P - 41911Building
Inspections
763-572-3604
763-502-49'�7 FAX
DATE 7 � 7 — I /
SITEADDRESS Y� y��
THIS APPLICANT IS:
PROPERTY N�
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-20ll
YOURE-MAILADDRESS �FJ • S/�'.rP�1^'t�
❑ OWNER
v• v
�i(CONTRACTOR
OWNER/ ADDRESS: �iE �1 �y' •Z /h-� S % M � . CITY��
TENANT �#. .`� G 3• 5�71-S�L b 7 -
PHONE:
SUBMTT A COPY OF CONTACT PERSON: Ij . r� F' 'L
YOUR STATE STATE LICENSE # �,�� EXP DAITE
LICENSE WITH ADDRESS��i gD�U ' D Y- p,tl. A. �2- ��J � C. CI�
APPLICATION PHO,,,E QS�..,�$N� 1 yS3 F� S•�- y�8'y- 0 �,
PERI4IIT TYPE SINGLE FAMILY ❑ TWO FAMII.Y ❑ TOWNfiOUSE
TYPE OF WORK• O rrEw �xEPi.ncEMEiv�r o ai..�xnTTOrr�onEt,
DETAILED DESCRIl'TION OF WORK
Permit No.:�
Received By:_
Date�c�: �
eT, \i 1�'' 2
FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOR�
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. /
Equipmem Instalted MFG: � t/1 „� MODEL: 5 L� b SIZEBTU �(j"i�
MFG: �� MODEL: Y C.� �' SIZEBTU �!
MFG: MODEL: SIZFJBTU
1A/C $25.00 _FIItEPLACE (GAS) $15.00 GAS RANGFJOVEN $10.00
AIR TO AIIt EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GIiILL 510.00
BOILER $35.00 1 FURNACE $35.00 GAS IJNIT HTR SI0.00
CHIMNEY LINER $lO.OQ GAS DRYER $10.00 y _POOL HEATER 535.00
DUCT WORK $10.00 -TGAS PIPING $10.00 �+N.�wc.{/� VENTII.ATOR $I5.00
NY11Ytb�r +tlrf ftXlvr�S @ S2�.fl0 _�___ x �25.U0 = $ � �� �i
�Tumber af �ixture�s �a 53 +.Ofi � x $35:Ud`= $�'. ,�
State Surcharge = ' $ 5.40
(MINL14iUM FEE $40.OU) ToCa1= $ �� �.�^
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a buiiding permit and I acknowiedge 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 ork is not to start without a permit; that the work will be in accordance with the
appmved plan in the case of all work which eq 'r revi w and appmval of plans.
SIGNATURE OF APPLICANT _��'v v_'�!/ _/�-- �, PRINT NAME�D �' h� S� P/ F�'� DATE 7�"'�/
�� c�ry of F�►a�Ey
� g Inspections Department
6431 University Avenue NE, Fridley, NiN 55432
?63-572-3604 FAX: 763-502-4977
/
11
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i Rhvac - Residentiai & Light Commerciat HVAC Loads Elite Software Development, lnc. �
I Southside Neating & A/C Don 8� Donna Franks
( Bloomington. MN 55437 —_----'_-- ---_-- Pa e 1
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! Load Preview Report ___ �
Scflpe
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Building
System 1
Zone 1
1-Home
Net` ft2i Sen Lat' Net; Sen! Sys 5ys; Sys p
Ton fT'pn' Area Gain' Gain Gain: Loss, Htg Cig Act S
j : ; CFM- CFM: CFM;
_.. __. . _ ___,•. _. . _ . ;---- -_ . _._ . . ____ _ . e_ =___
_ ��____ __.�.v __ __ . _ __� _.__. .V_ _�_�__
1.99 598 1,1$8 21,399 2,452 23,851 60,162 805 1,003 1,003
1.99 598 1,188 21,389 2,452 23,851 60,162 805 1, ' 1.003 12�
t,188 21,399 2,452 23,851 6Q,162 805 ` 1,003 12�
1,188 21,399 2,452 23,851 60,162 805 1,Q03 9
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