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Home My WebLink AboutLA209527 - 17093 Dysart 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: 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 R-10 X R-10 X X R-20 X R-20 X R-20 X R-49 X R-49 X R-30 X R-30 X Not applicable, all ducts located in conditioned space R8 X Not required per mech. code Passive Powered Interlocked with exhaust device. Describe: Input in BTUS:60,000 Capacity in Gallons:Other, describe: AFUE or HSPF%92% Cfm's " round duct OR " metal duct X Not required per mech. code Passive Low: Other, describe: X Low: Location of fan(s), describe: Cfm's 6 " round duct OR 5 " metal duct THERMAL ENVELOPE Foam Open Cell Wall Below Entire Slab Rigid, Extruded Polystyrene Ceiling, flat 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 Rigid, Isocynurate Perimeter of Slab on Grade RADON CONTROL SYSTEM R10 ExteriorNon or Not Applicable Cooling System 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 Silver Tree Plumbing and Heating MN License Number Lakeville17093 Dysart Place - 2640 End Unit MB005441 City Mailing Address of the Dwelling or Dwelling Unit Mech Room Heat Recover Ventilator (HRV) Capacity in cfms: Energy Recover Ventilator (ERV) Capacity in cfms: 51,344 Heating Gain Cooling Load 58 116 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 Heating Loss Combustion Air Select a Type Location of duct or system: 17,308Total R-Value of all Types of InsulationType: Check All That Apply Mineral Fiberboard Insulation Location Foam, Closed Cell0.32 Describe other insulated areas Fiberglass, BlownFiberglass, Batts Foundation Wall R-value Average U-Factor (excludes skylights and one door) U: Duct system air tightness: Building envelope air tightness: Rim Joist (1st Floor) AENT50 BA13NA018 Model Heating System Nat Gas Bryant Interior Interior Location of duct or system: Heating or Cooling Ducts Outside Conditioned Spaces Electric Make-up Air Select a Type AO Smith Domestic Water Heater MECHANICAL SYSTEMS Rating or Size Efficiency 13SEER/EER 912SD36060E17 Manufacturer Bryant Electric Output in Tons:1.550 Total ventilation (intermittent + continuous) rate in cfms: Balanced Ventilation capacity in cfms: High: High: MECHANICAL VENTILATION SYSTEM Capacity continuous ventilation rate in cfms: 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. 2022-Apr-20 11:47:28Right-Suite® Universal 2022 22.0.01 RSU64702 Page 1 ...cuments\Wrightsoft HVAC\DRH-2635- Ellsworth.rup Calc = MJ8 Front Door faces: E Job:Load Short Form 3/23/22Date:Entire House By: Silver Tree Plumbing and Heating LLC 1335 Mendota Heights Rd, Mendota Heights, MN 55120 Phone: 651-319-4200 Email: andyf@silvertreepandh.com Web: www.silvertreepandh.com Project Information DRH - 2635 Ellsworth- End UnitFor: Design Information InfiltrationClgHtg SimplifiedMethod88-15Outside db (°F)Semi-tightConstruction quality7270Inside db (°F) 1 (Semi-tight)Fireplaces1685Design TD (°F) M-Daily range 5030Inside humidity (%)5030Moisture difference (gr/lb) HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade TradeModelCond AHRI ref Coil AHRI refEfficiency93 AFUE Efficiency 13 SEER Heating input Btuh0 Sensible cooling Btuh0 Heating output Btuh0 Latent cooling Btuh0 Temperature rise °F0 Total cooling Btuh0 Actual air flow cfm874 Actual air flow cfm874 Air flow factor cfm/Btuh0.018 Air flow factor cfm/Btuh0.055 Static pressure in H2O0 Static pressure in H2O0 Space thermostat Load sensible heat ratio 0.86 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft²)(Btuh)(Btuh)(cfm)(cfm) Room1 765 26743 7433 472 410 Room3 765 10529 4185 186 231 Room4 485 10774 3505 190 193 Room5 28 1462 715 26 39 Entire House 2044 49508 15838 874 874 Other equip loads 1836 0Equip. @ 0.93 RSM 14698 Latent cooling 2609 TOTALS 2044 51344 17308 874 874 Step 1: Draft Hood Fan Assisted 60000 Direct Vent Input:60000 Btu/hr & Power vent Draft Hood Fan Assisted Direct Vent Input:0 Btu/hr & Power vent Step 2: 701 ft^3 Step 3: Step 4:4a. Input:Btu/hr TRV:ft^3 4b. Input:0 Btu/hr RVFA:ft^3 Input:0 Btu/hr RVNFA:ft^3 TRV =0 +0 =0 ft^3 Ratio =701 /0 =#DIV/0! RF=1 -#DIV/0!= Input:0 Btu/hr CAOA=0 /3000 Btu/hr per in2 =0 in2 0 x #DIV/0!=#DIV/0!in2 CAOD =1.13 x #DIV/0!=#DIV/0!inCAOD = 1.13 multiplied by the square root of Minimum CAOA 1If desired, ACH can be determined using ASHRAE calculation or blower door test. Follow procedures in Section 304. Step 8: Calculate Minimum CAOA. Minimum CAOA = CAOA multiplied by RF Minimum CAOA = Step 9: Calculate Combustion Air Opening Diameter (CAOD) #DIV/0! Step 7: Calculate single outdoor opening as if all combustion air is from outside. Total Btu/hr input of all Combustion Appliances in the same CAS (EXCEPT DIRECT VENT) Total Btu/hr divided by 3000 Btu/hr per in^2 Use Non-Fan-Assisted Appliances column in Table E-1 to find Combustion Air Opening Area (CAOA): Step 5: Calculate the ratio of available interior volume to the total required volume. Step 6: Calculate Reduction Factor (RF). RF = 1 minus Ratio If CAS Volume (from Step 2) is less than TRV then go to STEP 5. Total Required Volume (TRV) = RVFA + RVNFA Required Volume Non-Fan-Assisted (RVNFA) If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. Ratio = CAS Volume (from Step 2) divided by TRV (from Step 4a or Step 4b) Determine air Changes per Hour (ACH)1Default ACH values have been incorporated into Table E-1 for use with Method 4b (KAIR Method). If the year of construction or ACH is not known, use method 4a (Standard Method) Use Standard Method column in Table E-1 to find Total Required Volume (TRV) If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. Determine Required Volume for Combustion Air.Standard Method Use Fan-Assisted Appliances column in Table E-1 to find Total Btu/hr input of all combustion appliances (DO NOT COUNT DIRECT VENT APPLIANCES) The CAS includes all spaces connected to one another by code compliant openings.CAS Volume: Furnace/Boiler: Water Heater:(Not fan assisted) (Not fan Assisted) Required Volume Fan Assisted (RVFA) Complete vented combustion appliance information: Calculate the volume of the Combustion Appliance Space (CAS) containing combustion appliances. IFGC Appendix E, Worksheet E-1 Residential Combustion Air Calculation Method (for Furnace, Boiler, and/or Water Heater in the Same Space) 1346.6012 IFGC APPENDIX E, WORKSHEET E-1. Total Btu/hr input of all non-fan-assisted appliances If CAS Volume (from Step 2) is less than TRV then go to STEP 5. Known Air Infiltration Rate (KAIR) MethodTotal Btu/hr input of all fan-assisted and power vent appliances (DO NOT COUNT DIRECT VENT APPLIANCES) 1994(1) to Present Pre 1994(2)1994(1) to Present Pre 1994(2) 5,000 250 375 188 525 263 10,000 500 750 375 1,050 525 15,000 750 1,125 563 1,575 788 20,000 1,000 1,500 750 2,100 1,05025,000 1,250 1,875 938 2,625 1,31330,000 1,500 2,250 1,125 3,150 1,57535,000 1,750 2,625 1,313 3,675 1,83840,000 2,000 3,000 1,500 4,200 2,10045,000 2,250 3,375 1,688 4,725 2,363 50,000 2,500 3,750 1,875 5,250 2,625 55,000 2,750 4,125 2,063 5,775 2,888 60,000 3,000 4,500 2,250 6,300 3,15065,000 3,250 4,875 2,438 6,825 3,41370,000 3,500 5,250 2,625 7,350 3,67575,000 3,750 5,625 2,813 7,875 3,93880,000 4,000 6,000 3,000 8,400 4,20085,000 4,250 6,375 3,188 8,925 4,463 90,000 4,500 6,750 3,375 9,450 4,725 95,000 4,750 7,125 3,563 9,975 4,988 100,000 5,000 7,500 3,750 10,500 5,250105,000 5,250 7,875 3,938 11,025 5,513110,000 5,500 8,250 4,125 11,550 5,775115,000 5,750 8,625 4,313 12,075 6,038120,000 6,000 9,000 4,500 12,600 6,300125,000 6,250 9,375 4,688 13,125 6,563 130,000 6,500 9,750 4,875 13,650 6,825 135,000 6,750 10,125 5,063 14,175 7,088 140,000 7,000 10,500 5,250 14,700 7,350 145,000 7,250 10,875 5,438 15,225 7,613150,000 7,500 11,250 5,625 15,750 7,875155,000 7,750 11,625 5,813 16,275 8,138160,000 8,000 12,000 6,000 16,800 8,400165,000 8,250 12,375 6,188 17,325 8,663170,000 8,500 12,750 6,375 17,850 8,925 175,000 8,750 13,125 6,563 18,375 9,188 180,000 9,000 13,500 6,750 18,900 9,450 185,000 9,250 13,875 6,938 19,425 9,713190,000 9,500 14,250 7,125 19,950 9,975195,000 9,750 14,625 7,313 20,475 10,238200,000 10,000 15,000 7,500 21,000 10,500205,000 10,250 15,375 7,688 21,525 10,763210,000 10,500 15,750 7,875 22,050 11,025 215,000 10,750 16,125 8,063 22,575 11,288 220,000 11,000 16,500 8,250 23,100 11,550 225,000 11,250 16,857 8,438 23,625 11,813230,000 11,500 17,250 8,625 24,150 12,075(1)The 1994 date refers to dwellings constructed under the 1994 Minnesota Energy Code. The default KAIR used in this section of the table is 0.20 ACH.(2)This section of the table is to be used for dwellings constructed prior to 1994. The default KAIR used in this section of the table is 0.40 ACH. 1346.6014 IFGC APPENDIX E, TABLE E-1. Known Air Infiltration Rate (KAIR) Method (ft3) Fan Assisted Non-Fan-Assisted IFGC Appendix E, Table E-1 Residential Combustion Air Required Volume (Required Interior Volume Based on Input Rating of Appliances) Standard Method (ft3) Input Rating (Btu/hr) One or multiple power vent or direct vent appliances or no combustion appliancesA One or multiple fan-assisted appliances and power vent or direct vent appliancesB One atmospherically vented gas or oil appliance or one solid fuel applianceC Multiple atmospherically vented gas or oil appliances or solid fuel appliancesD 1a) pressure factor (cfm/sf) 0.15 0.09 0.06 0.03 b) conditioned floor area (sf) (including unfinished basements) 2044 0 0Estimated House Infiltration (cfm): [1a x 1b] 306.6 0 0 0 2.a) Exhaust Capacity continuous exhaust-only ventilation systems (cfm): (not applicable to balanced ventilation systems such as HRV) 0 0 0 0 b) clothes dryer 135 135 135 135 c) 80% of largest exhaust rating (cfm): (not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust) 0 0 0 0 d) 80% of next largest exhaust rating (cfm): (not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust) 0 0 0 Total Exhaust Capacity (cfm): [2a+2b+2c+2d] 135 135 135 135 3.a) Makeup Air Requirement Total Exhaust Capacity (from above) 135 135 135 135 b) Estimated House Infiltration (from above) 306.6 0 0 0 Makeup Air Quantity (cfm): [3a – 3b] (if value is negative, no makeup air is needed) -171.6 135 135 135 4. For Makeup Air Opening Sizing, refer to Table 501.3.2 One or multiple power vent or direct vent appliances or no combustion appliancesA One or multiple fan-assisted appliances and power vent or direct vent appliancesB One atmospherically vented gas or oil appliance or one solid fuel applianceC Multiple atmospherically vented gas or oil appliances or solid fuel appliancesD Passive makeup air opening duct diameterE,F,G Type of opening or system (cfm) (cfm) (cfm) (cfm) (inches) Passive Opening 1-36 1-22 1-15 1-9 3Passive Opening 37-66 23-41 16-28 10-17 4 Passive Opening 67-109 42-66 29-46 18-28 5Passive Opening 110-163 67-100 47-69 29-42 6Passive Opening 164-232 101-143 70-99 43-61 7Passive Opening 233-317 144-195 100-135 62-83 8Passive Opening with Motorized Damper 318-419 196-258 136-179 84-110 9Passive Opening with Motorized Damper 420-539 259-332 180-230 111-142 10Passive Opening with Motorized Damper 540-679 333-419 231-290 143-179 11Powered Makeup AirH >679 >419 >290 >179 not applicable G Barometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is installed.H Powered makeup air shall be electrically interlocked with the largest exhaust system. Table 501.3.2 Makeup Air Opening Sizing Table for New and Existing Dwellings C Use this column if there is one atmospherically vented (other than fan-assisted) gas or oil appliance per venting system or one solid fuel appliance. D Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmosphericallyvented gas or oil appliances and solid fuel appliance(s). E An 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 elbow to determine the remaining length of straight duct allowable. F If flexible duct is used, increase the duct diameter by one inch. Flexible duct shall be stretched with minimal sags. D Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil appliances and solid fuel appliances. A Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustionappliances. B Use this column if there is one fan-assisted appliance per venting system. Other than atmospherically vented appliances may also be included. Table 501.3.1 Procedure to Determine Makeup Air Quantity for Exhaust Equipment in Dwellings Use the Appropriate Column to Estimate House Infiltration A Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances. B Use this column if there is one fan-assisted appliance per venting system. Other than atmospherically vented appliances may also be included. C Use this column if there is one atmospherically vented (other than fan-assisted) gas or oil appliance per venting system or one solid fuel appliance. One or multiple power vent or direct vent appliances or no combustion appliancesA One or multiple fan-assisted appliances and power vent or direct vent appliancesB One atmospherically vented gas or oil appliance or one solid fuel applianceC Multiple atmospherically vented gas or oil appliances or solid fuel appliancesD 1a) pressure factor (cfm/sf) 0.25 0.15 0.1 0.05 b) conditioned floor area (sf) (including unfinished basements 0 0 0 0 Estimated House Infiltration (cfm): [1a x 1b] or 0 0 0 0 Alternative Calculation (by using blower door test)E c) conversion factor 0.75 0.45 0.3 0.15 d) CFM50 value (from blower door test) Estimate House Infiltration (cfm): [1c x 1d] 2. Exhaust Capacity 80% of exhaust rating = Exhaust Capacity (cfm): (not applicable if recirculating system or if powered makeup air is electrically interlocked with exhaust) 0 0 0 0 3. Makeup Air Requirement a) Exhaust Capacity (from above) 0 0 0 0 b) Estimated House Infiltration (from above) 0 0 0 0Makeup Air Quantity (cfm): [3a – 3b] (if value is negative, no makeup air is needed) 0 0 0 0 4. For Makeup Air Opening Sizing, refer to Table 501.3.2 One or multiple power vent or direct vent appliances or no combustion appliancesA One or multiple fan-assisted appliances and power vent or direct vent appliancesB One atmospherically vented gas or oil appliance or one solid fuel applianceC Multiple atmospherically vented gas or oil appliances or solid fuel appliancesD Passive makeup air opening duct diameterE,F,G Type of opening or system (cfm) (cfm) (cfm) (cfm) (inches) Passive Opening 1-36 1-22 1-15 1-9 3 Passive Opening 37-66 23-41 16-28 10-17 4Passive Opening 67-109 42-66 29-46 18-28 5Passive Opening 110-163 67-100 47-69 29-42 6Passive Opening 164-232 101-143 70-99 43-61 7Passive Opening 233-317 144-195 100-135 62-83 8 Passive Opening with Motorized Damper 318-419 196-258 136-179 84-110 9Passive Opening with Motorized Damper 420-539 259-332 180-230 111-142 10Passive Opening with Motorized Damper 540-679 333-419 231-290 143-179 11 Powered Makeup AirH >679 >419 >290 >179 not applicable F If flexible duct is used, increase the duct diameter by one inch. Flexible duct shall be stretched with minimal sags. G Barometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is installed.H Powered makeup air shall be electrically interlocked with the largest exhaust system. Table 501.3.2 Makeup Air Opening Sizing Table for New and Existing Dwellings B Use this column if there is one fan-assisted appliance per venting system. Other than atmospherically vented appliances may also be included. C Use this column if there is one atmospherically vented (other than fan-assisted) gas or oil appliance per venting system or one solid fuelappliance. D Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmosphericallyvented gas or oil appliances and solid fuel appliance(s). E An 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 elbow to determine the remaining length of straight duct allowable. D Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil appliances and solid fuel appliances. E As an alternative, the Estimated House Infiltration may be calculated by performing a blower door test and multiplying the conversion factor by the CFM50 value. A Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances. Table 501.3.3(2) Procedure to Determine Makeup Air Quantity for Exhaust Equipment in Dwellings (Refer to Item 5 in Section 501.3.3 to determine applicability of this table) Use the Appropriate Column to Estimate House Infiltration A Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustionappliances. B Use this column if there is one fan-assisted appliance per venting system. Other than atmospherically vented appliances may also beincluded. C Use this column if there is one atmospherically vented (other than fan-assisted) gas or oil appliance per venting system or one solid fuel appliance. 4 5 X 15 =752044 2044 X 0.02 =40.88 Continuous Ventilation Requirement = Enter # of Bedrooms Ventilation 115.88 57.94 Sq Ft of Home (including unfinished basements etc) Total Ventilation Requirement = 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