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Home My WebLink AboutLA198175 -17912 Giants Way App & FormsRESIDENTIAL 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: Elander Mechanical Inc 3 Nick 2047 102 51 10/7/2021Lot 14531 X Located on unit. Unit to run on low speed to meet continious ventilation requirements X Not Required 50 140 0 Neg # 135 135 307 2047 307 X 6" Flex X X NR 5601087 44000 Date Certificate Post x Passive (No Fan ) Active (With fan and monometer or other system monitoring device ) Location (or future location) of Fan: Other Please Describe Here x R-10 x R-10 x R-20 x R-20 x R-20 x R-49 x R-49 x R-30 x R-30 x R-8 Not applicable, all ducts located in conditioned space R-8 x Not required per mech. code Passive Below Entire Slab Foundation Wall Perimeter of Slab on Grade Rim Joist (1st Floor) Rim Joist (2nd Floor+) Wall Ceiling, flat *Exterior only per exception in R402.2.8 (right) If Exception not met, R-5 at interior-ridgid Interior Interior New Construction Energy Code Compliance Certificate Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel. Mailing Address of the Dwelling or Dwelling Unit City LakevilleLot 14531 Name of Residential Contractor MN License Number Pulte Homes BC627273 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, IsocynurateAttic natural gas Electric R-410A Fuel Type Average U-Factor (excludes skylights and one door ) U: 0.32 Solar Heat Gain Coefficient (SHGC):0.26 R-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Heater Cooling System 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 000000Builders Associaton of Minnesota version 101014 Powered Interlocked with exhaust device. Describe: Input in BTUS:44,000 Capacity in Gallons:Other, describe: AFUE or HSPF%93% Cfm's " round duct OR " metal duct Not required per mech. code Passive x Low: Other, describe: Low: Location of fan(s), describe: Cfm's " FLEX " metal duct Balanced Ventilation capacity in cfms: Capacity continuous ventilation rate in cfms: Total ventilation (intermittent + continuous) rate in cfms: High: Energy Recover Ventilator (ERV) Capacity in cfms:50 High:140 Location of duct or system: 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: Residential Load Calculation Heating Loss Heating Gain Cooling Load 40498 16414 18,990 13 Location of duct or system: Rating or Size 50 Output in Tons:2 Efficiency SEER /EER PROE50T2RH95 13ACXN024 Manufacturer Lennox Rheem Lennox Model ML193UH045XE 000000Builders Associaton of Minnesota version 101014 000000Builders Associaton of Minnesota version 101014 000000Builders Associaton of Minnesota version 101014