AF - 42002�i
Ca.ty of Fi-�.d1ey, Mi.nn.. ` 12 0 4 6
6431 Univeraiby Ave. N. E., Minnea�lis, Minn. 55432
BUILDING PERMIT
��; Feb�cuarv 27, 1973
p�; _Greg T. Shipahock g�� Castle Homes Inc.
,Add�ts Address 7913 01d Central Avenue N.E.
�ocATia�v oF Buo�DeN�
No 8071 s�t Fairmont Circle N.E. part of Lot
I.ot 9 8iock 2 Addition or Sub-Division �oupdea � a SBri,ng B�ools
Ct�rner Lot inside Lot X Setback 36 � 6" Sideyard 5' & 28 °
�/.E:levai3an �.e ��. I�ot%�i��t���d�v4ii6�i/ See Man
��pjyp Tou of Footin�
DESCRIPTION O� BUILDING
To ]� vsed as:
.,Dt��� l� nd_____r F'ront � Depih 28 � Height 20' Sq, �, 1344' �, �, 23. 520
.G��� Front 22 � 2" Depth 24 t 2" Height 10 � Sq. Ft 537' Cu. Ft 5. 328
� op ���� Wood F�came �, �st .$29�.999 To be Completed Ju1yz 1973
.. -
Stipulations: Provide a hard surface driveway. Provide a verifying survey before
capping. Approved as per Council Meeting on Feb. 26, 1973. $275.00 SAC charge paid.
WATER LOCATION: See Ma.p SEGTEIt LOCATION: See Ma.p
In considerai3on of the issuance to me of a perrmit to construct the btulding described above, I agree to do
� proposed work in accordance with the description above set forth and in compliance with all provisiona oP
pldinances oP the dty of Fridley. „ , ,_ n
14.99 State Surcharge
In consideration of tbe payment of a fee of $ 54 _ 00 , permit is hereby granted to • s t� ji�m_ -�s,. Inc .
to construct the building or addition as described above. This permit is granted upoII
the express condition that the person to whom it fs granted and his agents, employees and worlflnen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances oF
1'rYdley, �linnesota. regarding location, construction, alteration, maintenance, regair and moving of bwlltliags
��� city limits and this permit may be revoked at any time ,pon violation of any of the provisions oE 88id
,
� BuildinE Inspecto�r
'nARRF.T. f!T.ARK -
N0710E:
�ais permit does not eover the wnstruetion, InatallatPon for �erfring, plum6ing, gas 6eating, sew�r or water. Be auro to soe
ths Building Inapecto� fo� aepa�ate permits fo� theae itema �`"
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'�' c�� �" '�'�� �'"�� ����''��� I hereby cercify thac t h i s sur�•eY, Plan o r
�� 1� �� ��+�' � b'"++ r.: report was �►repatcd by me a r vnder my direct
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AP.��TC��I�� ��� R$�IA���T��, �+��R�►TI��,
�� 4�A�TiON ��ILDT�G ��I�N1T�
C;�T`X (JF F1ATA�.,�Y'e M�NIVF•SQTt�#
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QW��S Nl�E:��o�_��.���,�y��ioc � BUIL�?ERa �,.,iAs7' P �0 �rS �!+��,
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�R LOT: �� T�OT:,, , S$TBACRt SIDEY�IiD:�,�,��,
,����� �#,�t� ���+� io Certi�i.cates of Suzv@Y of Ls�t axtd prop�a�ed
�,�.t�3� �.�catio� d� c� t�ese Certificates,
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i3�5�I��PTIQiV OF BUILDING
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� s����'ted herebp �s a�1�c�Civu #or, a pe�t fQ� th� wprk �i�reia�
#p�i,�#..etl� ag�ee;Lag� tv da a�1 i���rk �a stt;ict aacordance witY� ths +�3.�r s�
�'i�.�d8.�' tlx4�ps�ces �d s+t�.i�� �f �e Ae#+ari�ten� qf Bui.�d:�.n��, �t1 �e=eby
d�,s$,�� � all the �$cts �d r�reseata�3.o�s �tated ��hie ap�I�,catiaa
�'� �liL.' � CDiTeC�'y .
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--BU����N� PERMIT F�� ��H�AULE
����ON �. �'h� I�s�ec�o� pf �u�ldin$s shal�' befpx� �esuiag pernnit� for the
�����ion o� a�y building p� structure, ox for a.ny addition to any �is�i�g
��i�d3�,� o� s�zuC�ure, ox fo� any alteratioxx or repairs to any exi�ting
��:����a9.� o� stxuc�uxe, upon �pp���ation the�ef�xe, requ�re the paymemt by �ite
���11��� �px such pex�nit o� �ees t:o the �mount herein below set �Ar�h �d ��
�'�� ��,a�� he�x��� p�c�v�.ded � �c��wwi� s
UI►Td]FORM �U�LIIING �OAEs �pe �.�, 2 & 4 - $2.�5 �or each �ae t.I�iousa�nd cubic
�e�t� p� ��actipn th�7��a�, in �uc�► cubical con�ents. �ype 3& 3-$�..8�5 �o�e
�+c,b o�nQ �ousand �abic ��e�,. .
��DiT�ONA� �NF��tMATION
Fo� ��: pu�pQ�e of c�npu��u� fees for building permits, the cubical contents
o� �cy building or addition, i� deter�ai�ed by mui�$.ply$n� �he �xound area
�ov+e�'� �'pm a p�i�� �f�x (�ij i.n�,�ies below the floor line �� the basement
t� i�e �C��la� �o Ci�e average �eights of the upper surface or to the averag�.s
��t �s!� �e �oo� �e�face a� �1te uiaiA �ab�.e pf ,a pi�ched xoo�.
?�' �4ix^s ox' Ri���a��-oa�� � aaz existin� $���ey �ae f�e si�a�l. be �� �h�
"���� o� $3 s Ofl #�x' s�h f�v� h�da�ed dol lar� {$�004 QO) .� f��t�.a� the,�so� �.n
��+ ca+�g ,a� �al� �a�ca�ssed wo�'�C.,. . -
I� � cat� sh��l �#� i�,e� fo�c �y pe�it as set fo� �Cu Se���,o�a 2 ba
� �r�n $S.t�A. _
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V���I�l�TiQja1 0� ��9�TNAATIDN
�� Ps�its �o� �cr�s�����iaa wil�, be i��ued a�iC� o� �4 hnurs ��am �Iae
� a.� �pp2icat#.c>r►, �c a��cxw fox prage� rev�ew af �he �xapo��d a�xu��,re �d
p� �e �st,�u�tion �i�e.
'' ��C���i� fu�� v� �i.�e 3.�� ��ix►� t� �.ocati�a Qf Gh� �ou�cla�tia�, o�� �,t
�aa� ����t.+edA wiil � ze�uir�d b�€ore �srar.eedin� w�.�hh � fr�af�g.
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Ci�1��'�F��A�'£ Q� f��1�P�i1V�Y
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�o fihe ��e ��r �c�upa�e� a� ���rkec�nre €�r which a bu�.ldia� �ex�aa�� has b��rt
issu�d; �tttd sa�f.d st��t�� �ital�, �ot 6e used Q� occup�ed ustil a Ca�gifi.cate
af p��uga��y h� b�t �s+��.
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HEAT`LOS\S CALCULATIONS � °� � "�VIIftlN�'APOLIS MINN.
p H EATING � AIR� �°011��ITIONING CO. 1 -
Weatherstrips A.S.H.V.E. Construction No. Insulation
Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind HowApplied
Reference
Yes—No Yes—No 19
FI�( ��' Room Length Width Height � FL � J—C Room Length �� Width /o Heigh
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
No. Width Height No. of Lineal ft. Area No Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq, ft. of pa/ne of pan`e lights of crack sq. ft.
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Exp. wa I I
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Tota I Btu
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Window and Doors—Crackage and Area
No. W�dth Height No. of Lineal ft. Area
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Net exp. wal
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Ceiling '
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Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �
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Windows and Doors—Crackage and Area
No. w�dth Height No. of Lineal ft. Area
of oane of oane liahts of crack sq. ft.
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Infi Itration
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Exp. wa l l ��
Net exp. wal I
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Total Btu.
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Width Height No, of Lineal ft. Area
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HEAT LOS3 CALCULATIONS HEATING � AIR,CON�TIONING CO. MINNEAPOLIS, MINN.
VYeatherstrips A.S.H.V.E. Construction No. Insulation
Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Reference
Yes—No Yes—No 19
FI. � Room Length � Width � Height FI. Room Length � Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
No. W�dth Height No. of Lineal ft. Area Width Height No. of Lineal ft. Area
of ane of pane lights of crack sq, ft. NO' of pane of pane lights of crack sq. ft.
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iotal Btu.
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I. j,� Room Length Width � Height
Windows d Doors—Crackage and Area
No. Width Height No. of Lineal ft. Area
of oane of oane . liahts of crack sq. ft.
Infiltration
Glass
Exp. wall �
Net exp. wall
Int, wall
Ceiling
Floor
Total Btu.
a�
Coef B tu
Infiltration � � �
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Net exp. wa l l Q o,1° Q�Q
Int. wall.
Ceiling %� �/� °�(�
Floor /� � �
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�FI. Room Length ,� Width Height
Windows and Doors—Crackage and Area
No. Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
B tu Coef B tu
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Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room Length Width Height FI. Room Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
No. Width Height No. of Lineal ft. Area Np Widrh Height No. of Lineal ft. Area
of oane of oane liahts of crack sq. ft. of pane of pane lights of crack sq. ft.
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Floor
Total Btu.
Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area
Bt�
Infiltration
G I ass
Exp. wall
Net exp. wall
Int. wall.
Ceiling
Floor
Total Btu.
Required Sq. ft. E.D.R. or sq, ins. W.A. Leader area
Bt�
� 560-3450
,
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� �
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE May 24, 1973 FRIDLEY, MINNESOTA 55421
Mr. Da.ve Rotter
Castle Homes Inc.
7613 Central Avenue N.E.
Fridley, Minnesota 55432
Re: Properties Abutting Spring Brook
Dear Mr. Rotter:
This letter is to confirm our.conversation with Mr. Roy Lund in which
we informed him that granting building permits on properties along Spring
Brook does not obligate the City to maintain this waterway. Care should be
taken in grading the rear yards in such a m�nner th.at erosion will be
minimized.
If you have any questions, please feel free to contact this office.
CJB/mh
Sincerely,
� ,���
,
CE J. BELIS
�
Building Inspector
0
HOUSE HEATING TEST RECORD D-2037?
ADDRESS 8071 Fairmont Cir� APT. FLOOR CITY SUBURB �idley
OCCUPANT Greg. T. Shipshock 01NNER Yea
HEAT LO55 DATE HTG. INST. GAS C0. METER BADGE
SOLD BY INSTALLED BY edg�eick Htg.
i�
Elsetrical Work By Gas Line By
TYPE OF HEAT GA � FA x HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE Williameoa MAKE OF BURNER
Model 1117-10�5 Model
Serial 7303337 Max. BTU Rating
INPUT 100'000 Btu Hx'. MAKE OF FURNACE
Modei
CONTROLS
THERMOSTAT �7f Heat Plu Vent Size ���
Valve M•g• ��OC KIND OF LINER Alnm. SIZE 6�� NONE
Limit Robshaw Rl� 75Q Draft Hood VePt1c81 Ragularor M�xi tTnl R2.ri_�
LimitSetting 200�f Filters Sizelg�� g 25" P�lumber �
Fan Setting 90°f & 120°f Chimney Location Inside Ye� Outside
Pilot Type �ouple Chimney Construction Metalbe�toc
Pilot Make
Pilot Model
Smoke Bomb
Pilot Timing 61 Secouds Draft
L.W. Cut Off Door Pressure
Wiring
.Test Tag 1'e�
Lighting Inst. Yeg
Pressure 4,6��W.C. pereentCO 8•��° Date Tested 10�3�73
Input CFH 99 Parcent OZ 7• � e Company Testing CO b s
O 2
Staek Temp. 540 f Poreent CO �•���° Name of Tester
Form 235
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FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UrTIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
January 25, 2002
Ms. Beverly Shipshock
8071 Fairmont Circle NE
Fridley, MN 55432
Re: Final Inspection at 8071 Fairmont Circle NE
Contractor: Norblom Plumbing
Dear Ms. Shipshock:
A plumbing permit was issued on April l l, 2000 to install a water heater at your
address. According to Section 4715.2800 of the State Plumbing Code, a final
inspection shall be conducted on the work authorized by this permit. As of this date,
no final inspection has been called for.
The pemut fee that was paid covers the inspecrion to make sure the work was
completed according to the Code. We will keep your permit open for another 30
days and if we do not hear from you within this time to set up the inspection, we will
mark the permit "no inspecrion called for" and take no further action.
To set up the inspecrion or to have any questions answered, please contact the
Building Inspection Division at (763) 572-3604. �
Sincerely,
DAyJE JENSEN
By�ing Inspector
DJ/mh
Building
Inspections
763-572-3604
DATE
BU�II,DING
RESIDENTI�L APPLICATION
CTTY OF FRIDLEY
YOUR �MAIX. ADDRESS
Permit No,
Received By:
S1TE ADDRESS
THIS APPLICANT IS: ❑ OWNER CONTRACTOR '.
PROPERTY OWNER/ N,�:
TENANT . ��.,.,,,,, d'\ °'1 ► _ aes v � h: _ �_ ... � � ► __ . �..._�_ � '].!�
CONTRACTOR
SUBNIIT A COPY OF
YOUR 5TATE LICINSE
WITH APPLICAITON
PROPERTY TYPE
PERNIIT TYPE
�rYrE oF wo�:
STATE LICENSE
PHONE (J�IOI' 7.�1' ( ���
❑ SINGLE FAMILY/NEW CONSTRUCTiI
❑ TWO FAMILY/NEW CONSTRUCTION
❑ BASEMIIVT FINISH
O DECK
i❑
DESCRIBE WORK BEING I
SIZE OF IMPROVEMENT
NUMBER OF SQUARES _
GARtl.GES
PROPOSED S1ZE:
PROPOSED HEIGHT:
SID
❑ Vinyl
❑ Alumintim
� Other
NEW
r•n
E}CP DATE
FAX
0 DRAIN TILE
-- -- � t3�iffit -- - — —
tG POOL
N
LING
�J' , ,
WIDTH HEIGHT
❑ HOUSE ONLY
❑ HOUSE 8c GAR�GE
❑ ATTACI�D GA�tAGE
❑ DETACFIED GA$tAGE
OSoffit
❑ Trim
❑ Fascia
wn�mows
IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOW�
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLID NUMBER OFI\
ALL FEES ARE BASED ON VALUATION, INCLUI�I
TOTAL JOB VALUATION
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License 5urcharge
SAC Chazge
Curb Cut Escrow
Erosion CoMrol
Park Fee
Sewer Main Charge
Total Dae
BASEMENT REMODELING SUBNIIT:
1. Existing Floor Plan
2. Proposed iloor plan
3. List of struchual members to be used
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & FORCHES SUBMIT:
1. Site P-lan/Survey showing Ure existing structures
and ProPosed P%jcxt
2. Two sets of construction plaos
3. �e�gy cat��taaon�
�1G TI� COST OF LABOR AND MATERIALS:
FEE SCHEDULE)
OCCUPANCY TYPE
$/53.o�3S ScelBack Page for Fee Schedule
$ 65°/p of Building Permit Fee
$ �_p� .00Ij times the total job valuation
$ s�L (}� .00qS x Permit Valuation Minimum $.50
$ ��� �fjj $5.(�0 (State Licensed Residential Contractors)
$ $16'�5 per SAC Unit (Plans to MWCC for determination)
$ � ft+6ft= ftx$21=$
$ $45(1 Conservation Plan Review
$ Fe.e �etermined by Engineering
$ A�� ent necessary () Non Ne�sary ()
�/ �/ �. 2� Make checks uav$ble to: Citv of Fridlev Attach
THIS IS AN APPLICATION FORIA PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acl�owledge that �e information above is complete and acxurate; 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�mut and work is not to stazt without a permit; that the work will be in acxordance with the approved
plan in the case of all wor h,r revi d approval of plans.
SIGNATURE OF APPLICANf��, '1;��' 1��. P�tIN1' NAME���, �`��re� DATE �� ��i �� '� W�
� Cf �� From: City of Fridley To: 952-881-4491 Page: 213 Date: 8/1/2006 9:25:40 AM
Building MECHANICAL P�it No.:�
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY �f'�°I��
DATE ���/�D
SPl'E ADDRESS ��
THIS APPLICANT IS:
u
PROPERTY N�:��
OWNER/ ADDRESS:�
TENANT �� � �
nvn�rc•
CONTRACTOR
SUBMIT A COPY OF
YOURSTATE
LICENSE WITH
APPLICATION
PERNIIT TYPE
CTfY
ATE ZIP
COMPANY NAA�:
CONTACT PERSON: ,�g.q � 1AJe� eF� n�� ��i�� /l.... �. _ �
STATE LICENSE # . ' nA �_��� �'�
�.
ADDRESS: � C1TY STATE
PHONE FAX
�INGLE FAMILY 0 TWO FAMII,Y ❑ TOWNHOUSE
TYPE OF WORK: I��W ��LACEMENT ❑ ALTERATION/REMODEL
�
DETAII.ED DESCRII'TION OF WORK
ZIP
PER MS 16B.665 the permit fee is a minimam of $15.00 or 5% of the total cost up to $500.00, whichaver is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This ahould reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEIDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (II�TDICATE TOTAL
NiJMBER OF EACH BELOV� �/�1, �,—e5-r��
Equipmerd Installed MFG: MODEL: SIZE/BTU ! V, lJ�'c�
MFG: MODEL:
4/ MFG: MODEL:
V A/C $25.00 FIliEPLACE (GAS) $15.00
_AIIi TO AIIt EXCHANGEER $1 S FIREPLACE (WOOD) $35.00
BOII.ER $35.00 �/F'URNACE $35.00
CHIMNEY LINER $10.00 GAS DRYER $10.00
DUCT WORK $10.00 GAS PIPING $10.00
SIZEBTU _��
SIZE/BTU
GAS RANGF/OVEN $10.00
NEW GAS GRILL $10.00
GAS UNTf HTR $10.00
POOL HEATER $35.00
VENTII,ATOR 515.00
Parmit Fae $ /D�. (%U Number of fixtures (u� $10.00 x $10.00 = $
Surcharge .50 Nus�nber of fixtures (u� $15.00 x$15.00 =$
TOTAL DiTE $ Number of fixtures (a� $25.00 x$25.00 =$
Number of fixtures (a� $35.00 x $35.00 = $
State Surcharge = $ .50
Tota1= $
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building pertnit and I aclrnowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City f Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and rk is not to start without a permit; that the work will be in accordance with the
approved plan in the case of al rk which reqy�res r iaw and approv� of plans. � ,
SIGNATURE OF
Chty of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
� From: City of Fridley To: 952-881-4491 Page: 3/3 Date: 8/1/2006 9:25:41 AM
O
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS �XISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Co�bastion A�-(�'se� no� be�ew)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.ObQ3.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.
,.
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