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HomeMy WebLinkAboutLA199210 - 16428 Jaffna Pl 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 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 Passive (No Fan) Active (With fan and monitoring device ) Location (or future location) of Fan: Other Please Describe Here Not applicable, all ducts located in conditioned space Not required per mech. code Passive Powered Interlocked with exhaust device. Describe: Input in BTUS: Capacity in Gallons:Other, describe: AFUE or HSPF% Cfm's " round duct OR " metal duct Not required per mech. code Passive Low: Other, describe: Low: Location of fan(s), describe: Cfm's " round duct OR " metal duct Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel. New Construction Energy Code Compliance Certificate Name of Residential Contractor MN License Number City Mailing Address of the Dwelling or Dwelling Unit Rigid, Extruded PolystyreneHeat Recover Ventilator (HRV) Capacity in cfms: Energy Recover Ventilator (ERV) Capacity in cfms: Combustion Air Select a Type Location of duct or system: Rim Joist (2nd Floor+) Building envelope air tightness: Below Entire Slab Fuel Type Solar Heat Gain Coefficient (SHGC): Windows & Doors Ceiling, vaulted Bay Windows or cantilevered areas Floors over unconditioned area THERMAL ENVELOPE Foam Open Cell Wall Rigid, Isocynurate Perimeter of Slab on Grade RADON CONTROL SYSTEM Total R-Value of all Types of InsulationType: Check All That Apply Mineral FiberboardInsulation Location Foam, Closed Cell Describe other insulated areas Ceiling, flat Non or Not ApplicableFiberglass, BlownFiberglass, Batts Foundation Wall Output in Tons: Appliances Cooling System Location of duct or system: Heating or Cooling Ducts Outside Conditioned Spaces Make-up Air Select a Type Domestic Water Heater Model Heating System Rim Joist (1st Floor) Average U-Factor (excludes skylights and one door ) U: Duct system air tightness: Rating or Size Efficiency Heating Gain Cooling Load Select Type 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): Residential Load Calculation SEER /EER Capacity continuous ventilation rate in cfms: Heating Loss Manufacturer Total ventilation (intermittent + continuous) rate in cfms: Balanced Ventilation capacity in cfms: High: High: MECHANICAL VENTILATION SYSTEM Date Cert. Posted R-value MECHANICAL SYSTEMS Builders Associaton of Minnesota version 101014 Bold/italic values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2021-Dec-10 06:39:37 Right-Suite® Universal 2021 21.0.08 RSU29636 Page 1 ...5 JAFFNA PLACE - 2625 INT (FAIRFAX) - SOUTH.rup Calc = MJ8 Front Door faces: S 2625 INT (FAIRFAX)Job:Load Short Form 12/9/2021Date:Entire House Energy Diagnostics, Inc.By: Energy Diagnostics, Inc. 405 E Archer Way, Valparaiso, IN 46383 Phone: 219-464-4457 Fax: 219-464-0035 Project Information DR Horton MNFor: 16445 Jaffna Place, Lakeville, MN 55044 Design Information InfiltrationClgHtg Blower doorMethod88-15Outside db (°F) 4 (substantial) / 2Shielding / stories7570Inside db (°F) 50 Pa / 813 cfmPressure / AVF1385Design TD (°F) M-Daily range 5050Inside humidity (%) 3555Moisture difference (gr/lb) HEATING EQUIPMENT COOLING EQUIPMENT Make Bryant Make Bryant Trade Bryant Legacy Line 92 Gas Furn...Trade BRYANT HEATING AND COOLING SYS... Model 912SD36040E17 Cond BA13NA024BNG0G AHRI ref 0 Coil CNPVU3017ALA++TDR AHRI ref 201810140 Efficiency 92.1 AFUE Efficiency 10.5 EER, 13 SEER Heating input Btuh40000 Sensible cooling Btuh15820 Heating output Btuh37000 Latent cooling Btuh6780 Temperature rise °F47 Total cooling Btuh22600 Actual air flow cfm745 Actual air flow cfm745 Air flow factor cfm/Btuh0.031 Air flow factor cfm/Btuh0.064 Static pressure in H2O0 Static pressure in H2O0 Space thermostat Load sensible heat ratio 0.77 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft²)(Btuh)(Btuh)(cfm)(cfm) 1/2 BATH 32 71 0 2 0 OWNERS SUITE 202 2274 1106 69 71 LAUNDRY 53 90 515 3 33 BATH 2 86 693 137 21 9 BED 2 150 2356 1182 72 76 OWNERS BATH 132 2735 463 83 30 OWNERS WIC 48 82 45 2 3 BED 3 139 2969 1238 91 79 KITCHEN/MUD RM 214 3084 3412 94 219 GREAT ROOM/FOYER 540 9295 2529 284 162 MECH 55 94 52 3 3 OFFICE 60 102 721 3 46 UPPER HALL 224 571 226 17 15 Bold/italic values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2021-Dec-10 06:39:37 Right-Suite® Universal 2021 21.0.08 RSU29636 Page 2 ...5 JAFFNA PLACE - 2625 INT (FAIRFAX) - SOUTH.rup Calc = MJ8 Front Door faces: S Entire House 1935 24418 11624 745 745 Other equip loads 7519 246 Equip. @ 0.93 RSM 11040 Latent cooling 3483 TOTALS 1935 31937 14523 745 745 Bold/italic values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2021-Dec-10 06:39:37Right-Suite® Universal 2021 21.0.08 RSU29636 Page 1...5 JAFFNA PLACE - 2625 INT (FAIRFAX) - SOUTH.rup Calc = MJ8 Front Door faces: S 2625 INT (FAIRFAX)Job:Project Summary 12/9/2021Date:Entire House Energy Diagnostics, Inc.By: Energy Diagnostics, Inc. 405 E Archer Way, Valparaiso, IN 46383 Phone: 219-464-4457 Fax: 219-464-0035 Project Information DR Horton MNFor:16445 Jaffna Place, Lakeville, MN 55044 Notes: Design Information Minneapolis, Crystal AP, MN, USWeather: Winter Design Conditions Summer Design Conditions Outside db °F-15 Outside db °F88Inside db °F70 Inside db °F75Design TD °F85 Design TD °F13Daily range MRelative humidity %50Moisture difference gr/lb35 Heating Summary Sensible Cooling Equipment Load Sizing Structure Btuh24418 Structure Btuh11624DuctsBtuh0DuctsBtuh0Central vent (SER=64% 49 cfm)Btuh1610 Central vent (SER=64% 49 cfm) 246 BtuhHeat recovery Heat recoveryHumidificationBtuh5909Blower Btuh0PipingBtuh0Equipment load Btuh31937 Use manufacturer's data nRate/swing multiplier 0.93InfiltrationEquipment sensible load Btuh11040 Method Latent Cooling Equipment Load SizingBlower doorShielding / stories 4 (substantial) / 250 Pa / 813 cfmPressure / AVF Structure Btuh2330DuctsBtuh0Central vent (49 cfm)Btuh1154CoolingHeatingHeat recovery19351935Area (ft²)Equipment latent load Btuh34831626916269Volume (ft³)Air changes/hour 0.130.31 Equipment Total Load (Sen+Lat)Btuh14523Equiv. AVF (cfm)3685 Req. total capacity at 0.70 SHR ton1.3 Heating Equipment Summary Cooling Equipment Summary Make Bryant Make BryantTrade Bryant Legacy Line 92 Gas Furn...Trade BRYANT HEATING AND COOLING SYS...Model 912SD36040E17 Cond BA13NA024BNG0GAHRI ref 0 Coil CNPVU3017ALA++TDRAHRI ref 201810140Efficiency92.1 AFUE Efficiency 10.5 EER, 13 SEERHeating input Btuh40000 Sensible cooling Btuh15820Heating output Btuh37000 Latent cooling Btuh6780Temperature rise °F47 Total cooling Btuh22600Actual air flow cfm745 Actual air flow cfm745Air flow factor cfm/Btuh0.031 Air flow factor cfm/Btuh0.064Static pressure in H2O0 Static pressure in H2O0Space thermostat Load sensible heat ratio 0.77