HomeMy WebLinkAboutLA192626 - 17334 Eastwood 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
Submit to: permits@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
Concept Approval ONLYSubject to Field InspectionInspectorDate2020MN BldgCode07/09/2021dmathews
Required bearingfor beam span.-Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ).
BWPsAboveUFER Ground-Provide 20' Rebar in footing and stubup near electrical service panel.
HEAT GAIN COOLING LOAD CALCULATION
Address:17334 Eastwood Ave Lakeville
Basement
Running Wall
Below Grade
165 X Wall Height:8 =1320 SQUARE FT OF GROSS
WALL BELOW GRADE
-MINUS-
86 SQUARE FT OF GROSS
WINDOWS & DOORS
=EQUALS=
1234 NET WALL BELOW
GRADE
First Floor
RUNNING WALLS:180 x WALL HEIGHT:9 =1620 SQUARE FT OF GROSS
WALL FIRST FLOOR
Second Floor +PLUS+
RUNNING WALLS:x WALL HEIGHT:=SQUARE FT OF GROSS
WALL SECOND FLOOR
Third Floor +PLUS+
RUNNING WALLS:x WALL HEIGHT:=SQUARE FT OF GROSS
WALL THIRD FLOOR
-MINUS-
188 SQUARE FT OF GROSS
WINDOWS & DOORS
=EQUALS=
1432 NET WALL ABOVE
GRADE
WINDOW & DOORS (SQFT):274 X HTM 32 =8768 BTU
HOUSE INFILTRATION
HOUSE (SQFT X 1.3)
3342 X HTM 1.3 =4245 BTU
NET WALL BELOW GRADE
(FROM ABOVE)
0 X HTM 0 =0 BTU
NET WALL ABOVE GRADE
(FROM ABOVE)
1432 X HTM 2 =2864 BTU
CEILING SQFT 1698 X HTM 1.6 =2717 BTU
FLOOR SQFT 1281 X HTM 0 =0 BTU
NUMBER OF
BEDROOMS/PEOPLE
3 X HTM 530 =1590 BTU
KITCHEN & BATH
ALLOWANCE
-----X HTM -----------------=1250 BTU
=SUBTOTAL BTU/HEAT GAIN=
GAINS FROM DUCTWORK
IN CRAWL SPACE
(SUBTOTAL BTU FROM
ABOVE)
X HTM .09 =BTU
IN ATTIC
(SUBTOTAL BTU FROM
ABOVE)
X HTM .13 =BTU
=TOTAL BTU/ HEAT GAIN=
21434 BTU
21434 BTU
HEAT LOSS LOAD CALCULATION
CUSTOMERS
ADDRESS
BASEMENT
Running Wall
Below Grade:
X Wall
Height:
= SQUARE FT OF GROSS
WALL BELOW GRADE
-MINUS-
SQUARE FT OF
GROSS WINDOWS
& DOORS
=EQUALS=
FIRST FLOOR
Running Walls: X Wall Height: = SQUARE FT OF GROSS WALL
FIRST FLOOR
SECOND FLOOR + PLUS+
Running Walls: X Wall Height: = SQUARE FT OF GROSS WALL
SECOND FLOOR
THIRD FLOOR + PLUS+
Running Walls: X Wall Height: = SQUARE FT OF GROSS WALL THIRD FLOOR
-MINUS-
=EQUALS=
NET WALL BELOW
GRADE
SQUARE FT OF GROSS
WINDOWS+DOORS
NET WALL
ABOVE GRADE
WINDOWS + DOORS (SF) X HTM = BTU
INFILTRATION
(Windows + Doors) X 1.3
X HTM = BTU
Net Wall Below Grade
(From Above)
X HTM = BTU
Net Wall above Grade
(From Above)
X HTM = BTU
Ceiling Sq Ft X HTM = BTU
Floor Sq Ft X HTM = BTU
TOTAL
BTU
Address____________________________________
Address_________________________________________________
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
10 x x
x
20 x
20 x
20 x
49 x
x
x
49 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:
66000 Capacity
in Gallons:
Other, describe:
AFUE or
HSPF%
93
Cfm's
" round duct OR
" metal duct
Not required per mech. code
x Passive
Low: Other, describe:
x Low:
Location of fan(s), describe: Cfm's
6 " round duct OR
" metal duct
ML193
Heating Loss
Manufacturer Lennox
Natural gas
Output
in Tons:
2.550
Total ventilation (intermittent + continuous) rate in cfms:
Balanced Ventilation capacity in cfms:
High:
High:
MECHANICAL VENTILATION SYSTEM
130
65 Capacity continuous ventilation rate in cfms:
150
Select Type
70000
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):
21434Residential Load Calculation
SEER
/EER
Location of duct or system:
Heating or Cooling Ducts Outside Conditioned Spaces
Electric
Make-up Air Select a Type
A.O. Smith
Domestic Water
Heater
MECHANICAL SYSTEMS
Rating or Size
Efficiency
13
Building envelope air tightness:
Rim Joist (1st Floor)
GPVL 50 13ACXN Model
Heating System
Natural
Lennox Fiberglass, Batts Foundation Wall
R-value
Average U-Factor (excludes skylights and one door ) U:
Duct system air tightness:
Cooling SystemTotal R-Value of all Types of InsulationType: Check All That Apply
Mineral Fiberboard Insulation Location
Foam, Closed Cell0.32
Describe other insulated areas Fiberglass, BlownTHERMAL ENVELOPE
Foam Open Cell Wall Rigid, Isocynurate Perimeter of Slab on Grade
RADON CONTROL SYSTEM
Non or Not Applicable Fuel Type
Solar Heat Gain Coefficient (SHGC):
Windows & Doors
Ceiling, vaulted
Bay Windows or cantilevered areas
Floors over unconditioned area
Rim Joist (2nd Floor+)
0.32
Appliances
Heat Recover Ventilator (HRV) Capacity in cfms:
Energy Recover Ventilator (ERV) Capacity in cfms:
44235
Heating Gain Cooling Load
60
Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution
panel.Place your
logo here
New Construction Energy Code Compliance Certificate
Name of Residential Contractor
Robert McNearney Custom Homes
MN License Number
Lakeville17334 Eastwood Ave
BC 8844
City Mailing Address of the Dwelling or Dwelling Unit
Combustion Air Select a Type
Location of duct or system:
24006
Below Entire Slab Rigid, Extruded Polystyrene Ceiling, flat
Builders Associaton of Minnesota version 101014