HomeMy WebLinkAboutLA214588 - 16379 Jaffna Place - App and 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:________________________________________ _______________________________
_____________________________ CELL PHONE:___________________________
ADDRESS:____________________________ CITY:________________ ST:______ ZIP:____________
BOND #:_______________________________________ EXPIRATION DATE____________________
SEWER/WATER CONTRACTOR
New Construction Only
NAME:________________________________________________ ______________________________
_____________________________ CELL PHONE:______________________________
BOND #:_______________________________________ EXPIRATION DATE____________________
NAME OF APPLICANT (Please Print)DATE
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
CONDO
REROOF
RESIDE
RES ADDN/REPAIR/RMDL
DECK
PORCH
GARAGES
LOWER LEVEL FINISH
ADDITION
FOUNDATION ONLY
MISCELLANEOUS
DEMO
APPROVED BY:
BUILDING INSPECTOR: Date:
PLUMBING/MECHANICAL
INSPECTOR: Date:
COMMENTS:
CITY BUILDING VALUATION: $
BUILDING PERMIT FEES
$PERMIT FEE
$PLAN CHECK
$SURCHARGE
$METRO SAC
$CITY WATER HOOKUP UNIT
$CITY SEWER HOOKUP UNIT
$LANDSCAPE ESCROW
$TREE ESCROW
$MISC ESCROW
$PLUMBING
$MECHANICAL
$SEWER WATER
WATER METER
PRESSURE REDUCING VALVE
$OTHER
$TOTAL
METER SIZE
PRESSURE REDUCING VALVE
SEWER/WATER
SEWER/WATER
FINAL
STREET DRAINTILE
BUILDING INFORMATION
TYPE OF CONSTRUCTION
ZONING
CODE EDITION
FIRE SUPPRESSION SYSTEM
OCCUPANCY GROUP
MECHANICAL
AIR TEST
FINAL
ROUGH-IN
PLUMBING
FINAL
ROUGH-IN
INSULATION
LATH
DECK FOOTING
FIREPLACE
FOOTING
FOUNDATION
FRAMING
PORCH FRAMING
PORCH FOOTING
POURED WALL
SITE
LOWER LEVEL FINAL
OTHER
DECK FRAMING
LOWER LEVEL FRAMING
LANDSCAPING
DECK FINAL
$
$
ACCESSORY BUILDING
EGRESS WINDOW
UNDERGROUND
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
Not required per mech. code
X Passive
Powered
Interlocked with exhaust device.
Describe:
Input in BTUS:60,000 Capacity in Gallons:Other, describe:
AFUE or HSPF%92%
Cfm's
6" " round duct OR
" metal duct
X Not required per mech. code
Passive
Low: Other, describe:
X Low:
Location of fan(s), describe: Cfm's
" round duct OR
" 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
D.R. Horton
MN License Number
Lakeville16379 Jaffna Place - 2635 - End Unit
BC605657
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:
39,486
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:
19,626Total 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:250
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) 1965 0 0 0
Estimated House Infiltration
(cfm): [1a x 1b] 294.75 0 0 02.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 135c) 80% of largest exhaust rating
(cfm): (not applicable if
recirculating system or if powered
makeup air is electrically
interlocked and matched to
exhaust) 240 0 240 240d) 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 0Total Exhaust Capacity (cfm):
[2a+2b+2c+2d] 375 135 375 3753.a) Makeup Air Requirement
Total Exhaust Capacity (from
above) 375 135 375 375
b) Estimated House Infiltration
(from above) 294.75 0 0 0Makeup Air Quantity (cfm): [3a –
3b] (if value is negative, no
makeup air is needed) 80.25 135 375 3754. 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 4
Passive Opening 67-109 42-66 29-46 18-28 5
Passive Opening 110-163 67-100 47-69 29-42 6
Passive Opening 164-232 101-143 70-99 43-61 7
Passive Opening 233-317 144-195 100-135 62-83 8
Passive Opening with
Motorized Damper 318-419 196-258 136-179 84-110 9
Passive Opening with
Motorized Damper 420-539 259-332 180-230 111-142 10
Passive Opening with
Motorized Damper 540-679 333-419 231-290 143-179 11
Powered 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 atmospherically
vented 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 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.
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.
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