
138
925
773
zThis section of the table is to be used for dwellings constructed prior to 1994. The Default KAIR used ln this section of the table is 0.40 ACH.
Page 1 ResidenUal Heat Loss and Heat Gain Calcuhtion
ln accordance with ACCA Manual J
Report Prcpared By:
For:
Grant Heating & Air
Tom Gray Homes
Design Conditions: Minneapolis/St. Paut
lndoor:
Summer temperature: 75
Winter temperature: 70
Relative humidity: 50
Outdoor:
Summer temperature: 92
\Mnter temperature: -14
Summer grains of moisture: 98
Daily temperature range: Medium
Building Component Sensible
Gain
(BruH)
Latent
Gain
(BTUH)
Total Total
Heat Gain Heat Loss(BTUH) (BruH)
Duct 0 3,241
Floors 7,535
Walls 1,613 1 ,613 8,593
Ceilings 1,623 1,623 3,326
People 1,200 920 2,120
Fireplaces 12,566
Misc 1,200 0-:-1,200
Wndows 19,980 19,980 13,991
Doors 518 518 2,110
Glassdoors
Skvliqhts
lnfiltration 2,119 2,620 4,739 20,944
Whole House 28,253 3,540 31,793
( 2.5 tons )
72,306
HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd.
Load elculations are €stimates only. aclual l€ds may Ery due to weather and @nslruclion drtleBnes
888 736-1101
0
MailinE Address of the Dwellinq or Dwellinq Unit
i ]_qqts $".vrisb*r6' Wotf
,-L -, ''.- .
"'l-',<'t'r'
"( . ,ri \
Type: Check All That Apply
Perimeter of Slab on Grade
Duct system air tightness:
U-Factor (excludes skylights and one door) U:
P Vt )Ji'
Describe any additionat or combined heating or cooling systems if installed: (e.9. tvro furnaces or air
source heat pump with gas back-up furnace):
conlinuous ventilation rate in cfms:
New Construction Energy Gode Compliance Certificate
per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel.
Place your
logo here
Passive (No Fan)
(With fan aN monil
Please Describe Here
Ducts Outslde Conditioned
, all ducts located in conditioned sp.ce ve-
Make-up Air Select a TYPe
with exhaust c
, describe:
Location of duct or system:
" round duct OR
" metal duct
Combustlon Alr
Other, describe:
" round duct OR
oooo.
F
(,
o
0)
J5-
u
',/ t/1_/ ,hS -obh -ctq1e*"v L.va7 wL\'\t" ''t/,W!v,1-,4^tP-,-l -IConcept Approval ONLY
Subject to Field Inspection
Inspector Date
2020
MN Bldg
Code
05/03/2021dmathews
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PFH PFH
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PFH PFH
-Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ).
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UFER GROUND
Provide 20' rebar in footing and stub up near
electrical service panel for UFER ground.
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Officc Use Only
Date_ Reviewed _
StaffInitials _
NEW RESIDENTIAL CONSTRUCTION SWPPP VERIFICATION
This form must be
New residential
completed and submitted with
building pennits WILL NOT be
all new residential permit applications.
issued without this completed form.
lf 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.
" lf awaiting a MPCA permit transfer, provide MPCA proof of transfer submittal e-mail along with this form to
erosion @lakevil lemn. gov
"The permittee(s) shall ensure that the individuals are trained by local, state, federal agencies, professional organizations or other entities
in erosion prevention, sediment control, permanent Stormwater management and the Minnesota NPDES/SDS Construction Stormwater
Permit." (NPDES Construction Stormwater Permit, MPCA)
"The permittee(s) must ensure that a trained person (as identified in Part lll.A.3.a) will 6utinely inspect the entire construction site at least
once every seven (7) days during active construction and within 24 hours after a rainfall event greater than 0.5 inches in 24 hours."
(NPDES Construction Stormwater Permit, MPCA)
Contact information of penion gEE[lElEg to provide weekly onsite erosion and sediment control
inspections and corrective actions:
Name of person: f .", R- rS "orp"ny, c .
phone #l24hrcontact):btE -t{qO -EqS ) Email: {ovnc,rqr..how c@qmor l. corn
Entity that Provided Trainingt \' (B Ytaf Expiration Date: aO a 3
Project Site Address:
coipany Name: ft
Primary Gontact:
Phone # l24hr Gontact):L"tf - q qo-6l.13l Email:
Description of Land Disturbing Activity: f\
NPDES Construction Stormwater Permit # C000 or # SUB00
NOTE: Prior to any land-disturbing aclivity, 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 Construdion Stormwater
Permit (MN R 100001) or erosion and sediment control plan.
Signature:Date: L/-la- Eof,t
Contact the Gity of Lakeville with questions at erosion@lakevillemn.qov or 952-9854500
Vcrsi,on: OSll3l2Ol9
Certification
04/30/21 X
KP