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AF - 45033Building BUILDING Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE '^�I �3 � �1 C� � v^ I� YOUR E-MAIL ADDRESS SIT`E ADD��o � (-f3 � � tZ Af �+�-1 /k-�.q THIS APPLICANT IS: ❑ OWNER PROPERTY OWNER/ TENANT Na�E: FC�N1 N�� c. h�r ( l.�.D ADDRESS: 6�Z-6U �1 fl�.J 'to8r�-L CITY PHONE: h12- b IL-- �� Y Permit No.: ;�G f 0 'G � � � Received By: l � � Dat�'�}d:��.��. � r 2�� ATE/�^� ZIP � S�i � Z. CONTRACTOR NAME: �A^+i � �4 t�Q �-1 i.a � SUBMIT A COPY OF STATE LICENSE # o�- 6'S� EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF aDDRESS: � 2-� C-.-+�< (�}�3t.�1-i � � �� fi��`' CITY ev'�L� �� STATE ^�^�ZIP 5�.� INSURANCE PHONE 7� 3-- �$O —`f o`} e� FAX % C 2.r "� .�s o- Fl S t 1 PROPERTY TYPE I� SINGLE FAMILY/[�TEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES l�3 PERMIT TYPE ��DITION ❑ GARAGE/SHED O WINDOWS , �(/� ,,� ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE �'� �� .� �� ' !� ❑ DECK ❑ SIDING ❑ OTHER �L� �J ❑ SWIMMING POOL 0 TYPE OF WORK: I❑ NEW HOME CONSTRUCTION ❑ MAINTENANCE/REPAIR DESCRIBE WORK BEING DONE: '� v i��1� N ROOFING NUMBER OF SQUARES � GARAGES PROPOSED SIZE: Z� r 3'' PROPOSED HEIGHT: SIDING � Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ ADDITION ❑ REMODELING � �t��2 c �� WIDTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS �z� +�� NUMBER OF f-ia� —� HEIGHT �-� SO FT BASEMENT REMODELING SUBMIT: l. Existing Floor Plan 2. Proposed floor plan 3. List of structurai members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations FOR WINDOWS - PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: $, , (USING�TH . 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ( S', b� �'�L�o� ;(7 a�1 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ � ,�:G: $ $ $ $ � See Back Page for Fee Schedule 65% of Bnilding Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al whic,h, rgquires review and approval of plans. D�Q tAV� it •��-'�'' SIGNATURE OF APPLICANT _ ��^^''� XJ-^-� PRINT NAME ?�-.. otty ��.-., � DATE %—�� Z o� � APPROVAL INSPECTOR SIGNATURE m _ From _6514526925 _. Page: 2/4___ Date: 7/16/201011:28:29 AM ., : � �t�� r� ca�.�,��;,�.��i� �v€��s��r. C ��,1� - . �, �` � , �� ,� � . � sl�x �ua�ss �.. � �, ,� : . -�'it.- �: j,q;, u; � BA1'� �i �r�. t� � 4'� - �J�.x17Y'�'.* C'QNi�f..�iii�R� �ba'+��ytl�. '� ��4�.� �r�+ � .��{�� Y73� F /�V� � � .� . - .ii�!�' i14Y. �i� � . , , h`7'iGiCY'C)R CiR O�i'T+i�R �� .1,,: �^�r� Pfif}]V� u� • . - N::I-. *1 . ...��-�+`�VW'�W'D�' ' �L �wY%�"�M1• {��I.+ . .�. .. . . ,.. , . �u. �,. , Pfi01!�'�'�4 � �' � �r� ? $ � . � , Trie.drsE�l� int�'nu�idan ixtaw, traasi �c�dettrm'iiwd��tson� �e 15piidin��pin�specifi�iioax. .�T�`�s , ' . .__.._ .. �. .--- �_�� . _._ nE ; .� , ...�, ._' .. ._._ �. . ��„3 _�„F..,..� ��o�—�-.��'�� .! �� 3. Sc�. feet of rapesea a•inouw s�ea 7l� x^t1" �.�j7` x��8 degrec: (� ��'S' .. .. 3. , 5q, feeL.nf.:expn+oed dAc�r arsq 3% Y.,•�.'+ �•:r I,.S$ Cfeg�sxs �� 4� Sc�. fact,of eraii�;�rea.l� z�^CI",.�e��RS�de�-ces , �� ' .!7M^-- � �.. , . ' � S. ��. Fmt of basemz4�sAoor:•arc�'�s ;. ��.Li3lsquxre feez � . �.{� �� b. Sq. itez-aE b�eu�atir wa11 ar¢c below �rpde a�{ x 3 81`iTiilsq.uar.e ftax � � . ^ T. I-in. foes of�infi7r�cioR. to� xifida►rs� x(0.3#) r C1:�b� .x-Sa 4egrxrs �� $� �q.,fCGi �T tAS1Ip'zi7PR;�at� doors �p z�0.5? a f1.fl8� z 5�,�'�r.� �� 9. Sq. fecr al'.l�fii[r�Fa� for a�iinE g�asx �loot� �.=.l9.5j s(Y.(C&� s$S..rdegroes �,� 7.� �. . lU, rlJfa»:a�ca far ki�rh�n�'aad Dsch tans: ��. kitb�ib� !'aas,�¢e 8D0 �T'CJi.3'eA�h �� , , � � bs�tq rxns � 2au $i'UI•Y �ra��• �`� • t 1. Allowx�ee far frraptacrs; A�� 3,3oU BTiJFi �cb (� p ;f�, A!�ec,�aaic�J 1�s{,tilaiiva:, E�iwsesc CFM _�,�"',�'� j(1:D85�:s $8•�grees ��c�� • . l3. Total,gTC�i3 dna3 for. atE above i[ems - in�Bi�l2Y rea��: in 9M au�o�*• -�Gr t 19. _ .'sln�um sJlawed [ ace p{11PVt." iS LEpC '13 z I.i.i . ��j -��-�� f 'Furaace awcpui.mzY be q�ersixcd ta iacPude a saf�hr facrur auri �izk-up . ' '� lau�.s�bu� +n�y oot e��eed,33�o. � • _� � ' A�3C�IStt �S�`7LdCNr17 "7FC3eeolBld�.!M�P'�w<61Furcu�a,�ixt c:,frae4uan v✓wi�si,cac s,�O�Da . . , +F�slp/u{...�:jecr:ue +L:oak:nq Rheae! �,F'rcTassior�r�i; . � . 0 � . . . � �. .:h•., . ., .. 0 . r i I , � ��r��TAC� ��Y�� ,.L�U�ATI41V �►�V(7��KSHEET srr� ��ax�as �� .�.. t.� � �- i �,�,, �S c,,. nAT� ' ► �' �. � t � . HEATINCi COIVTiLtCTOR l✓ •� !^• i ' �: C a, i�,_�r ..[ G,,Sk, � �y �. � PBQIYE l;G+ .}' ? �V' .� % � GENEit,a,t. COIYTR.�CTOR Q�R �Wt��it _ �� `� .,, � � �:.� �iitQh& � _ :�. : -- 13T�C� PR�P�LR�D BY (.if , �� a..,l-�.,-w::' c.t.�. � �a, . '' � _ � � �.. � PHOl�E _ � �,► � p � �'P �" :� � � � The �rsign iaforusa�ion b�low, must be de�e�civaed fr4m rhe �uilding pluns/specifications. ' t:, . -- . : _—_.. ..... . � - �-__.....__ � �� :, Sq. feet uf uposed w�indow srea � 1,� Y,�(�u .�y -s 88 de�ree�. �'� " _ . . 3. :. 3q. feet.ot:e=pnsed daQr a�ea: �% .x ,�U" , : =:88 degrees _� 4• Sq. ICaL of CtiliQ�:Arta I^3� z,"(�« ��y�;g$ degrees � , �_ (`.3 � � ` 5. Sq. ,feet of bssemepr,"Aoor. srou �� = 3 gn'H/squa�-e ieet • �. (t � . o. Sq. fset -of basemenc wull. are� below gradn ��'G z 3 BTUFI/squur.e feex ,� _ �_ _ _ _ ._. _ __ �___ ...... _ _,._.. ' 7� Lin. fset ot iai�it-�tiou. iar xiadoxn� .�`�'ll.� x(0.3�) r(i.O85� z 8$ degr�es �� 8. Sq. feec of infiltrzcion:for dobra 39 = 40.5� r(1.Q85) z SS dwr�s J� 9. Sq. icei ot'.int�tr�cion tor swiiAe �tass.ctoors 73' ::�osy : t�.q$.� z sa deg��, .� �.a .3 10: Allowance..for kitchen and bath fans.: �� kitchea faas �a; tipp 87'[JH ekch ' 6� D.YFh fans ('y 24D 6"l'UH tacb U� l.i, �Ilowr+ac¢ for tire}�lacu. N.,,�_ �;a I,3Oq $TUN wch .� 0 p , , �f2. 11Z.tcbaui¢�1 Veatilattion: Ezh�ust CFiti1 �� s (.1.085):s &8 ,D�rree� � _l � k � �i 13.: Total.BTUB loss tor aitsbove items - minimum renuired iLr�c nu� .��(�, � }4. _Maximum alluwed furnnte outaut" � LiAC l3 z I.f3 �j' � � y `Fur�suce output_may,be ouersiud to iacJude a safecy- (accor and pirk-up �: Juad3 buc ma.y, oot e�c�ed.33✓o. . r �",�.w-� � ,..,,,, . , _ � � . r . �y+ . . . . �"� �t� � %✓ . . . . � �aFr.. J' ��`� •'/. � . ._... . . Applicant Si�nature -l:�D'ats�BlslGIWPiWsblFuauac Cixc G�ulation Woricsiiaat 5i2UW . , _ •He1p/u1...E*feclive +Lo�klno ,qhead ►Pro%ssionai; ' r City of Chanhassen 7700 Market Bivd. - PO box 147 - Chanhassen, MN 55317 Phone 952-227-1180 - Fax 952-227-1190 - Web www.ci.chanhassen.mn.us V'entilation, M�akeup and Combustion Air Caiculations Instructions and Exampie These Instructlons and blank submittal forms are avallable at the City ofi Chanhassen website and at City Hall. The completed form must be submit- ted In duplicate at the time of application of a mechanical permit for new construction. Additional forms.xnay be downloaded and printed at: htrp://www,ci.chanhassen,rr►n.us/serv/build,hrml, This is an example of a 4200 sq.ft., 5 bedroom hous�;��aust only ventilation Site address � � �� I c�,4-� �v v�. :;; A;;r-: Contrector �P"V�,� � � � � Completed �,r1 , z��w "°`. 9Y 1%t r '�r'' Section A Ventilation Quantity (Determine quantity by using Tahle N1104.2 or Epuation'11-1) Square feet (Conditioned area including ,� g , easement—finished or unfinished) TotaF�equir�d ventila'tipn' _ INumber of bedrooms I ! _ Continuous ventilacion Directions - Determine rhe tota/ nnd conirnuous � The table and equation are below. Table N1104.2 Total and Continuous Ventilation Rates (in cfmJ Number o�•Be'dr;ooms 1 � � Conditioned space (in Total/ '; Tot�l sq. ft.) continuous ' �onti 1000-1500 1501-2000 2001-2500 2501-3000 3001 350Q;' 3501 4 Q'Q` , ; ; 4001 4 .p0. i 4501-50�ln` 5001-5500' 5501-6000 �ntildtipn raie by e2 �� , 3 Totail; uous .'';ucontin':.{I4� 85/4 �`' �ii':;;i;�;.. 100%5'Q ,. 95/48 ` , �G;;� 110/55 �<:.�A5/53 ;��0/60 110/5� ;_ „�25/63 ; 140/70 120/60 �,:` 135/68 150J75 130/65 145/73 160/80 lt}Qj�O 155/78 170/85 150/75; , �;65/83 180/90 N1104.2 4 �'o:ta� I% �on�tinuou: 105/53 115/58 125/63 135/68 145/73 155/78 165/83 175/88 185/93 195/98 Date ,� ■ C.,,...� r�•µ ;: r' a,, cti,� ,� �.�.� S :,•,;E�;�.::;:; I 7 � �:1;� "" � �i ,ki1 `�.�:? ��4�d�C1on 11-1. 5 Total/ continuous 120/60 130/65 140/70 150/75 160/80 170/85 180/90 190/95 200/100 210/105 6 Total/ continuous 135/68 145/73 155/78 165/83 175/88 185/93 195/98 215/108 225/113 l7�d�v��a f. Equation 11-1 �0.02 x square feet of conditioned spaee� +[15 x(number of bedrooms + 1)] = Total ventifation rate (cfm) ��. . Total ventilation — The mechanical ventilation system shall provide sufficient outdoor air to equal the total ventilation rate average, for each one-hour period according to the above table or equation. For heat recovery ventilators (HRV) and energy recovery ventila- tors f ERV) the average houriy ventilation capacity must be determined in consideration of any reduction of exhaust or out outdoor air intake, or both, for defrost or other equipment cycling. Continuous ventilation - A minimum of SO percent of the total ventilation rate, but not less than 40 cfm, shall be provided, on a con- tinuous rate average for each one-hour period. The portion of the mechanical ventilation system intended to be continuaus may have automatic cycling controls providing the average flow rate for each hour is met. G:\SAFETY\JK1Vent-makeup-comb air INSTRUCTIOIVS (2).doc PagB 1 Of 6 ,�. Direcfions - The Minnesota fue/ Gas Code method fo calculace ro size of a required combustion air opening, is called the Known Air Infilfration Rate Method. For new construction, 4b of siep 4 is required to be flped out. The example assumes a typica/ 4,200 square foot home with a finished basemenc that has a mechanical room tha[ is 10 feei wide by 22 feef long with an 8 foot ceiling, lt a/so assumes installation of a 90,000 btu, 2 pipe condensrng furnace; and a 50,000 Btu, power venfed waterheater. IFGC Appendlx E,. Worksheet E-1 Residential Combustion Air Calculation Method (for Fumace, Bofler, and/or Water Hea[er in the Same Space) Step 1: Complete vented combustlon appliance information. Furnace/Boller: _ Draft Hood ^ Fan Assisted X Direct Vent Input 6� Btu/hr or Power Vent Water Heater: '�' � " _ Drah Hood X Fan Assfsted _ Direct Vent InpuC _ SV �� gtu/hr or Power Vent Step 2: Calculate the volume of the Combustion Appllance Space (CAS) containing combusti ';appliances. -�' The CAS intludes all spaces connected to one another by code compliant openings. 4�ii�S:volume' � 3 Step 3: Determine Air Changes per Hour (ACH)1 Default ACH values have been incorporated into Table E-1 for use with Method 4b;{KA1R Method) of construction or AC►i is not known, use method 4a (5tandard Method) Step 4: Determine Required Volume for Combustion Air. 4a. Standard Method Total Btu/hr input of al� combustion appliances (DO NOT COUNT Inpu�;:; - ��u DIRECTVENTAPPLIANCES) ;;'�'�� ?,, Use Standard Method column in Table E-1 to find Total Requir� _, TRV. �k�` �y� t4i 11 �<f Volume (TRV) n t '�4 —��.�� '�� , If CA5 Volume (from Step 3) !s greater [han TRV then no outdoor bpening�,arg needed ': ,,�I� If CAS Volume (from Step 2) !s /ess than TRV then go to STEP 5 <W ''.f � � <: , � 4b. Kn o w n A i r I n f i l t r a t i o n R a te ( K A I R) Met ho d '�;. Total Btu/hr input of al) fan-as5lsted and power vent appliances InpuY �C� t D(�Zy �� (DO NOT COUNT DIRECT VENT APPLIANCES)n �° Use Fan-ASSisted Appliances column in Tabl�fE � tQ"fYnd �; ,, R�jppr 3�� ft3 � Required Volume fan Assisted (RVFA) — Total Btu/hr input of all Natural draft appliances irlput; T� Btu/hi Use Natural drah Appliances�eAlu'm� in: Table E-1 to find RVNFA:. �� (1 �'-� pt' Required Volume Natural draR'appliances �RUNFA) If fi�e.year Total Required Volume (TRV) = RVfA t•RVNfA , ; ,Tttv = 3 � ?;� none - �?5~�(rt3 If CAS Voltj►�$, jfro}iri Step 2) ls greater thqn TRV theii�llq��utdpok qpenings are needed. If CA$ Vo �I�I�e`(from Ste -2) fs less t6an�rR1� thg� gp�',�'v STEP 5. Step S I(�Yate the ratlo of available interl�� t� t�me to the total required volume. Ratio = CAS Volume (from Step 2) j��tfided by TRV (from Step 4a or SC�p t}b) !� li � + �:: Ratio = �,.5 � / �%,� = � 3 1a Step 6. Calculaf� ��t�uc'tiq� ��toe.iliFl: �. . RF = 1 minus Ratio Ratio RF = 1- � 3�.p - ,(p / Step 7: Calculate single outdoor opening as�ff:all combustion air is from outside. Total Btu/hr input of all Com6ustion Appifanees in the same CAS Input: �il',r>�,a� Btu/hr (EXCEPT DIRECT VENT) .,,.;. - ;;,,.1: `. Combustion Air Opening Area (CAOA): Total Btu/hr divided by 3000 Btu/hr per in' CAOA =�" O; cJi,i� / 3000 Step 8: Calculate Minimum CAOA. Minimum CAOA = CAOA myttlplled by Rf Minimum CAOA = Step 9: Calculate Combustion Air-0pening Diameter (CAOD) in' = � to .� • inZ _ '� �, `,: ��s� � 4� } ;,f, �,ki : � . CAOD = 1.13 multipiled by the squarv rnn� of Minimum CAOA CAOD = 1.13 � Minimum CAOA =� in. diameter � - go up one inch i� size If using flex duct 1 It desired, ACN can be tletermined using ASHRAE calculation or 6lower door test. Follow procedures in Section G304. P�ge 5 of 6 . . _< . . ,, . .: ; _ ,. .: - -�,. ;.,: _ � � . .-� . . ,.._ . . ,. .M, :, .r„ . . '. �� . _ � . � - � � � � �- �% � . �� ( _ _ 5 , �� ,OR _ 1:346:OSQi , � 4ne� or multiple b�e.°or mtt ip}e 'One �ultip�e - pa�rer �eMt fan �ssist � a�mos�rhe'rica�Iy atmospi�errcally or dixect �vent appli`�n�es an�l �ented gas or vented gas t�r applianc�s; or power ve oil app�i�ance or o�il app�anee"s nv �ombii�tion or diFect v� nt one'salid fuel ar soli�d .fue� ag�S;lianc�sA app�%ariees aPPliance� �PPliaz�es� 1. tTse�t�ie�Apprbpna�e ��liimn �o Estimate'H use Trifiltrafion a) pressure factor . (cf�n/s� 0.15 O:U9 b) co�rditioned float a�ea (s fl �� _ (ir�eiu�ing�unf�ish�d'l�asetnexrts) Estim�ted F�Iouse ' - Infiltrati on � (cfirs): [la x �b] _..� � ca�- 2. Exhaust Capacit� " a) contiriuous : ± exh��-only veiitilation system� (cfiri�; -�' � (n�t appIicable ta Uala�ced ventilation systems suc] b) clo#hes ciryer. 13�5 � 135 , c) 80% of l"arg�st - exhaust ratirig (efiri): � ' (nat applicable if rec�rculating system or �po erec and matclied to exhausf) d) "80%0 of ne� largest extraizst not� , rafi�g (cfni): �pplicable � t. as HR� 135 Q:03 135 _ mal�eup air is electr�ca�7y inter�ocked (nat applicable`if recirculating system ar'if po er�d makeup air is'electric�lly irtterloct�ed and m�ch�d to 'exhaust) Total E;�haust Capacity (efm): � : [2a+2b+2 c+2 d] � COpyTiglltl�f2f)�9 bv the Revicnr nf Ct�t,�tAr e4.:... ..cn,r:�..___._ , �, ,. ..., � z: 6 Y . l�EVI OR �346.QSfl� : . 3. Mal�eup �ir Requirexriei�t - a� Tatal E�c�iaust Capac�ty (froin _ above) �� b) .Est�inated � Hot�e Infiltr�tion Ffrom � . above) � � �- Makeup Au Quaritity (cfm}: [3a - �b] —'� � (if value is negative, no m�Ic�up:aii- is needed� 4. For 11�Iakeup Air C�perung ,$izing, refet .to Ta : le 501:3.2 "T�se fh�s �olumn_ if th�r� are bther than f-assistec} br atrnospherieally vent-ect as or oil app�an�es`or if there ar,'e.na combustion a liances. g � BITse this column:if tt�ere is arie fan �ssiste `appIia�ce per venti�ig system Other ttian atmosp�ie�i�ally vented �ppiiances rnay al�o be included. � �Use thts column;if ttiere is �one atmosphe ".cally vented (other tlian fan-assisted} � or oil �.pplian�e per venting system or `one soli fuel appIianee. � � DUse this :column` if tb�re are rriultigle a` osplierica�ly uented gas or otl appiiaaces t�smg a�common vent: or if �there�-a�e atinosp erically �entec� gas ar oil appliati�es :and solid fixe1- a�a.plian�es. Table 50 3.2 1Vlatceup Air Opening Sizing Tabie r New� a�d Existing Dwellings - �n� or One or One Nlultiple mt:tltiple multiple ahnospher- atmaspher- Passtve povver vent �an-assisted ica�ly vented ically ven#ed rriakeup or direct vent appliances - d gas or oil gas or oil air app�iances or power vent appliance or applianees operiiiig no�corribustian or direct ve t one so�id fue_1 or solid fuel duct app.liar�eesA appliancesB appliance� appliancesD dia�neterE.F,G Type of opening or system (cfm) cfm ( ) (efm) (cfin) (inc�ies) Copyri?hf �2l)09 by the Revisar ofStatutes; S aYe oFR�[innesnr;,_ AIi R��t,r� R.��p.,,A,� 0 New Construction Energy Code Compliance Certificate Per N1101.8 Building Certificate. A building ceRificate shall be posted in a permanentiy visible iocation inside the Date CMllicah Ported building. The certificate shall be completed by the builder and sha111ist infwmation and vatues of componenu listed in Table NI 101.8. Maitlng Addresa atMc Dwdtlog or Owel� Ue@ �y, P� �O � �e 'J �/�- � E�.� cc.. FRIDLY NamedResldeatW Contrxtx M1V [.ieeateNmAer LANG BUILDERS THERMAL ENVELOPE Insulation Location s�.. � si$e Fa�a� wau Per�ieter of S�ab on G�de Rim Joist (Fo�lalion) R�m Joi� (1'� F7oar}) Wall Cdti�, il� Ceil�g, vavlted Bsy VVimdows er �rered areas Bonus room over garage Deac�ibe otLer � aress �. 0 d T F � 0 m � > 0 H Type: Check All That Apply � � a: �' � � = '" �° a° ^Q o `y� U' � � v � � 0� R� o V � ° T z� w o� w� o � � � U �'' � w � ° �° °�° � � � ti v z�� w w� a a Place your logo here �ON SYSTEM Passive (No Fan ) Adive (Wrth fcm and monometer or other system monitoring device ) r�� ;t,� x� +r+ bcation: iMeriar enterior or in bcation: interior exterior w ia lor�tion: iMerior exte�ior or �ndaws � Ooors 'ng or Codir�g Ducts Outside Conditioned Spaces Average U-Factor (exctudes skylights and oue door ) U: Not applicabie, alt ducts loc�ted in conditi�ad space Solar Heat C,a'm Coe$'icie� (SHGC): R-vatue ECHAN1�Al SYS�'EMS Make�p Air Selecr a Type iances xeating system Don�t;c water xeater c,00�;ng system IVot requirea per mech. code Fue1 T NATI!R�►L ELECTRlC Passive MaoaEactuser BRYANT BRYANT Powered I�iodced with e�sust device. �� saoAavoas� ao �� 3Aniaoss n�;�: �� 10{1,000 C�acitY in ouqna in 3 TON Q�er, de,ca��be: jja� pr �e STUS: Cralioas: T�s: He� Lass: 83,889 He� Gam I.ocatioo of duct or sy�tem: Structare's ('aleWated .4Ft7E or 92% SEER: 13 HSPF% �� 35,985 �` cootiog loed: C&n'S " round duct OR Mechanical Ventilation System ^ � �� Descrxbe a[iy addiGonal or contbinad heating or cooling systent4 if in4lailed: (e.g two fumaccs or av ColilbustiOn AI� Seled a Type urce heat pump with gas baelc-up fiunace)_ No[ rec�ired p� mech. oode Se[ecx Ty e Passive Heat Recover V�tilator (HR� Capacity in e&►�: Low: 45 Hi�: 96 Other, descnbe: Ener Recov� V�ilator (ER� ' in c&us: Low: Higfi: I.ocation of duct a system: Continuous e�fiausting fa�s) rated capaciry in c£nB: '" FLEX MECH ROOM Location of fa�s), desciibe: Cfm's CaQacity continuous ventilation ra[e in cfit�s: FLEX Building PLUMBING Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE� SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNERJ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: YOUR E-MAIL ADDRESS L�-�r�--" ❑ OWNER �. Permit No. f��i� �� Received By:�� D��'�1,�l��' � � ��. �- ADDRESS: CITY STATE ZIP 0 STATE LICENSE # [7 S X S 3� - f m EXP DATE STATE BOND �! �� I � EXP DATE ADDRESS: � 1 - �6 � � �ArL �`T �-- CITY % / T PHONE 2 � � - � - �7 t`� -r'i � FAX �� - T 33t �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE DETAILED DESCRIPTION OF WORK ❑ REPLACEMENT C( �i � (� STATE m � ZIP-�� ` `� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $�5.50. r �BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING I BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER � KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15} = DISHWASHER T LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION � WATER METER _ OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica ' for ermit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the c of o• whic uires review and approv f plans. SIGNATURE OF APPLICANT � PRINT NAME /�G�� G; ��r— DATE �"Z � APPROVAL INSPECTORS SIGN RE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 - - 1 �s-�s ,, . Building MECHANICAL Permit No.:�OIfTU 3 Iris,pections RESIDENTIAL APPLICATION Received By:� 763-572-3604 CITY OF FRIDLEY ��Q�'� 2010 763-502-4977 FAX EFFECTTVE �-i-ZOio DATE � '" YOUR E-MAIL ADDRESS Yi('(��(i Tt' ►) �s ��/hPCY) /1 ( D�1 �1 �` - �%✓� i- SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NpME: OWNER/ ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR COMPANY NAME: � � � SUBMIT A COPY OF CONTACT PERSON: �Q -�� YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS:�(��e,�!�SPl��'1 �"�'. �� CITY �f�yj � STATf�ZIP,��QC� APPLICATION } (/ tt PHONE 6L�Zi=-��C?'3�5� FAX ��P��'7�z � [ag -�i PERMIT TYPE �SINGLE FAMILY ❑ 1'WO FAn4ILY ❑ TO�NHOUSE TYPE OF WORK: � NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL ETAILED DESCRIPTION OF WORK � C �I� � FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUA J 2006 ASHRAE HANDBOOI{. ry� EquipmentInstalled ��,�Q,� MFG: ��r MODEL: �� SIZEBTU X(liDO � � C MFG: �ylly.syt_'i' MODEL: � iU�-O3�p SIZEBTU ��'ToN l.(,lt� �X� � MFG: (� f MODEL: f� l� D ��j�rp SIZEBTU l A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 � AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 �FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fixtures @ $10.00 x $10.00 = $ . � db Number of fixtures @ $15.� � x $15.00 = $ [ ` Number of fixtures @ $25.00 � x $25.OU = $�a da iVumber of fxtures @ $35A�i � x $35.OU = $�_ Sta,te Surcharge = $ 5.00 INIMUM FEE $40.00 Tota1= $ � t D O. THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the infortnation above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permi d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all rk which req ire review and approval of plans. SIGNATURE OF APPLIC PRINT NAME DATE — V APPROVALINSPECTORSSIGNATURE DATE PI.EASE NOTE: SEPARATE PERMITS FOR BUII.,DING; ELE AIr . . ,. T ,.,. . . � ' . .rN � � i ' . ' � . ' :�ot�sa�Cid' �Pn��lh' "°"e+.r�lao�. anrt�i�3i "j�$�Flt " . .. . . ' • _ � �. ' . 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' �ubP-�l;=�tSl4".t3�(k�.'A)z;��t�►�pu!,►joJ'�t�.�ffim:ia��!'i� : :� . � . -�- ��y� . . _ . .._. . ;. . � :.._. . . _ ... :....: .. _.--_..�.,�_-•-- ._..__..� . . _ . I� n C, �: t+'j r�sb�/�g.� s�:p�.��wot+R nse'Q�!►:�4Jdiisl'bS_ ''4' ' . �' ' �� - • � ��IHfl:L�B Z =�C�,s� "�'°��tti'�i� 3° 7w�"y�' . • 'S � � . � �.. !L . � �. �''�'�.��'tC� �"'=��ss'�� jo?r�9+S . �► . ^ : � ,. .. ::- .�,. .:..;:�, ,-, .. � �— , s.e's°p.�'s3� �' � . :' �sas��e'oFP��3";5s�..�: .-'�-:. ; - - � ; � . r(IN' � . ;,$, 33 � � .. -�v N•x �.�• .n. z �1 C s�s.�°pa�� e�s �a ss�j��. . � � � � - �. C�4L1 .__ ..___... : . — --- . . . � .H� r �enoa��qd:�.►.�!� ms�._.::,.. _ .. .,� �: . �. �i!4:!�p�t;t,: :. : . ��P��t .�01�!9:`a�? . .< . , ..�. _. .,.:., ,_ . :::�.._�� _.�: :::�:.:��:-. ::_--:� � ,� 4...�a-r�%t � � '�, .3r�tti�d �• � �,+, .....,��. � � ��:Q�.��,.��. . . .. . . �Y��:�,� �.-'.'_�� . ' • . - . . .� � SIiT0�3'iE �.� :'''�� B�I+i�l�O�i��b0`L:i�'g2I�Q��"., � _ ... '__ . �...� G � '��L� .�ajG �tosa . ti�.a,�„+3 •� ` ,' ��o.t.ati'�a.�i� �,+ut� . . .� . t� i �'► �'�_ . �Ya �:!1!� . 1 '1�` � � a �� -:. � �is�tc�+r �:cs . : . � � �.�313S}T�At� �t'O�I:�;Y'�ft�'i1�� 33�'h�3�� . - �� . . . • . .. �� ... r� �-�Y � �.Liyv . � ... • r..Y • _ � � .�. . ... r..�. . . 0 . � i _ . . �, . _ �, - . `'. ` . MNcheck CObfPLIANCE REPORT Minnesota Energy Code t�NCfieck software version 3.fl couamr: �►noka STATE: Minl�eSOtB ZONE: 2 [ONSTRUGT20N TYPE: Single Family DATE: 7-16-2010 DATE OF PLANS: 7-7-2010 TITLE: #tL-1OQ12 PRO]ECT INFORMATION: RANQY YA7CHERTHAQ 62fi0 ALDEN WAY FRIDLEY. MN. 55432 GOMPANY INFORMATION: LANG BUIL.DERS, INC. COINPLIANCE: PASSES ttequi red un = 569 Your Haae = 408 28.3� Better Tfian code i 1 � � � Pe�nit # � 1 I 1 I � Checked by/�ate I I I Area or Cavity Cont. Glazing/DOOr Pericneter R-Vaiue R-value u-Value tiA ---------------------------------------1760 ---44.0 ! 0.0 CEILIN65 48 WALLS: Wood Frame, 16" 0.�. 2772 19.0 2.Q 155 ssMT: Conc. 7.5' ht/7.0' bg/7.5' insul 525 10.0 0.0 32 BSMr: Conc. 4.0' ht13.5' bg/4.0' insul 326 10.0 0.0 25 GLqzI�: windows or poors, Above Grade 300 0.350 1Q5 G�AZING: windows, Foundation, > 5.6 ft2 4 Q.350 1 G�AZIt�G: windows, Foundation, <= 5.6 ft2 10 0.350 3 pppRr 63 0.350 22 FtoORS: over uncond�tioned Space 320 30.0 0.0 11 FLOORS: Over Outside Air 192 30.0 0.0 6 NVAC EQUIPMENT: Furnace, 92.0 AFUE HVAC EQUiPMENT: AiP Conditioner, 13.0 SfER COMPLIANCE STATEMENT: The prvposedlbuiiding design described here is consistent with the building plans, specifications, and other calculations submitted with the perm�it application. 'rhe proposed building has been designed ta meet the requirements of the Minnesota Energy tode. Builder/�esigner �tp . •A ± . ° I�ew Construction Energy Cade Coe�nptiarwe Csr 'tdicate PerN1101.8BuildiogCeAificate_Abueld'mgcett�tcsigiit�epeStediasp�aEtyvia�bleinntimisadeihe DaaCM arnuoe building Theartifie�eshaltbemmpletedbythebu3dermdsLe}lintie�ffnmetimandvstuesef� listed in Table N1101.8_ Mai6ogAilress af W DrreY�yarDwfitOrt P %� lt L1 GL � I.V �t. FRlDLY NamedRecldee�YlCwYsdr 1Q113�rTJ�Uer LANG BUtLDERS Insuiation Location Bde�r%tirs Sie� Fomds�toa Wii P�rdr.rafSLtia� t�aic Rf�a Jo�t {go�) Biee3eld (1� I+fs�rf) w� �� Bsy �Yi�isws er ea�ie*ae! aneas Boaos i+oam over �ar�e D�sibe ell�eri�ni�fai a�eas 1A1'uidorrs � Doo�s 0 Rat� or �ue 3teaet�re's Caie�atd i .""r^ i Type: Cf�edc lW That Appfy 0 0 � � � � � � � � � � 3 � � � � ' � .� `° � = g s v °�� o � � a $ � � � Ptace your logo here : (With fan arrd morrometer or system monitoting device ) r Pfeasc DesaFbe Here ix toeation: intecior ae4erior w � ioc� inoerior e�0eriw or or Coa�g Du�ts Ou� Conditioned awd cvne daarj U lYot atl duds Eomtod ffi aoo�tioaed speoe R-vslae Make�up I Ur Sete�ct a?ype H�tiog Sy�tem Domeriic Wates Hester Codiog Sj+� reauu�ed Der mech. c�de Tuii�� :YANT � BRYANT 11�At�AD36 �g m 3 TOl� Mechanicat Ve�ation S�latan Describe aauy additionai ar oambmed 6� or 000fmg syatrms �u� (�g two fim�sces or sir �ounx heat puo� aril� gps b�c�c.up �nmoe� Seteet T K Heat Recov� V�7etar (HItV) " m c� ivw� 5 Reoova Ye�tilator jERVj " ia cfio� Lav: Coraiauaus faois)rated � inc�Z tA�c;�� $�a�«� CaQacity c�tinuous ventiiatia►rate in � ,*�,� :,*� Inadioa of dud or system: Cbou"s "muod �d OR � NEfB� dUd ustion Ait Sele� a Type Nat mquaed oermerL. oode �sliaa ofdnt� a syslem: FLEX MECH ROOM r Building MECHANICAL � Inspections RESIDENTIAL APPLICATION �63-s�2-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTivE�-i-zo�o DATE ' YO R E-MAIL ADDRESS � C° � SITE ADDRESS _� � c� i(,� THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: TENANT PHONE: CONTRACTOR COMPANY NAM �I SUBMIT A COPY OF CONTACT PERSON�.�g^ YOUR STAT� STATE LICENSE #� LICENSE WITH ADDRESS:� APPLICATION r/ PHONE [ � ' PERMIT TYPE �SINGLE FAMILY Permit No.: I U U UJ ( ��d �� Date Rec'd: o ' � e� CITY �C'C �" � �5�� EXF DATE . � '- � 1 �� I FAX '� 1�11 �'" " 0 I �l T�� , Q ❑ TWO FAMILY TYPE OF WORK: � NEW ❑ REPLACEMENT OF WORK ; )P'T� � ❑ TOWNHOUSE STATE ZIP STATF�ZIP, O ALTERATION/REMODEL ..� � .r � l �. (n ..� �..�- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELO� PROVIDE HEAT LOSS CALC'S PER MANU L J 006 ASHRAE HANDBOOK. Equipment Installed MFG: �O MODEL: �� SIZEBTU �� ' MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU _A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS LJNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 ��VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply ' ing 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 of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an a 'cation for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case f 1 w rk which req ' es revie an pproval of pla . � f p r"� SIGNATURE OF APPLICAN PRINT N E �i T�=�DATE —.7 � � APPROVAL INSPECTORS IGNATURE ,i�% DATE � �� / 6 � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 J _ _ CITYOF FRIDLE,Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTD/TTY (763) 572-3534 October 6, 2010 Lang Builders Inc 620 Civic Heights Dr Circle Pines MN 55014 Re: Final Inspection at 6260 Alden Way NE, Fridley, MN Permit # 2010-01117 To Whom It May Concern: A final inspection was conducted on October 6, 2010 of the new dwelling construction at the above noted address. The inspection found that the construction has been completed in accordance with the approved plans and is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 763-572-3603. Sincerely,