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Home My WebLink AboutLA199185 - 16409 Jaffna Pl App & Forms wSWPPPRESIDENTIAL 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 07:53:53 Right-Suite® Universal 2021 21.0.08 RSU29636 Page 1 ... JAFFNA PLACE - 2620 LEFT EXT (ELY) - SOUTH.rup Calc = MJ8 Front Door faces: S 2620 Ext (Ely)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: 16439 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 912SD42060E17 Cond BA13NA024BNG0G AHRI ref 0 Coil CNPVU3017ALA++TDR AHRI ref 201810140 Efficiency 92.1 AFUE Efficiency 10.5 EER, 13 SEER Heating input Btuh60000 Sensible cooling Btuh15820 Heating output Btuh56000 Latent cooling Btuh6780 Temperature rise °F67 Total cooling Btuh22600 Actual air flow cfm780 Actual air flow cfm780 Air flow factor cfm/Btuh0.026 Air flow factor cfm/Btuh0.056 Static pressure in H2O0 Static pressure in H2O0 Space thermostat Load sensible heat ratio 0.80 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft²)(Btuh)(Btuh)(cfm)(cfm) 1/2 BATH 32 417 38 11 2 OWNERS SUITE 202 2037 1044 52 59 LAUNDRY 53 90 492 2 28 BATH 2 86 1719 424 44 24 BED 2 150 2130 1117 55 63 OWNERS BATH 130 2504 440 64 25 OWNERS WIC 51 796 123 20 7 BED 3 139 2598 1162 67 66 KITCHEN/MUD RM 214 2715 3241 70 183 GREAT ROOM/FOYER 420 8039 2239 207 126 MECH 55 746 121 19 7 OFFICE 60 765 1026 20 58 UPPER HALL 224 571 217 15 12 DINING ROOM 120 5183 2128 133 120 Bold/italic values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2021-Dec-10 07:53:53 Right-Suite® Universal 2021 21.0.08 RSU29636 Page 2 ... JAFFNA PLACE - 2620 LEFT EXT (ELY) - SOUTH.rup Calc = MJ8 Front Door faces: S Entire House 1935 30311 13812 780 780 Other equip loads 7519 246 Equip. @ 0.93 RSM 13074 Latent cooling 3483 TOTALS 1935 37831 16558 780 780 Bold/italic values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2021-Dec-10 07:53:53Right-Suite® Universal 2021 21.0.08 RSU29636 Page 1... JAFFNA PLACE - 2620 LEFT EXT (ELY) - SOUTH.rup Calc = MJ8 Front Door faces: S 2620 Ext (Ely)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:16439 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 Btuh30311 Structure Btuh13812DuctsBtuh0DuctsBtuh0Central vent (SER=64% 49 cfm)Btuh1610 Central vent (SER=64% 49 cfm) 246 BtuhHeat recovery Heat recoveryHumidificationBtuh5909Blower Btuh0PipingBtuh0Equipment load Btuh37831 Use manufacturer's data nRate/swing multiplier 0.93InfiltrationEquipment sensible load Btuh13074 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)Btuh16558Equiv. AVF (cfm)3685 Req. total capacity at 0.70 SHR ton1.6 Heating Equipment Summary Cooling Equipment Summary Make Bryant Make BryantTrade Bryant Legacy Line 92 Gas Furn...Trade BRYANT HEATING AND COOLING SYS...Model 912SD42060E17 Cond BA13NA024BNG0GAHRI ref 0 Coil CNPVU3017ALA++TDRAHRI ref 201810140Efficiency92.1 AFUE Efficiency 10.5 EER, 13 SEERHeating input Btuh60000 Sensible cooling Btuh15820Heating output Btuh56000 Latent cooling Btuh6780Temperature rise °F67 Total cooling Btuh22600Actual air flow cfm780 Actual air flow cfm780Air flow factor cfm/Btuh0.026 Air flow factor cfm/Btuh0.056Static pressure in H2O0 Static pressure in H2O0Space thermostat Load sensible heat ratio 0.80 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) “The permittee(s) must ensure that a trained person (as identified in Part III.A.3.a) will routinely 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 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 Lue Lee 01/03/22 X KP