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HomeMy WebLinkAbout2007-P11170 - mechanical PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11170 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 6/26/2007 SITE ADDRESS: 85 Old Crystal Bay Rd S Unit# Long Lake,MN 55356 PID: 04-117-23-21-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 336.26 Valuation: $ 26,901.00 State Surcharge Fee: $ 13.45 TOTAL FEE: $ 349.71 APPLICANT: Palo Companies,Inc. OWNER: Scott&Michelle Miller 14208 Hwy 12 SW 85 Old Crystal Bay Rd S Cakato,MN 55321 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. itiL0 n APPLICANT PERMITEE SIGNATU'' I,SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY City of Orono (( ((�� n i /jf .- -.0 P.O.Box 66 Date Received: (Q` '"'Permit# { ill I OD [; �`i7 2750 Kelley Parkway Amount$: ,I, I., h, Crystal Bay,MN 55323 Approved By: cAelin `,,,01' (952)249-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION i. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT II (Check All That Apply) [Residential ❑Commercial(Approval Required) Er New ❑Additional ❑Repairs ❑Replace Job Site/Owner Informaon: Site Address: Fs S6 4-, clic( erTrkszaireti Owner: Jia 1 or,o- Lc I'Y1-((L1-1 Mailing Address: City: 0I0 ,0 Zip: �'S3Slp Home Phone: 9r,7. .4-04 -1-45`1 Alternate Phone: Contractor>Information: Contractor: Pa.t o Ooryttlita (rtC Contact Person: 31412111-uu_.1-1.0t- a sc, 0 Address: I LW}()g ILS iituti I f(c Y\I State Bond#: niefriNia3 31.64 City: 1161 t, Zip:�J321 Expiration Date: 5-i 3-o' Phone: 320.2g Q Le(33 Alternate Phone: Insurance-Current: 1 • HEATING SYSTEMS Quantity: o� 1 Make: Lnkwq- TherotolFC Model: trj rnP-tqC-t c lith-111 Fuel: ca(Ac fC E�r� K.. Flue Size: c2 u 11 Input BTUs: b 1000 Output BTUs: '3, wv I z e_lt) CFM: 1440-10- d-730 COOLING SYSTEMS Quantity: I 1 Make: Lenny Lectin t Model: XG 13-D3(p•2.3O X0-1--,/)-04-2.236 Tons: ,' 3.5 H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. ( Other Fans: Locations H RI -3c c' .7 'c cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY O Outdoor Grill ❑ Other/List What&Where: 2 ', PE MT w. E CALCULATION "k ."<4. h..; l3ASE . -2002 STATE STATL ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ I '. '. Ili ` .',:. ''IOM(S)-JOB '.. I If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) ar,4101.00 x.0125 $ 33(r).2(o (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) 262401.00 x.0005 $ 13.45 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -1-30- 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 34-1:1 I / • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. • ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. I MEQ.{'i C „� APPLICATION a ;6 The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. I Applicant's Signature: -i SPAr ,ert) Date: /e-tt67 jfL@ 101 , ' MINNESOTA DEPARTMENT OF twITORT AOBPARTMBNTOPBOR&INDUSTRY &INDUSTRY Construction Codes and Licensing Division Construction Codes and Licensing Division Commissioner of Labor and Industry Commissioner of Labor and Industry Has Received and Filed a$25,000 Surety Bond, Has Received and Filed a $25,000 Surety Bond, As Required by MS 326.992,for Work Regulated by the State Mechanical Code As Required by MS 326.992, for Work Regulated To: Edward Lehto Bond No: GRMN23365A by the State Mechanical Code Palo Companies,Inc. MB ID: 01345 Effective Date Expiration Date To: Edward Lehto Bond No: GRMN23365A 5/14/2007 5/13/2008 Palo Companies,Inc. MB ID: 01345 • 14208 US Highway 12 S.W. Cokato MN 55321 Effective Date Expiration Date 5/14/2007 5/13/2008 MBFormRC • PALCOI ArrORD. INSURANCE BINDER °ATE 05/17107 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER PHONE 952+944-8790 COMPANY BINDER# (A/C,No,Ext): FAX No); 952 944-0097 Selective Insurance Comp S1818757 A. Price Agency, Inc. DATE EFFECTIVE TIME DATEXPIRATION TIME o640 Shady Oak Road X 12:01 AM 05/22/07 12:01 X AM 05/22/08 Suite 500 PM NOON Eden Prairie,MN 55344-6176 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY CODE: 22015 SUB CODE: PER EXPIRING POLICY#: AGENCY 22402 DESCRIPTION OF OPERATIONSNEHICLES/PROPERTY(Including Location) CUSTOMER ID: INSURED Palo Companies, Inc. 14208 Highway 12 SW Cokato, MN 55321 COVERAGES LIMITS TYPE OF INSURANCE COVERAGE/FORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS Blanket Building&Contents $500 AA $388,770 BASIC BROAD X SPEC Business income& Extra Expense Actual Less Sustained GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAGE TO X COMMERCIAL GENERAL LIABILITY RENTED PREMISES $100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $10,000 X PD ded-$1000 per PERSONAL&ADV INJURY $1,000,000 occurrence GENERAL AGGREGATE $3,000,000 RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMP/OP AGG $3,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ _ ALL OWNED AUTOS BODILY INJURY(Per accident) $ _ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS MEDICAL PAYMENTS $ X NON-OWNED AUTOS PERSONAL INJURY PROT $Statutory UNINSURED MOTORIST $1,000,000 Underinsd $1,000,000 AUTO PHYSICAL DAMAGE DEDUCTIBLE X ALL VEHICLES _ SCHEDULED VEHICLES X ACTUAL CASH VALUE_ X COLLISION: $500 STATED AMOUNT $ X OTHER THAN COL: $50Q OTHER GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ • AGGREGATE $ EXCESS LIABILITY - EACH OCCURRENCE $2,000,000 X UMBRELLA FORM AGGREGATE $2,000,000 OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $0 X WC STATUTORY LIMITS WORKER'S COMPENSATION E.L.EACH ACCIDENT $500,000 AND EMPLOYER'S LIABILITY E.L.DISEASE-EA EMPLOYEE $500,000 E.L.DISEASE-POLICY LIMIT $500,000 SPECIAL FEES $ CONDITOTHER IONS/ TAXES $ . COVERAGES (See attached Spec Conditions/QtherCpv§.page.) ESTIMATED TOTAL PREMIUM $ NAME&ADDRESS MORTGAGEEADDITIONAL INSURED LOSS PAYEE LOAN# AUTHORIZE RE ENTATIVE T"Ci ' I ACORD 75(2001/01)1 of 3 #6957 NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE JMK © ACORD CORPORATION 1993 SPECIAL CONDITIONS/OTHER COVERAGES (Cont. from page 1) Property Enhancement form CP 7565 included. Systems Power Pac form CP7551 included. Contractors Scheduled Equipment-$37, 000/$500 Deductible Contractors Unscheduled Equipment (maximum of $1000 item) -$25, 000/$500 Deductible Leased/Rented Equipment-$15, 000/$500 Deductible Installation Property-$50, 000/$250 Deductible Employee Dishonesty included in proerty enchancement form CP7565-$25 , 000/$250 Deductible General Liability Elite Pac form CP7202 included. Employee Benefit Liability-$1, 000, 000 each claim/$2 , 000, 000 aggregate all claims/$1000 deductible . Retroactive date : 5/22/07 Auto Elite Pac form CA7735 included. Drive Other Car and Broadened Personal Injury Protection for Edward and Harriet Lehto, Timothy and Kimberly Lehto, and Matthew Lehto. Contractors E&O-$500, 000 per claim/$500, 000 aggregate-$1000 Deductible AMS 75.4(2001/01) 3 of 3 #6957 Date: 5/15/2007 Revision Date: 5/15/2007 New Construction Site Information Address 1: Project#: Miller Address 2: Lot: Block: City: County: Subdivision: Application Information Business Name: Palo Companies, Inc MN Contractor License #:5693PM Contact Person: Ed Lehto Office Ph: 320-286-6133 Fax: 320-286-3230 Cell Ph: Address 1: 14208 US Hwy 12 SW City: Cokato State: MN Zip Code: 55321 House Details Square Feet: 6000 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 5 Ventilation : Balanced Total Ventilation Capacity : 236 cfm. Minimum Continuous Ventilation :90cfm. Intermittent Ventilation: 146 cfm. Combustion Appliance Water Heater: NA Furnace/Boiler 1: Direct Vent/Sealed Combustion Input BTUs: 100,000 Independently Vented Furnace/Boiler 2: Direct Vent/Sealed Combustion Input BTUs: 100,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): One Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 75 Next Exhaust Fan Rating(cfm): 100 Make-Up Air Total Make-Up Air Required (cfm): 5 Passive Make-Up, Round Rigid: 3 inches or Insulated Flex: 4 inches Combustion Air Minimum Combustion Air Requirements Have Been Met. Applicant Name (print): 13 1£1-7"." Signature/Date: i Code Official (print): Signature/Date: ©2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 Part B. DEPRESSURIZATION PROTECTION Check option used: ❑ Fuel burning equipment (complete schedules below) ❑ No fuel burning equipment I INSTRUCTIONS +i A1(r�" -U? IR SCHEDU:E* Step 1. Complete the Combustion Equipment Schedule below. Only equipment Exhaust"devices ovef" b0 cfm Flow with a Y(Yes)may be selected under the"Category 1"alternate. cfm Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power cfm vented or solid fuel atmospheric vent space heating equipment is selected. cfm C01%0 TION,EQUIPMENT SCHEDULE }} ;; (check al types proposed) Space heating—nonsrilid fuel ❑ Sealed combustion Y Hearth''— nonsalid fuel` ❑ Sealed combustion Y ❑ Direct or power vented Y* ❑ Direct or power vented Y Atmpherically vented N Atmospherically vented N Water heating-nonsi lid fuel ❑ Sealed'combustion Y Space heating-solid fuel ❑ Atmospherically vented Y* ❑ Direct pr power vented Y - ,Water heating-�= olid fuel . ❑ Atmospherically vented Y Atm'' herically ver#ed N Hearth—solid fuel ❑ Atmospherically vented Y * If atmospherically vented sal id fuel or+ .- or power verted:honsol)d fuel space heating is installed,then"make-up air to match flow is required for each individual exhaust device wilt exceeds 300 cubic feet per minute. Part Ci. VENTILATION 1. VENTILATION QUANTITY (Mecham . entilation"trust be provided per the larger •quantity calculated below) r 5 I Do U cubic feet x ©.0051 ! !;note 3�� , cfm ( x 1S efmlbeslroom}+I5 elm q I) cfm, volume of habitable rooms ' <22<number of bedrooms.. : VENTILATION FAN SCHEDULE Check methods)proposed -� ❑ Exhaust onl C�Balanced heat recove ventilator,air exchan_er,eta Fan+ cr ptio or ca tion TOTALS VENTILATION Intake cfm cfxn cfm cfm cfin AS DESIGNED Exhaust cfm.._ cfin cirri cfm cfm Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant(print name) Signature Date Telephone number I Part C2. VENTILATION (Submit Part C2 upon completion of system verificationt) X Job Site Address: Permit Number Fan description or loco ion TOTALS MEASURED Intake " cfm cfm cfm din cfm 1?ERFQRMANGEt !Exhaust efmt cfm elm efrn cfm t Ventilation rate my st be measured any n ed when the perfo stance option is used In lieu of ie:prescriptive option for the sealing cif joints in the,building conditioned envel ' from Part Al. Compliance Statement:• Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. Applicant(print name) Signature Date Telephone number 12 • City of Orono Job Site Address: ° '� ENERGY CODE WORKSHEET FOR ONE 0 0 952-249-4600 & TWO FAMILY DWELLINGS INSTRUCTIONS: Complete Parts I, II and III. Clearly mark plans with: insulation R-values; window and skylight U-values;size and type of equipment; equipment controls; and location of interior air barrier, vapor retarder and windwash barriers. More detailed information can be found in the Minnesota Energy Code Summary Sheets available from the Minnesota Department of Public Service. Part I. BUILDING ENVELOPE Check option used: U "Cookbook"Method(complete worksheet ❑ MnCheck method(attach report) below) ❑ Building Component method(attach ❑ Systems Analysis method(attach analysis) calculations) "Cookbook" Worksheet M UM REQu II�EMEIVTS (for"Cookbook"Option) ❑ Heating system efficiency: Minimum 90%AFUE INSTRUCTIONS ❑ Entry Doors: 1%"solid wood or maximum U-value of 0.40 Step 1. Check item(s)that design meets on Minimum Requirements ❑ Skylights: None permitted List to the right.Must meet all items to use Cookbook U Ceiling Insulation: Minimum R-38 option. Step 2. Indicate proposed wall type on table below. ❑ Rim Joist Insulation: Minimum R-l0 Step 3. Indicate Window U-value and source. ❑ Floors over unconditioned spaces: Minimum R-30 Step 4. Verify total window(including area of all foundation win- ❑ Foundation windows: 'h"insulated glass in wood or vinyl dows)&door area is equal or less than allowable percentage frame or maximum U-value of 0.51 I TABU F i . DETERMINING MAXIMUM WINDOW AND DOOR AREA Maximum Allowable' otal Window anti D ®r 28% Ar es a:Percentage or Exposed Wall ' 10 - 12%, 14%u 16% 18% 20% 22% 24%. ` 26%a. Wall Type (R-5 up to_R-10 Foundation J"' ,I.) Maximum Average Window U-value(except foundation windows 5 5.6 sf): ❑ 2x4,R-13 insulation,<R-5 sheathing 0,37 0.36 0.30 4,26 0.23 020 0.18 0.16 0.15 0.14 ❑ 2x4,R-13 insulation,>_ R-5 sheathing 0,37 0.37 0,37 0.37 0.35 0,3;1 0.28 0.25 0,23 0.22 ❑ 2x4,R-13 insulation,>- R-7 sheathing 0,37 0,37 0.37 0.37 0 37 = 0 34 0,31 ' 0.28 0.26 0.24 ❑ 2x6,R-19 insulation,<R-5 sheathing 0;37 0 3fi 0.37 0.37 0,34 0.31 .0.28 0.25' 0.23 0.21 ❑ 2x6,R-19 insulation, >-R-5 sheathing ti.37 0 3? 0,37 0.37 0.37 0.33 0.30` 0.28 0.26 U 2x6,R-21 insulation,<R-5 sheathing 0 37 0.37,. 0:37 0.37 Q,37 033 0 30 0.27 0.25 0.23. ❑ 2x6,R-21 insulation,>_R-5 sheathing 0:37.v 0.37" 0,37 0,37 0,37 0,37 % 0 35� '' 0.31 f, 0,29 0.27 Wall Type(with R-101'oundatian Insulatiot Maximum Average Window U-value(except foundation windows S'5.6 sf): ❑ 2x4,R-13 insulation,<R-5 sheathing 0,37 0,37 0.33 0.28 " 0.25 "t`0..22, '"0.20 0,18' 0.17 0.15 U 2x4,R-13 insulation,>-R-5 sheathing 0.37 0.37 0.37 0.37 0,37 033 0.30 0.27 0.25 0.23 ❑ 2x4,R-13 insulation,>-R-7 sheathing 0.37 0.37 0.37 0.37 0.37 0,36 0;33 0,30 0.27 0.25 ❑ 2x6,R-19 insulation,<R-5 sheathing 0.37 0,37 " 037 0.37 0.37 0„32 0:29 0.27'' 0.24 0.23 ❑ 2x6,R-19 insulation, >-R-5 sheathing 0:37 0,37 0.37 0.37 0,37 0:37 '` .ti.35 0.32 0,29 0,27 U 2x6,R-21 insulation,<R-5 sheathing 0,37.., 0.37 0:37 0.37 0.37 0.35 0.31 0.29 0.26 0.24 ❑ 2x6,R-21 insulation,->R-5 sheathing 0.37, (?,37 0..37 0,37 0.37 0.37, 0.36 0.33 0.30 0.28 Wall Type(with R 1911oundation Insulation Maximum Average Window U-value(except foundation windows s 5.6 sf): ❑ 2x4,Re-13 insulation,<R-5 sheathing 0.37" 0.37 0.34 0.29 0.26 0.23„ 0.21 0.19 0.17 0.16 ❑ 2x4,R-13 insulation,--R-5 sheathing 0,37 0.37 0.37 0.37 0.37 034 , 0.31 0,28; 0.26 0.24 ❑ 2x4,R-13 insulation,>R-7 sheathing 0,3.7 ;' 0,37 0.37 0.37 0,37 . ''Q 37,; 0.34 0,31" 0.28 0.24 ❑ 2x6,R-19 insulation,<R-5 sheathing 0.3 . 0,3:7 0.37 0.37 0.37 0.34" 0:30 0.28 0.25 0.23 ❑ 2x6,R-19 insulation,>-R-5 sheathing 0,37 .:`"0.37 0.37 0.37 0,37 0.31 0.36 0.33 030 0.28 ❑ 2x6,R-21 insulation,<R-5 sheathing 0.37/ : 7 037 0:37 0.3? {1.37, 0.360.32 " :0.29 0.27 0.25 ❑ 2x6,R-21 insulation,>-R-5 sheathing 0.37 "0.37" 0.37 0.37 0.37 03:7;; 0.37 0.34 0.31 0.29 Window U-value: [ out'ce: ❑NFRC ❑ Code Default Table (see Part 7670.0700) 100x + = % 4 13 • ' 12-15-2000 window&door area Toss exposed wall area DESIGN ALLOWABLE (from table above) Part II. DEPRESSURIZATION PROTECTION Check option used: ❑ Aggregate(complete aggregate worksheet on next page) ❑ Prescriptive(complete worksheet below) ❑ Performance(submit test report prior to final inspection) ❑ No fuel burning equipment a PRESCRIPTIVE PATH WORKSHEET INSTRUCTIONS COMBUSTION EQUIPMENT SCHEDULE" Permitted Equipment (check all types proposed) Path 0 .Path 1 Path 2 Path 3 Step 1. Complete the Combustion Space heating ❑ Sealed combustion Y Y Y Y Equipment Schedule on the right. ❑ Direct or power vented N Y Y Y Step 2. Choose a Make-up Air Path with a ❑ Atmospherically vented N N Y* Y Y(Yes)for all selected equipment. Water heating LISealed combustion Y Y Y Y Step 3. Complete the table below for the ❑ Direct or power vented N Y Y Y Make-up Air Path chosen,indicating ❑ Atmospherically vented N N N Y flows in cfm for exhaust and make- Hearth"—gas ❑ Sealed combustion Y Y Y Y Up air methods proposed. Only the ❑ Direct or power vented N Y Y Y capacity of largest exhaust appliance ❑ Atmospherically vented N: N Y* N in each category need be considered. ;Hearth— solid ❑ Closed controlled N Y Y* N Step 4. Fill out the Passive Make-up Air fuel' ❑ Decorative N N Y* N Opening Schedule on the next page. *Only one atmospherically vented,appliance may be installed in Prescriptive Path 2 ❑ Path 0 —Prescriptive Make-up Air Method Exhaust IPassiltravtion Opee .Passivening Powered Make-up nfi Clothes dryer: P sive in filtration for ® to 175 cfms sive openings:for t31 :_over 175 Kitchen exhaust P" sive infiltration for D to`250 efin P 'sive openings for c o over 250 P veered to match Be .,s.or"ofnts",over 500 Other exhaust:' P; sive openings for o.140.elm Powered to match flo or cfrrts over 140 N/A t Need not include central vacuum exhaust. natht):;' , TOTALS U Path 1 —Prescriptive Make-up Air Method Exhaust InfiltrationPassive ©peeiPassiveng$ Powered Make-up Clothes dryer.'t Passive infiltration for K D to"175 eon Passive openings for co s , over 175 Kitchen exhaust: P 'sive openings for u, • 250 elm Po ered to match flow` ®r cfnas"over 250 N/A Other exhaust P sive openings for u'i 140ef n Powered to match flow =r elms over 140 N/A TOTALS If closed controlled combustion solid-file ®=iris appliance is installed in Path 1,then the clothes:dryer and any central vacuum that exhausts to outside must be provided wi 1 ake-up.air:by passive opening to;match flow.t Cher e; eed not.include central vacuum. ❑ Path 2 — Prescriptive Make-up Air Method Exhaust Passive Passive Powered Make-up Infiltration Opening Clothes dryer: Pas ive openings for up "'175 cfitt Po ered to match flow . elms over 175' N/A Kitchen exhaust: Po` ered to match flow ' N/A N/A Other exhaust Po".ered tomatch"floes N/A N/A TOTALS N/A U Path 3 — Prescriptive Make-up Air Method Exhaust Passive Passive - Powered Make-up initratiion"..." . Opening Clothes dryer: Powered to match flow N/A N/A Kitchen exhaust Powered to match flow N/A N/A Other exhaust Powered to match#tow ± N/A N/A iTOTALS N/A N/A 14 • ` PAS:IYE I KE TP AIR. OPENING SCHEDULE TABLE F© x SIZING PASSIVE I E UP AIR OPENINGS Diameter Path 0 Path 1 Path 2 Notes: a) This ble assumes 20 fee Ismooth unobstructed round 3 inches 50 ofm 35 cfm 15 cfin' duct ith three 90°elbows:. d a screened hood 4 inches 90 cin 60 cfm 30 cfin b) Equi lent designs calcul• .d using pressures of 50 Pascals 5 inches 140"cfm 100 cfin 45 cfm for P h 0, 25 Pascals for th 1, and 5:Pascals for Path 2 6 inches . 200"cfin 140 cfin 65 efin may b used. 7 inches ' 270 efm 190 cfm 85 cfm c) If a m ke-up air opening is. ed with no duct or elbows,the 8 inches 350 cfm 250 cfm 110 cfm d Diameter can be decrease "1,1 "1 inch. 9 inches 450 cfm 320 cfin 140 cfin d) If flex duct is used,incr'eas; `ianteter by 1 inch. 10 inches 570cfin 400 cfm 180 cfrn Mak--up Air Applicatto 3. ocation CFM Opening size Duct Type ❑ Smooth ❑ Flex ❑Opening only ❑ Smooth ❑Flex ❑Opening only ❑ Smooth ❑Flex ❑ Opening only ❑ Smooth ❑Flex ❑Opening only AGGREGATE MAKE-UP AIR WORKSHEET INSTRUCTIONS Step 1. Complete Exhaust Schedule on the right indicating cfm of largest device in each category. EXHAUST SCHEDULE Step 2. Complete the Combustion Equipment Schedule on preceding page. DEVICE CFM Step 3. Choose a path with a Y(Yes)for all selected equipment. Clothes dryer Step 4. Complete Aggregate Make-up Air table below for chosen path.Using the total cfm from the Kitchen exhaust Exhaust Schedule, indicate flow in cfm for proposed method(s)of providing make-up air. Other exhaust Step 5. Fill out the Passive Make-up Air Opening Schedule above. TOTAL ❑ Path 0—Aggregate Make-up Air Method i'assive "' passive Powered Make-up lnfiltralion Opening Passive infiltration for up to 425 cfin Passive openings for cfnts over 425 Powered tomatch flow',for cfrns over 985.. . ❑ Path 1 —Aggregate Make-up Air Method Passive . Passive Powered Make-up Infiltration +opening* Passive infiltration up to 175 cfm* Passive openings for efts over'175 Powered to match flow f.r cfms over 565 * If a'closed controlled olid-fuel burning a.1. ce"is installed"in Path 1,then a passive opening must be installed to provide make-up air,for the clothes dryer and or any central vacu , that exhausts to the outside. ❑ Path 2 —Aggregate Make-up Air Method Passive' Passive Powered Infiltration Opening Make-up Passive openings for up td 175 cfm Powered to match flow fat cfins over 1.75 .. N/A ❑ Path 3 —Aggregate Make-up Air Method Passive, Passive Powered Infiltration; Opening Make-up Powered to match flow i i 1. N/A N/A 15 Part IIIa. VENTILATION INSTRUCTIONS Step 1. Complete the Ventilation Quantity worksheet below. Step 2. Check the Make-up Air Path(from Part II)on the Ventilation Methods table below. Step 3. Choose permitted method(s)for People and Supplemental Ventilation from the Ventilation Methods table. Step 4. Complete the Ventilation Fan Schedule. VENTILATION QUANTITY TOTAL VENTILATION: (. 0.05 cfm/sf x sf = cfm ¢ conditioned floor area normally including basement PEOPLE VENTILATION: x 15 cfin/bedroom)+15 cfm = cfm i 1, . of bedrooms SUPPLEMENTAL VENTILATION: i,I cfm — cfm — cfm i. 1 ®tal°ventilation people ventilation ' 1 VENTILATION METHODS MAKE-UPAIRPATH(from Pail II) PEOPLE SLIPI?iR:E114ENTAL CO ALARM ❑ Prescriptive(or Aggregate)Path 0 Balanced or Exhaust only Balancfd or icliaust only Not required ❑ Prescriptive(or Aggregate)Path 1 Balanced or Exhaust only Balanced or Eidiaust only* Not required' ❑ Prescriptive(or Aggregate)Path 2 Balanced Balanced or Exhaust only* Required ❑ Prescriptive(or Aggregate)Path 3 Balanced Balanced t Required ❑ Performance Path(see part 7672.1000 subpart 7) Performance Performance Required *Passive infiltration shall not be used topide make-up air for exhaust only supplemental ventilation in excess of 0.05 cfmisf. t A carbon monoxide,alarm must be instal` it'll,controlled combustion solid-fuel burning appliance is installed in Path 1. 11 VENTILATION FAN SCHEDULE Fan description or location TOTALS. Fan Purpose ❑ People ❑ People ❑ People ❑ People Chia ❑ Supplemental ❑ Supplemental ❑ Supplemental ❑ Supplemental cfm VENTILATION I Intake' elm Cfm cfm ` cfm cfin AS DESIGNED Exhaust cfm Cfm cfin cfm ` cfin Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant(print name) Signature Date Telephone number Part IIIb. VENTILATION (Submit Part Illb upon completion of system verification) X Job Site Address: Permit Number Ten description or locati TOTALS MEASURED take* cfm` Cfm` cfin cfm cfm PERFORMANCE E aunt* cfm Cfm cfm cfixi cfin *Measurement required f r ventilationsystem itakes.and exhausts from the building with design airflow of 30 cfin and greater. Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. Applicant(print name) Signature Date Telephone number 16