HomeMy WebLinkAboutLA221199 - 17949 Granite Ct-Permit PackRESIDENTIAL 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
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
Concept Approval
ONLY
Subject to Field Inspection
Inspector Date
2015
MN Bldg
Code
01/04/2024jnuetzman
UFER Ground
-Provide 20' Rebar in footing and stub
up near electrical service panel.
FAN
FAN
-Min. 15" clearance to any
obstruction from center ofW.C., 24" in front(typ).
Smoke
CO
Smoke
Smoke
Slab on Grade
Sketch #6 ODS
HVAC Load Calculations
for
Prepared By:
Duane
Leading Edge Heating & Air
807 Harvest Cir SW
Lonsdale, MN 55046
763-333-5772
Wednesday, December 4, 2019
Rhvac is an ACCA approved Manual J, D and S computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc.
Ferguson [ Plymouth MN ]Sketch #6 ODS
Plymouth, MN 55441 Page 2
Project Report
General Project Information
Project Title:Sketch #6 ODS
Project Date:Wednesday, December 4, 2019
Company Name:Leading Edge Heating & Air
Company Representative:Duane
Company Address:807 Harvest Cir SW
Company City:Lonsdale, MN 55046
Company Phone:763-333-5772
Design Data
Reference City:Minneapolis/St. Paul AP, Minnesota
Building Orientation:Front door faces East
Daily Temperature Range:Medium
Latitude:44 Degrees
Elevation:834 ft.
Altitude Factor:0.970
Outdoor Outdoor Outdoor Indoor Indoor Grains
Dry Bulb Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference
Winter:-20 -20 n/a 30%70 31.64
Summer:88 71 44%50%75 24
Check Figures
Total Building Supply CFM:643 CFM Per Square ft.:0.505
Square ft. of Room Area:1,275 Square ft. Per Ton:858
Volume (ft³):11,688
Building Loads
Total Heating Required Including Ventilation Air:51,908 Btuh 51.908 MBH
Total Sensible Gain:14,432 Btuh 81 %
Total Latent Gain:3,400 Btuh 19 %
Total Cooling Required Including Ventilation Air:17,833 Btuh 1.49 Tons (Based On Sensible + Latent)
Notes
Rhvac is an ACCA approved Manual J, D and S computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
C:\ ...\SKETCH #6 ODS - 135064.rh9 Wednesday, December 4, 2019, 1:15 PM
Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc.
Ferguson [ Plymouth MN ]Sketch #6 ODS
Plymouth, MN 55441 Page 3
System 1, Zone 1 Summary Loads (Average Load Procedure for Rooms)
Component
Description
Area
Quan
Sen
Loss
Lat
Gain
Sen
Gain
Total
Gain
1D-cw-o: Glazing-Double pane, operable window, clear,
wood frame, U-value 0.32, SHGC 0.56
248 7,143 0 8,293 8,293
11J: Door-Metal - Fiberglass Core, U-value 0.6 42 2,268 0 605 605
12F-0sw: Wall-Frame, R-21 insulation in 2 x 6 stud
cavity, no board insulation, siding finish, wood studs,
U-value 0.065
1231.7 7,206 0 1,065 1,065
16B-50: Roof/Ceiling-Under Attic with Insulation on Attic
Floor (also use for Knee Walls and Partition
Ceilings), Vented Attic, No Radiant Barrier, Dark
Asphalt Shingles or Dark Metal, Tar and Gravel or
Membrane, R-50 insulation, U-value 0.02
1275 2,295 0 1,224 1,224
22A-pm: Floor-Slab on grade, No edge insulation, no
insulation below floor, any floor cover, passive, heavy
dry or light wet soil, U-value 1.18
166 17,629 0 0 0
Subtotals for structure:36,541 0 11,187 11,187
People:4 800 920 1,720
Equipment:0 0 0
Lighting:0 0 0
Ductwork:0 0 0 0
Infiltration: Winter CFM: 85, Summer CFM: 68 8,177 1,049 938 1,987
System 1, Zone 1 Load Totals:44,718 1,849 13,045 14,894
Check Figures
Supply CFM:643 CFM Per Square ft.:0.505
Square ft. of Room Area:1,275 Square ft. Per Ton:1,027
Volume (ft³):11,688
Zone Loads
Total Heating Required:44,718 Btuh 44.718 MBH
Total Sensible Gain:13,045 Btuh 88 %
Total Latent Gain:1,849 Btuh 12 %
Total Cooling Required:14,894 Btuh 1.24 Tons (Based On Sensible + Latent)
Notes
Rhvac is an ACCA approved Manual J, D and S computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
C:\ ...\SKETCH #6 ODS - 135064.rh9 Wednesday, December 4, 2019, 1:15 PM
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
NEW RESIDENTIAL CONSTRUCTION SWPPP VERIFICATION
This form must be completed and submitted with all new residential permit applications.
A National Pollutant Discharge Elimination System (NPDES) Construction Stormwater Permit is
reqXired for ³ConstrXction actiYit\ that resXlts in land distXrbance of eqXal to or greater than one (1)
acre or if a project is part of a common plan of development that will ultimately disturb greater than
one (1) acre,´ (NPDES Permit, Section 1.2).
Project Site Address: _____________________________________________________________________
Company Name: _________________________________________________________________________
*Primary Company Contact: _________________________________________________________________
*Should a site be deemed noncompliant, this individual will be notified
Phone #: ____________________________ Email: ______________________________________________
If you are not covered under a NPDES Construction Stormwater Permit administered by the
Minnesota Pollution Control Agency (MPCA), an erosion and sediment control plan MUST be
approved as part of the residential building permit application.
³Permittees mXst ensXre a trained person Zill inspect the entire constrXction site at least once eYer\
seven (7) days during active construction and within 24 hours after a rainfall event greater than ½
inch in 24 hoXrs,´ (NPDES Permit, Section 11.2).
The City of Lakeville reserves the right to request weekly inspection logs. 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.
Contact information of person CERTIFIED to provide weekly onsite erosion and sediment control
inspections and corrective actions:
Name: ____________________________________ 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
I understand the above information to be accurate and I have read, understood, and accepted all terms and conditions of the NPDES Permit (MN R 100001).
Signature: ________________________________________________ Date:_________________________
Contact the City of Lakeville with questions at erosion@lakevillemn.gov or 952-985-4500
12/19/23 X
PM