P - 48030, ,�� � "�__ _,� `�„ , , ,W, , From: unknvwn Page: 2/7 Date: 12J512011 10:27:06 AM �L� , � , ,
Building MECHANICAL
Pertnifi No.: t
Inspeetions ���ENTTAL APPLICATION Received By:,
�53-s72-�6a4 CITY UF FRIDLEY na�� R���
' 763-502-4g77 F�kX ,r,,,�,",.T..m, , �,,.,
AATE YOURE-MAIL A�nRESS davet8ldavesheakingandair.com
S[T� AD�RE55 `4915 3rd st ne
1'H!S APPLICANT IS: � OWNER RCONTRACTOR
PROPERTY �AM�: Brysn Seholtea
OWNER/ ADnRES4. d916 3rd St nE �[Ty Fridley &TAT6 MN 2iA �5432
T���� 812-309-6196
PHONE:
suBna�T A carv aF
YOIJR STATE
L10E�ISE WITH.
APPLiCATCON
PERMIT TYPE
COMPANY iJAME: nAVE'8 WEATIHG ANl� AIR
Co�v�rACT PkRSax: AMY Ml�pvlG
STATE LlGENSE � EXP DATE
ADDR�S5:1�1 37TN AV6 NE ���y CbLUMBIA MEIGHTS gTp� MN z1p 55421
pHONE 763-T81-6�1 FAX 768-789-8605
FAMII..Y �WO FAM[LY
i'YPE OF WORK: �' ❑ NEW n./ F,PLACEMENT
IJ
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C7 AI.TGRATIONlRFM�D�1.
DETAILED DESCRIi'TION �F WORK Replece tumace w! Iisted equEpmerrt belaw
FEES ARE BASFD ON S10:00'PER FIXTURF., EXCEP'1' WHERE NOTED. FIXTURES: (1NDICATE TOTAL N�JMBFR AF �ACH BEiAWi
P]tOVIDF, HGA'f LOSS Ge1LC'S P�R MANUAL J 2UQb ASHRAE HANDDOOK.
Equipment Installed MFG� «�x MO�EL: EL485UHQ7UP 5���� 9S%74,fl00BTU
MFG: L9f1nbX MOAEL: 13ACX-034 S[Zi�IRTU 2 TON f3 S�ER
MPG: MQDEL: SIZFJRTU
/�I/C $25.00 FiitEPi..AC6{4A$) SlS.UO GAS RANCIElO.VGN $I�.00
AIRTOAIRI;XCHANGEERSIS �F[R�PI.ACE{WObDj535.00 IV�'WGASGRIL.LS10.00
_BOILER $35.0(f ✓�FURNACC S35.d0' CiAS UN1T H'fR $10:00
CHIMNGY GTNER $10.110 GAS 1lRYCR 310'.d0 POOL HEAT�R �33:fl0
DUCT WdRK-S 10' 00 GAS PIPING S I0:00 �VFN7'i1.ATOR 515:00
��� T T! .�. TI �.. y� f �� �
Number oifixtures � $1 O.UO ,,,,,_,. x $f0.00 = $_,�,_
Numbec af fxtures (c�; $1 S.Oa � x$ l S.QU -$__._„__,_,_
� 25.04
Number of fi7c#ures a(� $2S.U0 ? x$25.00 —$�
Number of fxtures @$35.OQ 1� x$35.90 =� 35.00
St�te Sutcharge = $ S.OQ
T}IIS IS' AIV APl'LIGATtON TOR A PERMlT-NOT VALiD UN7'IL FROCESSEn
I hereby apply for a bui[ding permit and I acknowledge that the informataon above is cornplete and accurat�; that the work wi11 be in
conformance with the oe�dinances and oodes of the City of Fridley and with the Minnesota Construetion Code�; that f understand this is
not a permit but only an applicatian for a permit and work is not to start without a permit; that the work will be in accarda�ce with the
approved plan in the of afl worl hich re �+� evie �proval of plans,
� nr �J y .�..�� ,��
SIQNATURF Qf� APPLIGA7P ��� �"� •�?,�y��RRJT NAMS ��,�.�Is�„��7A��� .C,--.t-�,,,;
City of Fridley
Building Tnspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-36Q4 FAX: 763-502-4977