Permits - Permit# 04-17 - 3916 Northern Avenue - 1/1/2004CITY OF SPRING PARK
4349 WARREN AVENUE
SPRING PARK, MN 55384
952-471-9051 FAX 952-471-9160
BUILDING PERMIT APPLICATION
Building Permit Application Requirements:
1. Application to be filled out & signed
2. Mechanical Permit Application & Calculation filled out
3. Energy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 sets of Construction Plans
a) 1 set for City files
b) 1 set for builder to use on site
c) 1 set for City Building Inspector
Construction Plans should include:
1. First floor plan
2. Footing & foundation plan
3. Elevations of all sides
4. Wall sections & cross sections
5. Details - stairs & any special connections
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
Date Received
Date Approved
Permit No.
Fees To Be Charged:
Permit
State Surcharge
Plan Review
SAC Charge
Availability Chrg
TOTAL
6Y3.76
ZS'.o 0
4141-44
r
THE APPLICANT IS (CIRCLE ONE) q ]�_ OWN//E�� ,-' OR CONTRACTOR
JOB SITE ADDRESS 37 I16 UOt-'4I`�►'�/ (=
NAME OF OWNER �C�"J / ?Qk WCCk Ave- HOME PHONE `�1 (� ASS WORK PHONE (rsl�'
MAILING ADDRESS 3916 16 .No ��-1,yw CITY S p!�t�:j Pcr►g ZIP S S'39LI
CONTRACTOR S e— L4' PHONE MOBILE PHONE
MAILING ADDRESS CITY ZIP
STATE LICENSE NO.
ARCHITECT/ENGINEER St° U� PHONE
MAILING ADDRESS
NAME
CITY
REGISTRATION NO.
ZIP
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION RENOVATE LAND ALTERATION
I o
PROPOSED WORK (Describe in Detail) 'X'e � ,ti C1- pr'4� c"o
���.�a���oU o.rv� �e.i��;��. �-w� ,���y`s ��a; (�er►o�e. �.;,..cr��4- 'y;N�r�
40 �►� �c:�, I`e b �� 1 I- AL��ir,�i � G�y�t' C;h-A,y
ZONING DISTRICT
c
STORIES SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE STALLS
ATTACHED O DETACHED BLDG. SIZE: LENGTH 41/ WIDTH .33i HEIGHT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ -Sni OC-
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A. House Z-0 X `A e 'b _ s S.F.
Length Width
�l X = S.F.
B. Garage t X 37 6Y S.F.
C. Driveway X = P3 00 S.F.
X = S.F.
D. Sidewalk 2('`a�X = S.F.
X = S.F.
E. Patio/Deck 6 X �� = tog S.F.
F. ��' X = 1 �2- S.F.
pec
1. TOTAL HARDCOVER S.F.
2. TOTAL PROPERTY AREA �4L19s,00 S.F.
1 DIVIDED BY 2 X 100 = °
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 proved plan.
�- 5- b
APPLICANT'S SIGNATURE ✓D-- DATE 7-
INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS:
t/ Footing before a pour _Plumbing
!/ Framing rough -in Mechanical
✓ Insulation Well
Wallboard before taping Grading & filling
FINAL before occupancy Sewer
Water
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT TO PENALTY " Electrical from State
24 HOUR NOTICE REQUIRED CALL 249-4600
ZONING CERTIFICATE
I do hereby certify to the Orono Building Official that the following described work has been reviewed for
compliance with the Zoning Requirements of the City of Spring Park and will be approved for construction upon
approval of the construction plans by the Building Official.
Name Date
Date 5'' 21 _ a y
Ma8 18 04 08:21a Hennepin Sheriff - ITS 612-317-6136
p.5
REScheck Compliance Certificate
2000 IECC
REScheckSoftware Version 3.5 Release I
Data filename: C:\Program Files\Check\RESchecklhouse7.rck
PROJECT TITLE: Remodel
CITY: Spring Park
STATE: Minnesota
HDD: 8037
CONSTRUCTION TYPE: Single Family
DATE: 05/ 17/04
DATE OF PLANS: 5/17/04
PROJECT DESCRIPTION:
3916 Northern Ave.
COMPLIANCE: Passes
Maximum UA = 317
Your Home UA = 206
35.0% Better Than Code (UA)
Permit Number
Checked By/Date
Gross
Glazing
Area or
Cavity
Cont. or Door
Perimeter
R-Value
R-Value U-Factor
UA
Ceiling 1: Flat Ceiling or Scissor Truss
720
50.0
0.0
19
Wall ground south: Wood Frame, 16" o.c.
144
19.0
0.0
6
Window 1: Wood Frame:Double Pane with Low-E
26
0.340
9
Door 1: Glass
19
0.350
7
Wall ground west: Wood Frame, 16" o.c.
320
19.0
0.0
18
Window 1 stairs: Wood Frame:Double Pane with Low-E
13
0.340
4
Window 2 kitchen: Wood Frame:Double Pane with Low-E
9
0.340
3
Wall ground north: Wood Frame, 16" o.c.
144
19.0
0.0
8
Window I kitchen: Wood Frame:Double Pane with Low-E
9
0.340
3
Window 1 pantery: Wood Frame:Double Pane with Low-E
9
0.340
3
Wall ground east: Wood Frame, 16" o.c.
320
19.0
0.0
19
Window bathroom: Wood Frame:Double Pane with Low-E
9
0.340
3
Wall 2nd south: Wood Frame, 16" o.c.
144
19.0
0.0
6
Window 1: Wood Frame:Double Pane with Low-E
26
0.340
9
Door 1: Glass
19
0.340
6
Wall 2nd west: Wood Frame, 16" o.c.
320
19.0
0.0
18
Window stairs: Wood Frame: Double Pane with Low-E
13
0.340
4
Window bed 2: Wood Frame:Double Pane with Low-E
9
0.340
3
Wall 2nd north: Wood Frame, 16" o.c.
144
19.0
0.0
9
Wall 2nd east: Wood Frame, 16" o.c.
320
19.0
0.0
17
Window bed 2: Wood Frame:Double Pane with Low-E
9
0.340
3
Window bath: Wood Frame: Double Pane with Low-E
9
0.340
3
Door bed 2: Glass
19
0.340
6
May 18 04 08:22a Hennepin Sheriff - ITS 612-317-6136 p.6
Basement Wall 1: Masonry Block with Empty Cells 608 24.8 8.2 20
Wall height: 8.0'
Depth below grade: 6.3'
Insulation depth: 8.0'
Furnace 1: Forced Hot Air, 90 AFUE
Air Conditioner 1: Electric Central Air, 20 SEER
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 [FCC
requirements in REScheckVersion 3.5 Release 1 e (formerly ME&hecl and to comply with the mandatory requirements listed in
the REScheckInspection Checklist.
.._
Builder/Designer ' '� Date
May 18 04 08:22a Hennepin Sheriff - ITS 612-317-6136
p.7
REScheck Inspection Checklist
2000 IECC
REScheckSoftware Version 3.5 Release I
DATE: 05/17/04
PROJECT TITLE: Remodel
Bldg,
Dept.
Use
Ceilings:
[ J 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-50.0 cavity insulation
Comments:
Above -Grade Walls:
[ ) 1. Wall ground south: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ J 2. Wall ground west: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 3. Wall ground north: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 4. Wall ground east: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 5. Wall 2nd south: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 6. Wall 2nd west: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 7. Wall 2nd north: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 8. Wall 2nd east: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1: Masonry Block with Empty Cells, 8.0' ht/6.3' bg/8.0' insul,
R-24.8 cavity + R-8.2 continuous insulation
Comments:
Exterior insulation must have a rigid, opaque, weather -resistant protective covering that
covers the exposed (above -grade) insulation and extends at least 6 in. below grade.
Windows:
[ ) 1. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 2. Window 1 stairs: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ J 3. Window 2 kitchen. Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 4. Window 1 kitchen: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
May 18 04 08:22a Hennepin Sheriff - ITS G12-317-G13G
p.8
5. Window 1 pantery: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
6. Window bathroom. Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
7. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ J Yes [ ] No
Comments:
8. Window stairs: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
9. Window bed 2: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
10. Window bed 2: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
11. Window bath: Wood Frame:Double Pane with Low-E, U-factor: 0.340
For windows without labeled U-factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Doors:
1. Door 1: Glass, U-factor: 0.350
Comments:
2. Door 1: Glass, U-factor: 0.340
Comments:
3. Door bed 2: Glass, U-factor: 0.340
Comments:
Heating and Cooling Equipment:
1. Furnace 1: Forced Hot Air, 90 AFUE or higher
Make and Model Number
2. Air Conditioner 1: Electric Central Air, 20 SEER or higher
Make and Model Number
Air Leakage:
[ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] j Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly
with a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a
1 3" clearance from insulation.
Vapor Retarder:
Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values, glazing U-factors, and heating and cooling equipment efficiency must be clearly
I m V� 4 — thn h..*IA; n _1on — crwri iirotinnc
May 18 04 08:22a Hennepin Sheriff - ITS 612-317-6136
p.9
Duct Insulation:
[ ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
Duct Construction:
[ J I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics
(adhesives), mastic -plus -embedded -fabric, or tapes. Duct tape is not permitted.
Exception: Continuously welded and locking -type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ J Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ J All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ) HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
May 18 04 08:22a Hennepin Sheriff - ITS 612-317-6136
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water
Non -Circulating Runouts
Circulating
Mains and Runouts
Temperature ( F)
Up to 1"
Up to 1.25"
1.5" to 2.0"
Over 2"
170-180
0.5
1.0
1.5
2.0
140-160
0.5
0.5
1.0
1.5
100-130
0.5
0.5
0.5
1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp.
Insulation Thickness in Inches by
Pipe Sizes
Piping System Types
Range F
2" Runouts
1" and Less
1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure/Temperature
201-250
1.0
1.5
1.5
2.0
Low Temperature
120-200
0-5
1.0
1.0
1.5
Steam Condensate (for feed water)
Any
1.0
1.0
1.5
2.0
Cooling Systems
Chilled Water, Refrigerant,
40-55
0.5
0.5
0.75
1.0
and Brine
Below 40
1.0
1.0
1.5
1.5
NOTES TO FIELD (Building Department Use Only)