P - 48532�il-I�U7. � � �I�, �
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Building MECHANICAL Permit No.: ' G '' '
Inspections RESIDENTIAL APPLICATION Received By: IY�G' �,
763=572-3604 CITY OF FRIDLEY °�.��?'d�' s ° ' �" _� . �
763-502-4977 FAX EFFECTive i-�-zo>>
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DA"i�E � I ` ' �YOUR E-MA[L ADDRESS �� � �� � �
SITE ADDRESS `� � �
THIS APPLICANT IS: ❑ OWNCR ONTRACTOR
PROPERTY NAME: f--�C. �Yl �,(/�
OWNER/ qpDRESS: ���y �� ��(� CITY �� � STATErWa ZIP SJ�3'-
TENANT 2
PHONE: �'1 � r�- Jt0 :�° �ai I
CONTRACTOR ('OMPANY NAME: i1�' i, �1�
SUBMIT A COPY OF CONTACT PERSON: _ (1G^-� _ C� Lf�i.Jr.,- �,
YOUR STATE STATE LICF.NSE #����j�,���? F,XP DATE � I O�' ]� �� �,�%
LICENSE WITH ADDRESS�7��J�J1"�ULVX ��%��� CITY ��� ,�� STAT�/�ZIP l�/�.% "
APPLICATION VHONE �,��� �� � FAX � j�_��0��
PERMIT TYPE "�?,S[NGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: �Pr'�" ,�EPLACEMENT ❑ ALTERAT[ON/RGMODEL
DETAILED DESCRIPTION OF WORK ���,�CC� %1 4(�,(,u- �' -
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE fiEAT LOSS CALC'S PER MANUA J 2J, 006 AS�HRAF. HANDBOOK. ������ �� ������� ��� �,� ��
Equipmentlnstalled MFG: �Q.j�j�Q MODEL: SIZEBTU
MFG: MODEL: S[ZE/BTU
MFG: MODEL: S[ZE/BTU
A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $IS F[REPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
ROILHR $35.00 ��FURNACE $35.00 GAS UNIT HTR $10.00
('I IIMNEY LINER $10.00 GAS DRYER $10.00 POOL HF.ATER $35.00
DUC"T WORK $10.00 GAS PIPING $10.00 VEN"ffLA"TOR $15.00
Number of fixtures @ $10.00 x $10.00 = $
Number of fixtures @ $15.00 x $15.00 = $ __
Number of fixtures @ $25.00 x $25.00 = $
!
Nurnber of fixtures @$35.00 � x$35.00 =$ ��
State Surcharge = $ 5.00
(MINIMUM FEE $40.00) Total = $ � � . �
�IHIS IS AN APPLICA"I'ION FOR A PGRMI I�-NO"I' VALID UN"TIL PROCESSED
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 Ciry of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a pe it and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case o ork whic q ire eview and pproval of ns.
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1����� ��"� '{��V°��6 �v � '�' c�' I 1
SIGNA"I URE OF APPLICAN "-�G' P NAME �I C � DATE
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APPROVAL INSPEC"CORS SIGNATURF. DA"I'E
PLEASE NOTE: SEPARATE PE RE UIRED FOR BUILDING, ELECTRI AL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
"�'HVAC
� RESIDENTIAL LOAD CALCULATIONS Based Revged
a�i��aa�+ae on ACCA Manual J8ae aiaonoto
LEARNING SOLUTIONS"
" Instructions: Enter data into yellow fields only. All other fields are required tezt. ('iiey /ields are calculations.
Design Conditions: Project: Luke Shelden
lodoor Des.' n Heatin db 70 Winrer 99% tlb •20 HTD 90 Address 57244th St. NE
�ndoor Desi n Coolin db 75 Summer 1% db 95 CTD 20 Cit 8 State Fridle MN.
Indoor Desi n Coolin RH SOh Grains 36 Dail Ran e Medium Load Info Minnea olis Minnesota
Latitude 44 Elevation 834 Phone #
� 1 divided by R-Value = U-Value U-Value times tempefature diflerenCe = Heating Tlansfer Multipiier .HTM times Area Sq. Fl. = B7UH Heat GaiNLOSs
For exampie, 1/ R 19 = 0.053 For exampie, 0.053 x 71 = 3.76 Fo� example, 3.76 x 3500 sq. ft. = t3,7 71
Heat Total Glass Area Single Double Triple Jalousie Heatin Coolin
�Sq.Ft.) Y67 X Hea[ing 8820 5040 37.80 8820
0 267 0 0
Cooling To[al Glass Area Single Double Triple Jalousie
(Sq. Ft.) North X Cooling 34 24 20 34
Check boc Area O . 0� ��0 0� �
b¢IOw to add NE/NW X Cooling 66 52 46 66
an0 Intemal Area 0� � 0 D 0
Sliding Glass Doors Shading. South X Cooling 50 38 33 50
No Intemal Shatle Area 0 6 � b
❑ SE/SW X Cooling 78 63 56 78
Area 0 D 0 �� �6� �` �� �
E 8 W X Cooling 89 72 66 89
0 0 0 0
Doors x ors Width Height Area Wootl WoodlMetal Storm Metal MetallMetal Storm
1 3 X�7 =�1 X Heating 35.10 2279 31.50 18.90
21
X Cooling 9.00 15.00 9.00 15.00
Gross Exposed Wall Hei ht Length Area
(Sq.Ft) 225 X� _ �7 0��
Net Wall Frame-Sidinq Area C�eck if R-2 O lnsul R-11 R-13 R•79 R-27
Exposed Wall less � X Heating Boartl Insulation 21.60 873 8.19 6.12 5.85
all glass and doors is used. 1,522
WoodStuds X Cooling � 6.96 2.56 2.18 1.35 1.16
No Board Insulation
Hei ht Length Area Olnsul R-21nsu1 R-4 Insul R-161nsul
Net Wall (Above Gratle Y) � X�_� X Heating 52b6 2421 1575 5.40
Concrete Block w/ board insulation
No interior finish X Cooling 11.68 5.38 3.50 L20
Net Wall (8' Below GraAe) Height Length Area O lnsul R-2lnsul R-4lnsul R-151nsul
Concrete Block w/ boartl insulation � X�_� X Heating 1125 B.10 6.46 324
No interior finish
Ceiling (Sq. Ft) None R19 8" R�0 10" R36 12" R68
(Untler Attic or Attic knee walp Heating Width Leng[h Area 36.72 4.41 2.88 2.34 1 62
Attic Temperautre 150' 24 X�_� X 840
Any Roofing Material Cooling 21 A2 2.57 1.68 1.37 0.95
Ceiling (Sq. Ft.) None Rt9 8" R�0 10" R38 14" R66
Ceiling below Roof Jaists Heating Width Length Area 21.69 4.59 3.06 2.61 1.89
Dark or Boltl Color Asphalt Shinqle � X�6 =� X
Deck Consrtuction Cooling 11.45 1.45 0.94 0.71 0.95
Basement Floor Witlth Length Area
(2 or More Feet Below Gratle) 24 X 35 =� X Heating
20' Shortest Sitle
Slab on Grade Linear Ft. 0 Insul R-6 R-10 R-16
Heavy Dry or Light Wet Soil 70 X Heating 1222 40.4 32.0 28.3
Vertical Ed e Insul J' below rade 70 0
Floor Over Open Crawl WiA[h Length Area O lnsul R-77 R•19 R-30
Space or Garage 24 X 24 = 8 B X Heating 46.9 7.0 4.5 3.2
576.0
Cooling 54.7 14.6 5.3 3]
Floor Over Enclosed Width Len h Area O lnaul R-11 R-19 R-30
Uncontlitionetl Crewl Space � X� _� X Heating Z36 3.36 2.50 1.87
o! Untontllti0netl BaSeTeM
X Cooling 1.92 0.47 0.32 022
Check if Semi-Loose Home Leaka a Factor Tael CFM
Infil[retion House � Under 2onn ^�. c, p„e� yppp gn. C H1"D
. F:.
Ceilin Area Hei ht Mins. Avera e Semi-Loose Avsr e Sami-Loou 0 9`. �
� �� 6{0 � X �E +� X 0.48 0.00 0.32 0.00 36 CTD �
o.2s 0.00 O.t6 o.oa 1a
Fire laces CFM
0 X
NumberofPeople People 4 X Q30.:. _
vera e si ner
Kitchen Allowance Of
Check Box /or for Designer Kitchen (2400 BTUH) ❑ 72ao 0
.. .. � . a .. .. .
'�;t.„ � � • ' �
���, 5.
..
�._,.,. �� . ........ . . ...
Check Box for % Leakage Suoolv Air and Return % Leakaqe
6%8 6% 6% Supply Air Duct Leakage and 6% Retum Air Dua Leakage 6% 6% � �
Duc[ Loss/Gain - Supply 8 Re[urn 9%8 t5% ❑ 9% Supply Air Duct Leakage antl 15 % ReWm Alr Duct Leakage 0% 0%
12% 8 24% ❑ 12 % Supply Ai� Duct Leakage antl 24 % Return Air Duct Leakage 0% 0%
24% 8 47� 24 % Supply Air Duct Leakage and 47 % Retum Air Duct Leakage 0% 0%
35% 8 70� 35 % Supply Air Duct Leakage and 70 % ReWm Air Duct Leakage 0% 0% �¢'+
Blower Heat Discount Check Box for Blower Discount ❑ �'��� �
Manufacturer's pertormance data
Cooling Latent Load
Grains CFM
Latent Infiltration Gain �. 6. �_. X� X =
Check Box if
Latent for Occupants Ducts in an �. X�:' _
Unconditioned CFM
Latent for Ducts in Unconditionetl space � x � _
SpBte ❑
w ���02030 SITRatio y �� �