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Home My WebLink AboutLA176159 16415 Klamath Tr Permit PackRESIDENTIAL BUILDING PERMIT APPLICATION CITY OF LAKEVILLE BUILDING INSPECTIONS DEPARTMENT 20195 HOLYOKE AVENUE LAKEVILLE, MN 55044 952-985-4440 Office Use Only __________________ Permit Number ___________________ Received By ___________________ Date Received ___________________ Fee Total SITE ADDRESS: MAILING ADDRESS: CITY: STATE: ZIP: JOB DESCRIPTION:__________________________________ MASTER PLAN: (Number or Address)____________________ LIST OTHER STRUCTURES ON PROPERTY:_______________________________________________________________ ESTIMATED VALUATION: PROPOSED START DATE: END DATE: (New Residential Only): LEGAL DESCRIPTION: LOT: _____ BLOCK: _____ SUBDIVISION: APPLICANT IS: RESIDENT OWNER CONTRACTOR EMAIL NEW MODEL HOME: YES NO (IF YES – ADMINISTRATIVE PERMIT REQUIRED) PLEASE FILL OUT THE FOLLOWING COMPLETELY (All Contractor information must be as listed on State License) RESIDENT OWNER NAME:_______________________________________________________________________________ HOME PHONE #:_____________________________ CELL PHONE:___________________________ GENERAL CONTRACTOR Homeowner Contractor CONTRACTOR:_______________________________________________________________________ LICENSE #:BC______________ LEAD CERTIFICATE#_______________ (PRE 1978 STRUCTURE) OFFICE PHONE #:_____________________________ CELL PHONE:___________________________ ADDRESS:____________________________ CITY:________________ ST:______ ZIP:____________ PLUMBING WORK Homeowner Contractor CONTRACTOR:__________________________________________LICENSE #: PM______________ OFFICE PHONE #:_____________________________ CELL PHONE:___________________________ ADDRESS:____________________________ CITY:________________ ST:______ ZIP:____________ MECHANICAL WORK Homeowner Contractor CONTRACTOR:________________________________________ _______________________________ OFFICE PHONE #:_____________________________ CELL PHONE:___________________________ ADDRESS:____________________________ CITY:________________ ST:______ ZIP:____________ BOND #:_______________________________________ EXPIRATION DATE____________________ SEWER/WATER CONTRACTOR New Construction Only NAME:________________________________________________ ______________________________ HOME PHONE _____________________________ CELL PHONE:______________________________ BOND #:_______________________________________ EXPIRATION DATE____________________ INTEREST EARNINGS ON THE ESCROW ACCOUNTS, IF ANY, ARE RETAINED BY THE CITY TO OFFSET THE ADMINISTRATIVE COSTS ASSOCIATED WITH PROCESSING THE ESCROW APPLICATION AND REFUND. I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; THAT THE WORK WILL BE IN CONFORMANCE WITH THE ORDINANCES AND CODES OF THE CITY AND WITH THE STATE BUILDING CODE, THAT I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMIT AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN. NAME OF APPLICANT (Please Print)DATE APPLICANT’S SIGNATURE: www.lakevillemn.gov RESIDENTIAL BUILDING PERMIT APPLICATION PAGE 2 OFFICE USE ONLY BUILDING PERMIT TYPE REQUIRED INSPECTIONS SINGLE FAMILY DWELLING BUILDING DUPLEX AS BUILT TOWNHOUSE UNITS BUILDING FINAL DETACHED TOWN HOUSE UNIT DECK FOOTING CONDO FIREPLACE ACESSORY BUILDING FOOTING REROOF FOUNDATION RESIDE FRAMING PORCH FRAMING GARAGES INSULATION RES ADDN/REPAIR/RMDL DECK PORCH GARAGES LATH LOWER LEVEL FINISH LOWER LEVEL FINAL ADDITION OTHER FOUNDATION ONLY PORCH FOOTING MISCELLANEOUS POURED WALL DEMO SEPTIC TANK REMOVAL MOVED SITE MECHANICAL CITY BUILDING VALUATION: $AIR TEST FINAL BUILDING PERMIT FEES ROUGH-IN $PERMIT FEE PLUMBING $PLAN CHECK FINAL $SURCHARGE ROUGH-IN $METRO SAC METER SIZE $CITY WATER HOOKUP UNIT PRESSURE REDUCING VALVE $CITY SEWER HOOKUP UNIT SEWER/WATER $LANDSCAPE ESCROW SEWER/WATER $TREE ESCROW FINAL $MISC ESCROW STREET DRAINTILE $PLUMBING BUILDING INFORMATION $MECHANICAL TYPE OF CONSTRUCTION $SEWER WATER ZONING $OTHER CODE EDITION $TOTAL FIRE SUPPRESSION SYSTEM OCCUPANCY GROUP APPROVED BY: BUILDING INSPECTOR: Date: PLUMBING/MECHANICAL INSPECTOR: Date: COMMENTS: Concept Approval ONLYSubject to Field InspectionInspectorDate2015MN BldgCode10/25/2019dmathews 3.53.534" CS-PF34" CS-PFUFER Ground-Provide 20' Rebar in footing and stubup near electrical service panel. COVerify loads withgirder truss specs,may requireremoval of topplates at bearingdue to crushing.24" CS-PF24" CS-PF24" CS-PF24" CS-PF24" CS-PF24" CS-PF8821" CS-PF21" CS-PF21" CS-PF21" CS-PF24" CS-PF24" CS-PF24" CS-PF24" CS-PF-Min. 15" clearance to anyobstruction from center ofW.C., 24" in front(typ). BRACED WALLS 16415 KLAMATH TRAIL FIG. R602.10.1.3 LAKEVILLE, MN WIND BRACING 9/11/2019 115 MPH DETACHED MAX. SPA. = 60 FEET REQUIRED BRACING LENGTH TABLE R602.10.3(1) ADJUSTMENT FACTORS TABLE R602.10.3(2) EXPOSURE 1 STORY CONDITION B ADJ FACTOR 1.00 ROOF EAVE TO RIDGE HT HT = 14' ADJ FACTOR 1.30 WALL HEIGHT ADJUSTMENT HT. 1ST = 10' ADJ FACTOR = 1.00 NUMBER OF BRACED WALL LINES 2 1.00 3 1.30 4 1.45 B. W. LINE SPA. MIN. LENGTH EXPOSURE EAVE TO RIDGE HT. WALL HT. NO. OF BWL TOTAL ADJ. MIN. REQ'D PROVIDED GA 30.0 5.5 1.00 1.30 1.00 1.00 1.30 7.2 24.0 B 14.0 2.6 1.00 1.30 1.00 1.45 1.89 4.9 24.0 C 20.0 3.5 1.00 1.30 1.00 1.45 1.89 6.6 20.0 GC 30.0 5.5 1.00 1.30 1.00 1.00 1.30 7.2 12.0 D 20.0 3.5 1.00 1.30 1.00 1.45 1.89 6.6 20.0 E 10.0 2.0 1.00 1.30 1.00 1.45 1.89 3.8 8.0 BF LINE D X 1.15 =7.6 12.0 BG LINE E X 1.15 =4.3 20.0 1 56.0 9.9 1.00 1.30 1.00 1.30 1.69 16.7 20.0 2 56.0 9.9 1.00 1.30 1.00 1.30 1.69 16.7 20.0 G3 44.0 7.8 1.00 1.30 1.00 1.00 1.30 10.1 12.0 4 28.0 5.1 1.00 1.30 1.00 1.30 1.69 8.6 12.0 G5 44.0 7.8 1.00 1.30 1.00 1.00 1.30 10.1 12.0 ADJUSTMENT FACTORS Hebert Homes HVAC Load Calculations for Strohbehn 16415 Klamath Trail Lakeville,mn Prepared By: Randy Andrews Lofgren Heating 5708 Upper 147th Street West Apple Vallley, MN 55124 Tuesday, August 27, 2019 Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Hebert Homes Farmington, MN 55024 Page 2 Project Report General Project Information Project Title:Hebert Homes Project Date:Tuesday, August 27, 2019 Client Name:Strohbehn Client Address:16415 Klamath Trail Client City:Lakeville,mn Company Name:Lofgren Heating Company Representative:Randy Andrews Company Address:5708 Upper 147th Street West Company City:Apple Vallley, MN 55124 Company E-Mail Address:rrandrews@lofgrenheating-ac.com Design Data Reference City:Minneapolis, Minnesota Building Orientation:Front door faces Southeast 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 Rel.Hum Rel.Hum Dry Bulb Difference Winter:-15 -15.33 80%n/a 72 n/a Summer:88 72 47%50%75 29 Check Figures Total Building Supply CFM:1,427 CFM Per Square ft.:0.252 Square ft. of Room Area:5,672 Square ft. Per Ton:1,658 Volume (ft³) of Cond. Space:51,048 Building Loads Total Heating Required Including Ventilation Air:63,495 Btuh 63.495 MBH Total Sensible Gain:30,790 Btuh 84 % Total Latent Gain:5,660 Btuh 16 % Total Cooling Required Including Ventilation Air:36,450 Btuh 3.04 Tons (Based On Sensible + Latent) 3.42 Tons (Based On 75% Sensible Capacity) Notes 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. C:\ ...\16415 KLAMATH RAMBLER LAKEVILLE 08272019.rhv Tuesday, August 27, 2019, 10:15 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Hebert Homes Farmington, MN 55024 Page 3 Load Preview Report Scope Has AED Net Ton ft.² /Ton Area Sen Gain Lat Gain Net Gain Sen Loss Sys Htg CFM Sys Clg CFM Sys Act CFM Duct Size Building 3.04 1,867 5,672 30,790 5,660 36,450 63,495 1,227 1,427 1,427 System 1 No 3.04 1,867 5,672 30,790 5,660 36,450 63,495 1,227 1,427 1,427 24x10 Ventilation 340 1,352 1,692 4,550 Zone 1 5,672 30,451 4,308 34,759 58,945 1,227 1,427 1,427 24x10 1-Upper Level 2,836 23,383 3,068 26,451 37,274 776 1,095 1,095 13--6 2-Lower Level 2,836 7,068 1,240 8,308 21,671 451 331 331 4--6 C:\ ...\16415 KLAMATH RAMBLER LAKEVILLE 08272019.rhv Tuesday, August 27, 2019, 10:15 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Hebert Homes Farmington, MN 55024 Page 4 Total Building Summary Loads Component Description Area Quan Sen Loss Lat Gain Sen Gain Total Gain 4A-1a-o: Glazing-Double pane low-e (e = 0.20 or less), operable window, e=0.20 on surface 2, wood with metal clad frame, u-value 0.32, SHGC 0.33 540 15,033 0 14,306 14,306 11N: Door-Metal - Polystyrene Core 42 1,278 0 352 352 12F-0sw: Wall-Frame, R-21 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs 2550 14,421 0 2,205 2,205 15B0-15sf-10: Wall-Basement, , R-15 board insulation to floor, no interior finish, 10' floor depth 1620 5,920 0 0 0 16B-50: Roof/Ceiling-Under Attic with Insulation on Attic Floor (also use for Knee Walls and Partition Ceilings), Vented Attic, No Radiant Barrier, Dark Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R-50 insulation 2836 4,935 0 2,723 2,723 21A-24-c: Floor-Basement, Concrete slab, any thickness, 2 or more feet below grade, no insulation below floor, carpet covering, shortest side of floor slab is 24' wide 1996 4,341 0 0 0 Subtotals for structure:45,928 0 19,586 19,586 People:7 1,400 1,610 3,010 Equipment:1,500 6,000 7,500 Lighting:0 0 0 Ductwork:0 0 0 0 Infiltration: Winter CFM: 140, Summer CFM: 73 13,017 1,408 1,011 2,419 Ventilation: Winter CFM: 140, Summer CFM: 70 4,550 1,352 340 1,692 AED Excursion:0 0 2,244 2,244 Total Building Load Totals:63,495 5,660 30,790 36,450 Check Figures Total Building Supply CFM:1,427 CFM Per Square ft.:0.252 Square ft. of Room Area:5,672 Square ft. Per Ton:1,658 Volume (ft³) of Cond. Space:51,048 Building Loads Total Heating Required Including Ventilation Air:63,495 Btuh 63.495 MBH Total Sensible Gain:30,790 Btuh 84 % Total Latent Gain:5,660 Btuh 16 % Total Cooling Required Including Ventilation Air:36,450 Btuh 3.04 Tons (Based On Sensible + Latent) 3.42 Tons (Based On 75% Sensible Capacity) Notes 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. C:\ ...\16415 KLAMATH RAMBLER LAKEVILLE 08272019.rhv Tuesday, August 27, 2019, 10:15 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Hebert Homes Farmington, MN 55024 Page 5 Building Pie Chart Building Loss 63,495 Btuh Floor 7% Roof 8% Wall 32% Glass 24% Door 2% Infiltration 21% Ventilation 7% Building Gain 36,450 Btuh Roof 7% Wall 6% Glass 39% Door 1%People 8% Equipment 21% Infiltration 7% Ventilation 5% AED Excursion 6% C:\ ...\16415 KLAMATH RAMBLER LAKEVILLE 08272019.rhv Tuesday, August 27, 2019, 10:15 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Hebert Homes Farmington, MN 55024 Page 6 System 1 Whole House Summary Loads Component Description Area Quan Sen Loss Lat Gain Sen Gain Total Gain 4A-1a-o: Glazing-Double pane low-e (e = 0.20 or less), operable window, e=0.20 on surface 2, wood with metal clad frame, u-value 0.32, SHGC 0.33 540 15,033 0 14,306 14,306 11N: Door-Metal - Polystyrene Core 42 1,278 0 352 352 12F-0sw: Wall-Frame, R-21 insulation in 2 x 6 stud cavity, no board insulation, siding finish, wood studs 2550 14,421 0 2,205 2,205 15B0-15sf-10: Wall-Basement, , R-15 board insulation to floor, no interior finish, 10' floor depth 1620 5,920 0 0 0 16B-50: Roof/Ceiling-Under Attic with Insulation on Attic Floor (also use for Knee Walls and Partition Ceilings), Vented Attic, No Radiant Barrier, Dark Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R-50 insulation 2836 4,935 0 2,723 2,723 21A-24-c: Floor-Basement, Concrete slab, any thickness, 2 or more feet below grade, no insulation below floor, carpet covering, shortest side of floor slab is 24' wide 1996 4,341 0 0 0 Subtotals for structure:45,928 0 19,586 19,586 People:7 1,400 1,610 3,010 Equipment:1,500 6,000 7,500 Lighting:0 0 0 Ductwork:0 0 0 0 Infiltration: Winter CFM: 140, Summer CFM: 73 13,017 1,408 1,011 2,419 Ventilation: Winter CFM: 140, Summer CFM: 70 4,550 1,352 340 1,692 AED Excursion:0 0 2,244 2,244 System 1 Whole House Load Totals:63,495 5,660 30,790 36,450 Check Figures Supply CFM:1,427 CFM Per Square ft.:0.252 Square ft. of Room Area:5,672 Square ft. Per Ton:1,658 Volume (ft³) of Cond. Space:51,048 System Loads Total Heating Required Including Ventilation Air:63,495 Btuh 63.495 MBH Total Sensible Gain:30,790 Btuh 84 % Total Latent Gain:5,660 Btuh 16 % Total Cooling Required Including Ventilation Air:36,450 Btuh 3.04 Tons (Based On Sensible + Latent) 3.42 Tons (Based On 75% Sensible Capacity) Notes 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. C:\ ...\16415 KLAMATH RAMBLER LAKEVILLE 08272019.rhv Tuesday, August 27, 2019, 10:15 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Hebert Homes Farmington, MN 55024 Page 7 Detailed Room Loads - Room 1 - Upper Level (Average Load Procedure) General Calculation Mode:Htg. & clg.Occurrences:1 Room Length:2,836.0 ft.System Number:1 Room Width:1.0 ft.Zone Number:1 Area:2,836.0 sq.ft.Supply Air:1,095 CFM Ceiling Height:9.0 ft.Supply Air Changes:2.6 AC/hr Volume:25,524.0 cu.ft.Req. Vent. Clg:0 CFM Number of Registers:13 Actual Winter Vent.:89 CFM Runout Air:84 CFM Percent of Supply.:8 % Runout Duct Size:6 in.Actual Summer Vent.:54 CFM Runout Air Velocity:429 ft./min.Percent of Supply:5 % Runout Air Velocity:429 ft./min.Actual Winter Infil.:106 CFM Actual Loss:0.115 in.wg./100 ft.Actual Summer Infil.:55 CFM Item Description Area Quantity -U- Value Htg HTM Sen Loss Clg HTM Lat Gain Sen Gain SW-Wall-12F-0sw 48 X 9 345 0.065 5.7 1,951 0.9 0 298 NE-Wall-12F-0sw 48 X 9 407 0.065 5.7 2,302 0.9 0 352 NW-Wall-12F-0sw 84 X 9 607 0.065 5.7 3,433 0.9 0 525 SE-Wall-12F-0sw 84 X 9 615 0.065 5.7 3,478 0.9 0 532 SE-Door-11N 3 X 7 21 0.350 30.5 639 8.4 0 176 SE-Door-11N 3 X 7 21 0.350 30.5 639 8.4 0 176 SW-Gls-4A-1a-o shgc-0.33 0%S 87 0.320 27.8 2,422 31.0 0 2,695 NE-Gls-4A-1a-o shgc-0.33 0%S 25 0.320 27.8 696 24.1 0 603 NW-Gls-4A-1a-o shgc-0.33 0%S 149 0.320 27.8 4,148 24.1 0 3,596 SE-Gls-4A-1a-o shgc-0.33 0%S 99 0.320 27.8 2,756 31.0 0 3,067 UP-Ceil-16B-50 2836 X 1 2836 0.020 1.7 4,935 1.0 0 2,723 Subtotals for Structure:27,399 0 14,743 Infil.: Win.: 106.4, Sum.: 55.3 2,376 4.156 9,875 0.323 1,068 767 AED Excursion:1,723 People: 200 lat/per, 230 sen/per:5 1,000 1,150 Equipment:1,000 5,000 Room Totals:37,274 3,068 23,383 C:\ ...\16415 KLAMATH RAMBLER LAKEVILLE 08272019.rhv Tuesday, August 27, 2019, 10:15 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Hebert Homes Farmington, MN 55024 Page 8 Detailed Room Loads - Room 2 - Lower Level (Average Load Procedure) General Calculation Mode:Htg. & clg.Occurrences:1 Room Length:2,836.0 ft.System Number:1 Room Width:1.0 ft.Zone Number:1 Area:2,836.0 sq.ft.Supply Air:331 CFM Ceiling Height:9.0 ft.Supply Air Changes:0.8 AC/hr Volume:25,524.0 cu.ft.Req. Vent. Clg:0 CFM Number of Registers:4 Actual Winter Vent.:51 CFM Runout Air:83 CFM Percent of Supply.:16 % Runout Duct Size:6 in.Actual Summer Vent.:16 CFM Runout Air Velocity:422 ft./min.Percent of Supply:5 % Runout Air Velocity:422 ft./min.Actual Winter Infil.:34 CFM Actual Loss:0.111 in.wg./100 ft.Actual Summer Infil.:18 CFM Item Description Area Quantity -U- Value Htg HTM Sen Loss Clg HTM Lat Gain Sen Gain NW-Wall-12F-0sw 84 X 9 576 0.065 5.7 3,257 0.9 0 498 SE-Wall-15B0-15sf-10 84 X 9 756 0.042 3.7 2,762 0.0 0 0 SW-Wall-15B0-15sf-10 48 X 9 432 0.042 3.7 1,579 0.0 0 0 NE-Wall-15B0-15sf-10 48 X 9 432 0.042 3.7 1,579 0.0 0 0 NW-Gls-4A-1a-o shgc-0.33 0%S 180 0.320 27.8 5,011 24.1 0 4,345 Floor-21A-24 1 X 1996 1996 0.025 2.2 4,341 0.0 0 0 Subtotals for Structure:18,529 0 4,843 Infil.: Win.: 33.8, Sum.: 17.6 756 4.156 3,142 0.323 340 244 AED Excursion:521 People: 200 lat/per, 230 sen/per:2 400 460 Equipment:500 1,000 Room Totals:21,671 1,240 7,068 C:\ ...\16415 KLAMATH RAMBLER LAKEVILLE 08272019.rhv Tuesday, August 27, 2019, 10:15 AM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Lofgren Htg. & A/C Hebert Homes Farmington, MN 55024 Page 9 System 1 Room Load Summary No Room Name Area SF Htg Sens Btuh Min Htg CFM Run Duct Size Run Duct Vel Clg Sens Btuh Clg Lat Btuh Min Clg CFM Act Sys CFM ---Zone 1--- 1 Upper Level 2,836 37,274 776 13-6 429 23,383 3,068 1,095 1,095 2 Lower Level 2,836 21,671 451 4-6 422 7,068 1,240 331 331 Ventilation 4,550 340 1,352 System 1 total 5,672 63,495 1,227 30,790 5,660 1,427 1,427 System 1 Main Trunk Size:24x10 in. Velocity:856 ft./min Loss per 100 ft.:0.102 in.wg Cooling System Summary Cooling Tons Sensible/Latent Split Sensible Btuh Latent Btuh Total Btuh Net Required:3.04 84% / 16%30,790 5,660 36,450 Recommended:3.42 75% / 25%30,790 10,263 41,054 Actual:1.00 77% / 23%9,240 2,760 12,000 Equipment Data Heating System Cooling System Type:Natural Gas Furnace Standard Air Conditioner Model:QC-F38-E78-G QC-C12 Indoor Model:S12 Brand:Quikcool FE Series Quikcool AS Series Description:Hi Efficiency Furnace Standard Efficiency Air Condit Efficiency:78.3 AFUE 12.4 SEER Sound:8.1 bels Capacity:38,000 Btuh 12,000 Btuh Sensible Capacity:n/a 9,240 Btuh Latent Capacity:n/a 2,760 Btuh C:\ ...\16415 KLAMATH RAMBLER LAKEVILLE 08272019.rhv Tuesday, August 27, 2019, 10:15 AM Passive (No Fan) Active (With fan and monitoring device ) Location (or future location) of Fan: Other Please Describe Here Not applicable, all ducts located in conditioned space Not required per mech. code Passive Powered Interlocked with exhaust device. Describe: Input in BTUS: Capacity in Gallons: Other, describe: AFUE or HSPF% Cfm's " round duct OR " metal duct Not required per mech. code Passive Low: Other, describe: Low: Location of fan(s), describe: Cfm's " round duct OR " metal duct Per R401.3 Certificate. A building certificate shall be posted on or in the electrical distribution panel. New Construction Energy Code Compliance Certificate Name of Residential Contractor MN License Number City Mailing Address of the Dwelling or Dwelling Unit Rigid, Extruded PolystyreneHeat Recover Ventilator (HRV) Capacity in cfms: Energy Recover Ventilator (ERV) Capacity in cfms: Combustion Air Select a Type Location of duct or system: Rim Joist (2nd Floor+) Building envelope air tightness: Below Entire Slab Fuel Type Solar Heat Gain Coefficient (SHGC): Windows & Doors Ceiling, vaulted Bay Windows or cantilevered areas Floors over unconditioned area THERMAL ENVELOPE Foam Open Cell Wall Rigid, Isocynurate Perimeter of Slab on Grade RADON CONTROL SYSTEM Total R-Value of all Types of InsulationType: Check All That Apply Mineral FiberboardInsulation Location Foam, Closed Cell Describe other insulated areas Ceiling, flat Non or Not ApplicableFiberglass, BlownFiberglass, Batts Foundation Wall Output in Tons: Appliances Cooling System Location of duct or system: Heating or Cooling Ducts Outside Conditioned Spaces Make-up Air Select a Type Domestic Water Heater Model Heating System Rim Joist (1st Floor) Average U-Factor (excludes skylights and one door ) U: Duct system air tightness: Rating or Size Efficiency Heating Gain Cooling Load Select Type Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air source heat pump with gas back-up furnace): Residential Load Calculation SEER /EER Capacity continuous ventilation rate in cfms: Heating Loss Manufacturer Total ventilation (intermittent + continuous) rate in cfms: Balanced Ventilation capacity in cfms: High: High: MECHANICAL VENTILATION SYSTEM Date Cert. Posted R-value MECHANICAL SYSTEMS Builders Associaton of Minnesota version 101014 x x 4" 225 113 225