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HomeMy WebLinkAboutBuilding Permit 13. 0528 tt r A - ° A a � A A �;AAX*\ C nrrftrtrafr of (r pazitgr CITY OF PRIOR LAKE prp ntf of p uitMMn n ptt trn Final Permitted ❑ Conditional C.O. Expires SC , . Th Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International t Building Code certifying that at the time of issuance this structure was in compliance with the various � ' ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification S I N G L F FAMILY Bldg. Permit No. 13—G528 Occupancy Type Type Construction Zoning District PUSD Legal Description L63, BLOCK 1, JEFFERS WATERFRONT i . Owner of Building Site Address 1 PA RKS I DE COURT ' = Contractor's Name & Address MATTAMY HOMES ROBERT D HUTCHINS t City Planner Building Official Date: l r I l j ,, Date: i f / POST IN CONSPICUOUS PLACE II 1 I A 1 ''," '',''''','3 II I pl II "Il d� i '') . pM,� �}� ' V ' ,1� I Il II I1 I I '. 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CL Z .�j Z Q O w F- co DJ - z O O CC O O V V t;z a O a 000000 0 _ 1 Op —` T� l 11 Y VI' YKIVK LAM., t51J1L1)I VIJ Y1' Kill I, b 5� 1 Tali f - TEMP OR-',RY CERTIFICATE OF ZONING COMPLL —O ∎ L ` AND UTILITY CONNECTION PERtitIT MAY -3 2013 See Matti .141 ,. I, White File PER r>• - ...... t �+r _ + . ,+' 2, Pink City W 3, Yellow Applicant A1��T�04 (Please type or print and sign at bottom) ADDRESS t 43 0 -) [ ' is -S i D t = c-.7-r- ZONI G (office use) posh LEGAL DESCRIPTION (office use only) I / LOTh 3 BLOCK l ADDITION e- e.-e-S — — ^ PID ZS t+1 s, o c 3 0 OWNER (Name) . ;1 A "T i P., NI 'x 44 U tit ES (Phone) (Address) 12[5 t IN A SE - I . It--1 ITu 1.1 Po,' E s s - 20 1 O l l�1 H N SS 4 3 9 BLTIL.DER (Company Name) M t 'r - rrA' v 4-1-0 t- ES (Phone) (Contact Name) S U a" B (Phone) (Address) l2C3 1 t..., k S E-} tip! c - n3 - J P V.. S S-1- 2_0 t 1=0 t >v .h,. h-t 1-1 SS4 39 TYPE OF WORK jg New Construction Speck ❑Porch DRe- Roofing DRe- Siding ❑Lower Level Finish 0 Fireplace DAddition ❑ Alteration ❑Utility Connection CODE: iI.R.C. DI.B.C. Li,Misc: Type of Construction: I II III IV V A B 0 Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ 13 0 t 00 0 - 06 Division: 1 2 3 4 5 \ (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowtedge true and correct. I also certify that I am the owner or authorized agent for the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this forjust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. 3c%...........__.....1 -- ` FIt✓ 2 31 S32, s I2_ 1 Signature Contractor's License No. Date Permit Valuation /3 000 1 0 Park Support Fee '#� $ Permit Fee $ Ca VS .S-41 [ •1 SAC # 'N $ ), '#.3 54 0 e Plan Check Fee $ giff. ,5 Water Meter Size 0; 1 "; �'$, G c a State Surcharge $ ' � fF + - CO Pressure Reducer $ / 20. U 0 Penalty $ Sewer /Water Connection Fee # $ / .5 d 0 Plumbing Permit Fee $ / l // CO Water Tower Fee # $ / 100 , o Q Mechanical Permit Fee $ // S1 / So p Builder's Deposit r $ V7 �/9 �[ // //O� J r D Sewer & Water Permit Fee $ t- y S-® Other j ` 1. e-ci- e $ /5/-A 3 Gas Fireplace Permit Fee $ '. - s°O TOTAL DUE $ _7 5 Q - - . .: i p tic n Beco /' es Your Building Permit When Approved Paid /C 7 3 . S a r f ReCe pi t NO. I, % / c, / Date �/ i3 By 7 sus 3 1 7 uil t. . g Official ate This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Panning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 .-0.1 ILO* • **. o o i)?1,94, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ti TEMPORARY CERTIFICATE UTILITY CONNECTION PERMIT pLIANCE AND UT r r A'N B Sa I. White File 2. Pink City PERMIT NO. 13 570l 1 I 3. Yellow Applicant 'lease i or • t and si • at bottom ADDRESS ZONING (office use) � � 14 ';(5 .P :. : _ • • IAA / /ASpe1 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION Pm OWNER mil�fl tit y Nib t t 6 (Phone) q52---2,17 —. 'Z-1 00 (Nam — (Address) 7201 6)145 1 -(1 1,1 L- i ors Q • i 17 t IJ A , tJ 554g1 1 I FaiNg Grn.sr l--1 e. L LG , (Phone) �o - 2 � � b (Company Name) 1P 26 ...>P P P. .. tr S J U V e S 1 � A50tJ lvnrui R (Phone) (Contact Name) �� S U t -1--- ii (�� vE i M �� v (Address) I ID t) U 1 14 L a,ELL.0 TYPE OF WORK ew Construction ODeck ❑Porch ❑Re- Roofing ORe- Siding °Lower Level Finish ❑ Fireplace Addition []Alteration °Utiliry Connection CODE: Ni,R.C. D ❑ Misc: LB.C. .05---0 QC) Type of Construction: I 11 III IV V AB PROJECT COST /VALUE $ • Occupancy Group: A B E F 11 I M S U Division: 1 2 CP 4 5 (excluding land) 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the above- ca eke this permit er and that just ca Furthermore, hereby agree that the state ty official or a designee may enter upon the property to perform needed building official c this u /i ✓ � /f � Q .,- � � I X � -t1 /.1/4 Contractor's License No. v Date Signature / 1 Park Support Fee # $ Permit Valuation L ip 000 . b o permit Fee (e # $ $ 103 0 SAC Plan Check Fee $ , ' 7 5 Water Meter Size 5/8 "; 1 " ; $ $ Pressure Reducer $ State Surcharge 2 . DO Penalty $ Sewer /Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit Plumbing Permit Fee $ $ . Mechanical Permit Fee $ $ - Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE Receipt No A . n B • , .. es Your Building Permit When Approved Paid ND \N" ` , 1 Date pp G P° 41%11 "r yyyy V1 ldOffiCiaI This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed c a euested. an�d� when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 a** " 'c C "0*** ° t From:Genz -Ryan 952 767 1900 09/10/2013 13 :54 #596 P.005/0 g:' 4 Mob Date Rec'd - �► CITY OF PRIOR LAKE PLUMBING PERMIT r3 i `h a . A. , Vol P A PERMIT NO. i. Y Asir / 3 : 5., J 3. Yellow Appficonl • Iease , e or , int and si: n at bottom) ADDRESS t\ ZONING (office use) 1 the 44 . ___-_- _5 b LEGAL DESCRIPTION (office use only) LOTO BLOCK 1 ADDITION iv 1C &viler 4 /WM A/ pip W.r' ( /Ig - 06.3 G ((Namo ,14:0&0— �'.AJ1C] .nQk_Vr'cLx\ (Phone) (Address) APPLICANT - (N GENZ RYAN (Phone) 952-767-1000 (Address) 2200 W HIGHWAY 13 BURNSVILLE 55337 (Address) (City) (Zip Code) (Contact Person) LON I 1? RS ON (P hone} 952-767-1000 APPLICANT SIGNA a• WYLL 4 f ' A4 5-' DATE . 5 ----/o -1 3 APPLICANT PLEASE COMPLETE BELOW 1 uantf T4 e of Fixture 1 uantit T. e of Fixture ►� Bath Tub with or without shower — gliWilla Rou ..h -ins = Dishwasher 1111.11M11111 Water Heater Floor Draln Water Softener Lavato =athroom. Sink Stand Pipe (Washing Machine) Warialli Laund Tra. 1 or 2 corn • artment sink 1.1111111111111 Sewa t e E'ector Shower Stall I3acktlow Assembl Sinks Backflow Assembl Test Bar Sink IIMMIEMEMMINMENIMI Water Closet Toilet IMIMMIIIII Other 1_r 4. _ . :.�A1111 I FEE SCHEDULE Industrial, Commercial & Multi - family I% of job cost with a $49.50 minimum Residential, New One & Two - Family $ 149.50 /� r� �g t Residential, Additions & Alterations $49,50 The Minnesota Statutes $ 326B.148 )st $ (p'7 9(/ — Building Permit #, "SURCHARGE" I Rfic efTeotivo has been changed far one y PLUMBING PERMIT FEB $ ) �7� (1 year July 1, 2010, until Jane 30, 2011. STATE SURCHARGE $ Sag The minimum surcharge for a "fixed Pee" permit TOTAL PERMIT FEE $ /6''4 56 is, 5,,, beginning July I, 2010 This Application Becomes Your Building Permit When Approved Paid ss [ Receipt No. Date ®® pp P/1t EITH Banding Official Date BI Bi Dwo PFRMIT 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.P., Prior Lake, Minnesota 55372 From:Genz -Ryan 952 767 1900 09/10/2013 13:54 #596 P.006/0K"' il r /0, CITY OF PRIOR LAKE Date Rec'd 0 . ,- HEATING /AIR CONDITIONING /FIREPLACE PERMIT /6 . i 44 /'NE0 t` 2, i. orK relax O Ci Fi1f PERMIT NO. / 3 , .. 52s. t. YaLlow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) k '. _fit,.: P6' ,SA 8Z, LEGAL DESCRIPTION (office use only) LOT (23BLOCK ADDITION Se.Ars 04:14/ A4e).41/1/ pip ZS- 1 -M S<- t1.3---- • (Name) \ I £� � — le &�yCA -'no' a... . (Address) (Phone) — `� ' APPLICANT (Name) GENZ RYAN (.Phone) 952 (Address) _ 2200 W HWY 13 BURNSVILLE 55337 ' (Address) (City) (Zip Code) (Contact Person) LONI diPE,TERS ON (Phone) 952-767-1000 APPLICANT SIGNATU • 4i _ � • , l� i DATE ~) t"" APPLICANT PLEASE COMPLETE BELOW : IIII EN CONSTRUCTION ❑ REPLACEMENT D ALTERATIONS 11 FURNACE MAKE AND MODEL -S 1 6 O\CC3S ,1 FUEL C'.it G CCS FLUE SIZE RETU OPENINGS 8 INPUT SS_COO____ OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT .. Warm Air Plants PLEASE NOTE: Mr Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ;i Mechanical 0 Radiation Fireplaces with boat Additions or r Air Conditioning ❑ Special Devices ►`• ent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50 $49,50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $6 Residential, AC Only $49.50 . Estimated Cost $ 6'7 0 Building Permit #______ The Minnesota Statutes § 32613.148 HEATING PERMIT FEE $ / Jilt 50 ? "s IiRC! IAR(11 " has been changed for one year efloctive STATE SURCHARGE $ ,g7J,107 ,Icily 1. 2010, unlit .!uric 30. 21111. TOTAL PERMIT FEE $ 9.510 The minimum surchiirge for n "rued fee" permti (Office Use Only) is S,,c, beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid ®A t r eceip Date BUILLD ! PERMIT Baitdine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Contractor's Material & Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives . Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME: • . DATE ` Z — PROPERTY ADDRE : 4111."— 14303 PARKSIDE COURT' y, _ ' = _ _ TIES: CITY OF WOODBURY ADDRESS: PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS OYES ONO EQUIPMENT USED IS APPROVED OYES ONO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS YES ONO TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: ®YES ONO 1. SYSTEM COMPONENTS INSTRUCTIONS RYES ONO 2. CARE AND MAINTENANCE INSTRUCTIONS YES ONO 3. NFPA 25 =A YES ONO LOCATION ENTIRE BULDING YEAR OF TEMPERATURE MAKE MODEL MANUFACTURE SIZE QTY. RATING RELIABLE RES 49 2013 1/2 10 155 SPRINKLERS RELIABLE RES 44HSW 2013 1/2 13 155 RELIABLE F3QR 2013 1/2 1 155 PIPE AND Type of Pipe BLAZEMASTER FITTINGS Type of Fitting CPVC MAXIMUM TIME TO OPERATE ALARM DEVICE THROUGH TEST CONNECTION ALARM VALVE OR FLOW INDICATOR TYPE MAKE MODEL MIN SEC FLOW INDICATOR POTTER VSR - F p e fg DRY VALVE 0.0.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE TIME TO TRIP TIME WATER ALARM OPERATING TEST THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED CONNNECTION' PRESSURE PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY MIN SEC PSI PSI PSI MIN SEC YES NO W/O Q.O.D. WITH Q.O.D. IF NO, EXPLAIN LOCATION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE & FLOOR MODEL (FLOWING) PRESSURE REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVE TEST N/A OPERATION: ❑PNEUMATIC CI ELECTRIC ❑HYDRAULIC PIPING SUPERVISED OYES ONO DETACHING MEDIA SUPERVISED OYES ONO DOES VALVE OPERATE FROM THE MANUAL TRIP AND /OR REMOTE OYES ONO CONTROL STATIONS DELUGE & IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN PREACTION FOR TESTING VALVES OYES ONO N/A DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO MAKF MC )FI SI IPFRVISI(1N I MS Al ARM OPFRATF VAI VF REl FASF C)PFRATF RFI FASF YES NO YES _ NO MIN SEC HYDROSTATIC: Hydrostatic test shall be made at not less than 200 psi (13.6 bars) tor two hours of 50 psi (3.4 bars) above static pressure in excess of 150 psi (102 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All Aboveground piping leakage shall be stopped. TEST DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED ❑YES ®NO EQUIPMENT OPERATES PROPERLY !EWES ❑NO N/A DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? O YES NO DRAIN READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST CONNECTION TESTS TEST SUPPLY TEST CONNECTION PSI CONNECTION OPEN WIDE ii 3PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 85B YES ONO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING RYES ONO IF POWDER DRIVEN FASTENERS ARE USED IN OYES ONO IF NO, EXPLAIN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS 0 WELDED PIPING OYES ®NO • IF YFS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR -3? ®YES ONO WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3 YES ONO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISC ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? YES 0 N CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? YES ONO HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA BYES ONO NAMEPLATE REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: l 0 —24 3 NAME OF SPRINKLER CONTRACTOR: FIRE SUPPRESSION SERVICES. LLC. TEST WITNESSED BY FOR PROPERTY OWNER (SIGNED) TITLE DATE SIGNATURES -RIN. )p■ , CTOR SIGNED) TITLE DATE . n Sj 3 ADDITIONAL EXPLANATION AND OTES f C i' /, i Builders Deposit d City of Prior Lake A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account) All exterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 130 days after the date the building permit is issued. If the work is not complete within the 130 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $2,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: S 12' 13 SITE ADDRESS: 1 `-103 PA _..tL -stogy G-+- PERMIT # t3 ' REFUND TO BE MAILED TO: ;'1A - r Nt`( 1 4 E. �l Z o t tr, /, 1-t t e.l a To t y v€ S S u t70— 20 1 44,1 A, c--t N S Si-F PLEASE ItEINMEMBEPt 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT Pr1UST NOT EXPIRE OR $500.00 WILL BE FORFEITED Alt ktf!) rttrfAti0011.1i. t,„ SIGNATURE: c,-S rnda S..4len, Building Services Amount 7 43 Acct. 801.20204 Date Larry loseler Cit Engineer J:\FOFMS \BUILDERS DEPOSIT FORM.DOC PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /3a s ��iP S �QU o' NATURE OF WO N S� v G.G USE OF BUILDING ;fc / 077 7/ D PERMIT NO. / s 1 c'•TE ISSUED CONTRACTOR PHONE INSTALL EROSION CONK L AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING /17 (p - FOUNDATION (Prior To Backfill) RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC FRAMING ( "5 INSULATION t2 h 4 f ELECTRICAL �� A f PLUMBING 6 5 r HEATING ./ FIREPLACE GAS LINE AIR TEST mt. ha ./e." /p RADON RETARDER " i _ i 3 - '3 %/�� �� f' COVER NO WORK UNTIL THE ABOVE HAS BE N SIGNED `HOUSEWRAP i))) °1 / / 3 LATH I 4 FINALS 6 fr Y ysrv�- /�;%�• �% � j � GRADIN ( PRIOR TO SODDING) BUILDING 6t8 f ELECTRICAL • PLUMBING / /0-#3 HEATING / ®j DO NOT OCCUPY UNTIL A: • AS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 -9850 New Construction Energy Code Compliance Certificate Per NI 101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside Date Certificate Posted the building. The certificate shall be completed by the builder and shall list information and values of C_DMAT,TAMY components listed in Table es 8. Mailing Addrs of the Dwelling ng or or Dweling Unit City 14303 Parkside Court Prior Lake "r��a Name of Residential Contractor MN License Number Mattamy Homes 20375386 Community Jeffers Waterfront Plan ID Aspen THERMAL ENVELOPE RADON SYSTEM Type: Check All That Apply X Passive (No Fan) w o c 4 Active (With fan and monometer or -, E > - other system monitoring device) mi w , o = , a 12 U : Insulation Location • z v O w 0 y O O L A g § _ 'C : E ,8, Z w 4- u, t ,., c4 a Other Please Describe, Here Below Entire Slab Foundation Wall R -10 X Interior Perimeter of Slab on Grade _ Rim Joist (Foundation) R -14 X interior Rim Joist (f Floor+) R -14 _ X Interior wall R -19 X Ceiling, flat R -44 X Ceiling, vaulted R -38 X Bay Windows or cantilevered areas R -30 X Bonus room over garage Describe other insulated areas Windows & Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U- Factor (excludes skylights and one door) U: ducts located in conditioned space ' Solar Heat Gain Coefficient (SHGC): IR -value MECHANICAL SYSTEMS II I Make -up Air Select a Type Domestic Water Heater Appliances Heating System Cooling System X Not required per mech. code Fuel Type Natural Gas Electric R -410A - Passive Manufacturer Bryant Rheem Bryant Powered Interlocked with exhaust Model 340AAV36060 113ANA030 Describe: Input in 60000 Capacity in 50 _ Output in 2.5 Other, describe: Rating or Size BTUS: Gallons: Tons: Heat Loss: 41940 Heat Gain: 26425 Location of duct or system: Structure's Calculated AFUE or 92 SEER: 13 HSPF% Calculated cooling' 36000 Efficiency load: Cfm's ` " round duct OR Mechanical Ventilation System " metal duct Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air Combustion Air Select a Type source heat pump with gas back -up furnace): X Not required per mech. code Select Type Passive Heat Recover Ventilator (HRV) Capacity in cfms: Low: High: Other, describe: Energy Recover Ventilator (ERV) Capacity in cfms: Low: High: Location of duct or system: X Continuous exhausting fan(s) rated capacity in cfms: 80 Location of fan(s), describe: I main bath Cfm's Capacity continuous ventilation rate in cfms: 80 " round duct OR Total ventilation (intermittent + continuous) rate in cfms: 160 "metal duct Created by BAM version 052009 • zaifi r 'ice* F �• 3 e • yv 'gy F 3 ''g s s ' ",3 ` . -" " " ,` 4a i k 3 r� , a p c t ... r'Rbval'.te d .. a`c "3r°�` c '�' ' .. r .. _ `_ .._. - " i 4 �{ \ � er n �` - 1����� ^ `, r - Pro�c fe ° u 4 : ., w y Project Title: 12_16 -20 Project Date: Mattamy Plumbing Homes Client Name: Sabre And Heating Cti Name: Steve Hucovski ,, : � . • ;,.; .. Company Representative: Ste. { <;., ,y', 5 A JfLy Company ��an ". ��� �, ,--- y ,, "' Minnesota R... �.��,� ,:;, <:: - Minneapolis, in I :Tr; �= d :.- ,._.: %' ? -' � M . Front d por faces North re nce Y• Medium Building Orientation: 44 Degrees Daily Temperature Range: Latitude: 834 ft. 0.970 \ EV ha n: Factor: 1 00 E Attitude Factor: 1.000 Elevation Sensible M. Fa : l ; Elevation Total M. 1.000 ! t Elevation Heating M. Factor: 1 0 00 i M. Factor: indoor Grains Elevation Heating Outdoor Outdoor Indoor piff� rent 1 Outdoor R____,--el Hum Q_ e , Wet Bulb Re4•H =►rn 72 n1a E i 1 b _ s 10D% 50 °l0 75 32 h' 3 I 6 45°!0 "€ `...: "' , ,, i Winter'. 90 � syF i t a � :, i 73 0.39 Summer: kv: "' ` - r x vr..: ,,, ;-,. - 7 i Su �� w� �,. ����� ��.y CFM Per SP . uare ft • � ; 'its,. 670 on: t It ing Supply CF M: 1,712 . Square ft. Per T Total -Build Room �° ' � To f rea: 1369 ,:'' •�:;` �9.".��'� �M V Square o Ce 3 6 ; �.. 40 q ft of Cond. Spa .� � TS t 41. Volume q� - �., �� Y 1,840 58 % ty _r, V entilation Air: 318 gtuh : t [dttzl eatin •- Btuh % Based On ` Required Including 15. 42 Totay Keating 11,108 2 20 Tons ( Latent) Total Sensible Gain: 26 425 Btuh gensible Total Latent Gain: aired including ventilation Air: Required n-s , -.... F° ' V.. Total Cooling , • � 1�!(,V1.a��•�,Yl��f .��.t M1', :h +.�Y,1 4 -"'i'_ r..,�:;�...--,,,,-..4,11,,,,,k,„ . . " ,�''���,,:'� y4� 'X� CGA Man use and d • vary. q IsC '�ed o' w eather may r C t cu s are Ufts are a stmatets a bu sensible and latent loads. Be l computed results $ sure to select a unit that meets both s 1 I i i ` i i i i _......... 7: .... 1 { Saturday. pecember 18, 7:46 AM C: \Program FileslElite�Rhvac `r'��ProjectslMattamy Wi hdwood,r v ■ Illustration #26 Vers 1.0: May 2009 #26 P assive (Code Mi nimum) Radon System ii APPLIES TO BASEMENTS, CONDITIONED CRAWLSPACES, SLAB -O -GRADE B AND OTHER FOUNDATIONS UNDER CONDITIONED SPACE ■ MINIMUM CODE REQUIREMEN ARE LISTED. OTHER SYSTEM COMPONENTS ARE SUGGESTIONS FOR BEST PRACTICE INSTALLATIONS BASED ON MINNESOTA DEPARTMENT OF HEAL RECOMMENDATIONS. RADON 94T PA°E 1 INATED AT LEAST 1Y ABfYJE SLRPAGe OP ROOP (AFl05b MMMUM 9•. A95 OR PVG:OR EGUIYALEt4T 6[ 6 T 16NT PtPF (MI05b1). 4' PN'E WY BE MORE 1 tG 11v0, a+T I NOT REp SPADE PROS FOR ruin E N$fALLAr i GP A PAN (MI09.AT • MINIM.M 24 ' W41 d! T1E A M4 5 OF Ile vENT 5TAOK • MI NNIM VERTICAL D OP PELT �b RLGTAL1- LIVE OIliLET IN ATTz NEAR Y 4 E RE F9111 tiE PM4 MY Be 0TTMLW (MIG6.Cy. i L r r I0 TALL LABEL REFDIN61'ADON RIDIIGTION SY5134 ON 1iE PENT PPE :' AT EKAI FLOOR MV 01 AGGE55 1 ATntb. (AFb9A3) ® 1 INSTALL PPE A5 5TRA16HT A5 a E TO 1#11. G016a1GTIVE FLOYI ELBGYL4 MFFA ALLOPED EUT SNGULD BE AVO DID IF Pp56RiE �. A u. GRAS, GR OTNBL O 004465 wm1 PDLT fl WE GR TaMr G oo*i 1rAao* o 1 ¶I1 Mwo.4 � � / / / / / - 0eTALL VBR PIPE (Mk)9b.F) INTO SLBPLOOR PE14EAd„E LAY�t (AAOBSJ \ \ \� / / ` /� \ �� jam \ j \ / \ \ \\ \ \ \ \ \�j MR DRMN 1 IMP wee I� CAST MINmu+u41L GRO Sa LMI I NATE Pa DLrEnnL0 Slw I' EE L APP ®1Y A BEIOW T0E SLAB AIO ON TOP GF l THIS ILLUST N OT REFLECT ALL THE REFERENCES TO 6A6 PERM° LArHt Amt ) 0 AC'T COD LANGUAGE. S OTHER SIDE OF THIS SHEET FOR A ' 0,T POLYETNYI9E LAYS YTO SU OF OTHER PASSIVE SYSTEM CODE REQUIREMENTS ` 5EM /COVER ' ° WTN ADDTIGtW. POLYETNYLBE (AP108' F OR PREC REQUIREMENTS AND OPTIONS OF SPECIFIC CODE SECTIONS CHECK THE ORIGINAL CODE LANGUAGE AT www .hataorglea ergycode_ © 2009 G4p9'4*,I'v Ameocic#!on sal Mtneeota wrrlbg tnarg Field Guide to th Residential Energy Code Including Radon Requirements www.bamn.org /energycode 63 New Construction Energy Code Compliance Certificate Per NI101.81tuilding Certificate. A building certificate shall be posted in a permanently visible location inside Date Certificate Posted the building. The certificate shall be completed by the builder and shall list information and values of components listed in Table N1101.8. Mailing Address of the Dwelling or Dwelling Unit City CAMYD 14301 Parkside Court Prior Lak Name of Residential Contractor MN License Number Mattamy Homes 20375386 Comm n'ry Jeffers Waterfront Plan ID Willowbrook I THERMAL ENVELOPE RADON SYSTEM Type: Check All That Apply X Passive (No Fan) w o N . c a. Active (With fan and monometer or > other system monitoring device) 7a- co b o c E 4. ! ! 1 0 i c . w U x I Location • .9 Z - c� p w o `° o to Eo F 13 a c N 8 c H . E. w w z w w ° o X u: Other Please Describe Here Below Entire Slab , Foundation Wan R -10 X Interior Perimeter of Slab on Grade Rim Joist (Foundation) R -14 X Interior Rim Joist (1 Floor+) R -14 X Interior Wall R -19 X Ceiling, flat R -44 X Ceiling, vaulted R -38 X Bay Windows or cantilevered areas R -30 X Bonus room over garage Describe other insulated areas Windows & Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U- Factor (excludes skylights and one door) U: Not applicable, all ducts located in conditioned space Solar Heat Gain Coefficient (SHGC): R -value MECHANICAL SYSTEMS lI I Make - up Air Select a Type Domestic Water Heater Appliances Heating System Cooling System X Not required per mech. code Fuel Type Natural Gas Electric R -410A Passive Manufacturer Bryant Rheem Bryant Powered Interlocked with exhaust device. Model 340AAV36060 113ANA030 Describe: Input in 60000 capacity in 50 Output in 2.5 Other, describe: Rating or Size BTUS: Gallons: I Tons: Heat Loss: 45053 Heat Gain: 27006 Location of duct or system: Structure's Calculated AFUE or 92 SEER: 13 HSPF% Calculated cooling' 36000 Efficiency load: Cfm's I " round duct OR Mechanical Ventilation System " metal duct Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air _Combustion Air Select a Type source heat pump with gas back -up furnace): X Not required per mech. code Select Type Passive Heat Recover Ventilator (HRV) Capacity in cfms: Low: High: Other, describe: Energy Recover Ventilator (ERV) Capacity in cfins: Low: , High: Location of duct or system: X Continuous exhausting fan(s) rated capacity in cfins: 80 Location of fan(s), describe: !main bath Cfm's Capacity continuous ventilation rate in cfms: 80 "round duct OR Total ventilation (intermittent + continuous) rate in cfins: 160 " metal duct Created by BAM version 052009 r t ^- :a.� <^:-.;�:.,a: -. �.�,��c�.:.>e.,- •.�:,,�,v.�..� +� - -•.. .<r..es. .._ � tr - :+.am � •^_^ :x:�-r•,,.- �x�',:,r- *;nsvRe.. � -t. tli� #Y� i�Jg Y � y !_£� ..K .: .w3. �� lkiw Z kS x �1 $ 461t.. �� 7� 1 ('`" x`vwh r ^;�- q:- �'.+�' ��s— ^. " e^ a^ '�3 � t".� e� s u �, Ja . -�a u h .�c �s, a '. i..1',":- :. R ,,,�„ s tp aI tlrttQti�y ev a ?:. Vi a` _;, a • x r ^t Project Title: Willowbrook Project Date: 12 -16 -2010 Client Name: Mattamy Homes Company Name: Sabre Plumbing And Heating Company Representative: Steve Hucovski ,. as• x .. 1 0- s " '� 4{ 0 mAK� ; _ ` Reference City: Minneapolis, Minnesota i Building Orientation: Front door faces North Daily Temperature Range: Medium Latitude: 44 Degrees Elevation: 834 ft. Altitude Factor: 0.970 Elevation Sensible Adj, Factor. 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor 1.000 Elevation Heating Adj. Factor 1.000 Outdoor Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Re €.Hum ReI.Hum D Bulb Differen N e e Winter: -16 -12.38 100% n/a 72 n/a Summer: 90 73 45% 50% 75 32 Total Building Supply CFM: 730 CFM Per Square ft.: 0.35 Square ft. of Room Area: 2,037 Square ft. Per Ton: 90 l V j olum�e }� (ftl) oo7f� Cond. Space: 16,296 '� - '�Y"J' ..— .,,' � . , . � , � �`J 2 , „; , .� &._ fi r; g ;P r rt 4 g .. � z -!.v a+?�' ::-4 l Total Heating Required Inc €uding Ventilation Air: 45,053 Btuh 45.053 MBH Total Sensible Gain: 16,604 Btuh 61 Total Latent Gain: 10,402 Btuh 39 % Total Cooling Required Including Ventilation Air: 27,006 Btuh 2.25 Tons (Based On Sensible + Latent) s i Calculations are based on 8th edition of ACCA Manual J. i All computed results are estimates as building use and weather may vary. i Be sure to select a unit that meets both sensible and latent loads. I C:\Program Files \ElitelRhvacw\Projects\Mattamy Aspen.rhv Saturday, December 18, 2010, 7 :56 AM ,m__'.'a. : wrb�i' 1 •[R%L'"tr5i A b F •- " +. Y'_ ^y. Ri.+,_'^" # i ' Ytd `�i� Y "e41; GAY^ ^ •,"XC1 :L L . a f g WtT3 * 8 "P. t mtff V.At;- . ad's �� it , , ^ irk a t psr�e P , S i � z:. x Xi?�'s "r4 ��'` s� ,� kf. � . F" #,.. �: r „�9 r'� wc,.�. x Ph- - tt,.3t . F in , ., , . , ` W , s , ° , � � ` , � Itt�vr — A s i`i; C : 1 c�a . P v.e a o L r�. iF w Has Net Recl ft.l Seri Min Min Sys Sys Sys Lat Net Sen Nig Mi Htg Ctg Act Duct Scope AED Ton Toni /Ton Area Gain Gain Gain Loss FM CFM CFM CFM CF Stze .._ i C ! M Building 2.25i 3.47 587; 2,037 16,604' 10,402; 27,006 45,053! 523E 730: 523 7301 730; System 1 1 Not 2251 3.47; 587: 2,037 16,604! 10,402; 27,0061 45,0531 523E 730: 523$:'73.13 7301 9x14 Ventilation € y 1,0251 1,348; 2.3721 6,0111 - L E Duct Latent ' € i 7,734: 7,734 € i i i Zone 1 L t ! ..__..__...._....__, t .._ 2,U 3 71 15.579 1,3201 16,899 39,042 523! 730? 523;, "5 ®{ 730 9x14 • j 1 Entry i E j 56 3991 , 320 434 2 733i 37! 19 37 r, � 9 19 1-4 t 2-Main Floor 1 i 93 8; 6,901' 157! 7,058 17,209: 2301 323, 230 02•61 323 3-6 3 FFlao 938i 5,897 . 8471 6,7441 13,815i 185€ 2761 185, ,1 VAL: 276 3 --6 4-Family Room 1 105! 2,3821 281 2,6631 5286! 71 1121 71 ; 11 %' 112 1 7 -8 • t i i t ! I i j I � I C :\Program Fil esiElite1Rhvacw \Projects\Mattamy Aspen.rhv Saturday, December 18, 2010, 7:56 AM itWRCOWRiffiMrlrqtrRTKWPWOEVF:RErAEMW ::7*, )0110tifilOPPAr. . ,, - Pk , rOtIrgtebtraittleattiltiMitS0,- NiAttniiiiiii - VArittike,,, °.. 4?'; , I ObitittaM ..: :447AM :-'07- , „I ' KENNAtiktit*V4' : - -.1&..41004441 , W .= 441? ! 1507'.::,--;/- .::.:,.c.:77777:77 1:pl .:::.:...,,:-. . .,,,.:.. 1 .,...,..._....___,...--....i..::„........-__,..-11.._........,:,1.:..:...._......:-...-....:...:.--....--..._.::._-.77-, _ f 1 4 la.M.'4,1# , - 'W k:Xig F ! riM •-. L .:,-AlliN~Ift. ovitAf .N.4 -, • -, '- ' -`.:. ! P.: -,vslft .. 40- .V e oan ,, , ii .„,_ t . 4A-1a-o: Glazing-Double pane ow-e (e = 0.20 or less), 180 7,445 0 7,867 7,887 operable window, e on surface 2, wood with metal clad frame, u-value 0_47, SHGC 0.49 ■ 11P: Door-Metal - Polyurethane Core 21 536 0 158 158 12E-Obw: Wall-Frame, R-19 insulation in 2 x 6 stud 775 4,638 0 601 601 cavity, no board insulation, brick finish, wood studs 12E-Osw: Wall-Frame, R-19 insulation in 2 x 6 stud 848 5,074 0 1,002 1,002 cavity, no board insulation, siding finish, wood studs 16CR-44: Roof/Ceiling-Under Attic with Insulation on Attic 938 1,816 0 825 825 1 Floor (also use for Knee Wails and Partition I Ce(lings), Vented Attic with Radiant Barrier, Dark . Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R-44 insulation 21A-20: Floor-Basement, Concrete siab, any thickness, 2 994 2,362 0 0 0 or more feet below grade, no insulation below floor, i any floor cover, shortest side of floor slab is 20' wide 1 20P-19-c: Floor-Over open crawl space or garage, 105 462 0 53 53 ' Passive, R-19 blanket insulation, carpet covering Subtotals for structure: 22,333 0 10,526 10,526 People: 4 920 1,200 2,120 1 ! Equipment: 0 0 0 1 Lighting: 0 0 0 1 Ductwork: 13,138 7,734 1,776 9,511 Infiltration: Winter CFM: 38, Summer CFM: 19 3,571 400 304 704 1 Ventilation: Winter CFM: 64, Summer CFM: 64 6,011 1,348 1,025 2,372 i AED Excursion: 0 0 1,773 1,773 Total Building Load Totals: 45,053 10,402 16,604 27,006 1 P7- : W.:;1? :;;ArliValti. 1 Figimr suov: 17.1'.:i4votwattre4 I Total Building Supply CFM: 730 CFM Per Square ft.: 0.358 Square ft. of Room A.rea: 2,037 Square ft. Per Ton: 906 Volume (fti) of Cond. Space: 16,296 1.Wataire Mritkat :117.1. 'I'M -...i' .,t,TX-, 7..fatmi 1 1 Total Heating Required Including Ventilation Air: 45,053 Btuh 45.053 -MBH 1 Total Sensible Gain: 16,604 Btuh 61 % i Total Latent Gain: 10,402 Btuh 39 % Total Coding Required including Ventilation Air: 27,006 Btuh 2.25 Tons (Based On Sensible + Latent) ''''''. ' - ,lit. - 10 7 44:•; ANKSIMEMIN 1 1 Calculations are based on 8th edition of ACCA Manual J. • 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. a i I 1 1 - C:\Program Files1EliteRhvacw1Projects1Mattamy Aspen.rhv Saturday, December 18, 2010. 7:56 AM • Permit # Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Willowbrook Home Report Date: 05/02/13 Data filename: C:\ANN \REScheck \DATA \JEFTH Willowbrook.rck Energy Code: 2000 Minnesota Energy Code Location: Scott County, Minnesota Construction Type: Multifamily Glazing Area Percentage: 10% Construction Site: Owner /Agent: Designer /Contractor: 14301 Parkside Court NW Prior Lake, MN 55372 Compliance: Passes Maximum UA: 430 Your Home UA: 270 - -> 37.2% Better Than Code (UA) Gross Cavity Cont. Glazing UA Assembly Area or R -Value R -Value or Door Perimeter U- Factor Ceiling 1: Raised or Energy Truss: 1120 44.0 2.0 24 Wall 1: Wood Frame, 16" o.c.: 2008 19.0 2.0 97 Window 1: Above - Grade:Vinyl Frame:Double Pane with Low -E: 242 0.330 80 Door 1: Solid: 42 0.340 14 Wall 2: Structural Insulated Panels: 305 14.0 22 Basement Wall 1: Solid Concrete or Masonry: 20 5.0 2.0 2 Floor 1: Ali -Wood Joist/Truss:Over Unconditioned Space: 473 30.0 2.0 14 Floor 2: All -Wood Joist/Truss:Over Outside Air: 60 30.0 2.0 2 Crawl 1: Solid Concrete or Masonry: 169 5.0 2.0 15 Furnace 1: Forced Hot Air: 90 AFUE Air Conditioner 1: Electric Central Air: 13 SEER Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. t- ac S\ Builder /Designer Company Name Date Willowbrook Home Page 1 of 1 Date: 5/2/2013 Revision Date: 5/2/2013 New Construction Site Information Address 1: 14301 Parkside Court Project #: Willowbrook Address 2: Lot: 64 Block: 1 City: Prior Lake County: Scott Subdivision: Jeffers Waterfront Application Information Business Name: Mattamy Homes MN Contractor License #:BC20375386 Contact Person: Sue Bare Office Ph: 952 - 898 -6128 Fax: 952 - 898 -2187 Cell Ph: Address 1: 7201 Washington Ave S Address 2: Suite 201 City: Edina State: MN Zip Code: 55439 House Details Square Feet: 1915 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 3 Ventilation : Balanced Total Ventilation Capacity : 75 cfm. Minimum Continuous Ventilation :60cfm. Intermittent Ventilation: 15 cfm. Combustion Appliance Water Heater: NA Furnace /Boiler: Direct Vent/Sealed Combustion Input BTUs: 99,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 80 Make -Up Air No Make -Up Air Required by Code Combustion Air Minimum Combustion Air Requirements Have Been Met. Applicant Name (print u Signature /Da r = S (2-(1 Code Official (print): Signature /Date: © 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1