P - 43656Building MECHANICAL
I�}spections RESIDENTIAL APPLICATION
�i63-s�2-3604 CITY OF FRIDLEY
763-502-4977 FAX EFFECTIVE 1-1-20] 1
DATE �j' �' I I
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY
OWNEI2/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
YOUR E-MAIL ADDRESS <,I �
� 5�� f (��L�
❑ OWNER I�ONTRACTOR
NAME:�
ADDRESS:
PHONE: C
COMPANY NAMIE:
CONTACT PERSON:
STATE LICENSE #�
ADDRESS:��
PHONE %'�(.e' �j �
�
n
f�NGLE FAMILY ❑ TWO FAMILY
❑ NEW �[LEPLACEMENT
DETAILED DESCRIPTION OF WORK
Permit No.:
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, �
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ly�
STAT�Z
�� ��.�C_�VT' STA7��ZlPS S �
❑ TOWNHOUSE
O ALTERAT[ON/REMODEL
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTLJRES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK.
Fquipment Installed MFG: ���y1L�I°1 MODEL: �"j SIZE/BTU r�.� ��/�/�/
�
A/C $25.00
_AIR TO AIR EXCHANGEER $15
BOILER $35.00
CHiMNEY LINER $10.00
DUCT WORK $10.00
lli�i�Le7I
MODEL:
MFG: MODEL:
FIREPLACE (GAS) $15.00
_FIREPLACE {WOOD) $35.00
,�URNACE $35.00
GAS DRYER $10.00
�GAS PiPING $10.00
SIZEJBTU
SIZE/BTU
GAS RANGE/OVEN $10.00
_NEW GAS GRtLL $10.00
GAS UNIT HTR $10.40
POOL HEATER $35.00
�VENT[LATOR $ i 5.00
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID iJNTIL 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 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 work is not to sTart without a permit; that the work will be in accordance with the
approved plan in the case of a hich re res review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME� �`� S C.� �� C�� � DATE ��� ���
APPROVALINSPECTORSSIGNATUR DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
,r
Page 1
Report Prepared By:
Residential Heat Loss and Heat Gain Calculation
In accordance with ACCA Manual J
Elk River Heating � Air Conditioning, Inc.
For: InterBank
465 57th Place
Fridley, MN
Design Conditions: St Paul
Indoor:
Summer temperature: 72
Winter temperature: 74
Relative humidity: 55
Building Component
Duct
Floors
Walls
Ceilings
People
Fireplaces
Misc
Windows
Doors
Glassdoors
Skylights
Infiltration
Whole House
Sensible
Gain
(BTUH)
0
0
2,692
1,837
1,200
0
1,200
5,297
306
0
2,622
1,150
16,304
3/3/2011
Outdoor:
Summer temperature: 100
Winter temperature: -20
Summer grains of moisture: 94
Daily temperature range: High
Latent
Gain
(BTUH)
0
0
0
0
920
0
0
0
0
0
0
762
1,682
Total
Heat Gain
(BTUH)
0
0
2,692
1, 837
2,120
0
1,200
5,297
306
0
2,622
1,912
17,986
( 1.5 tons )
Total
Heat Losa
(BTUH)
0
1,805
16,309
3,673
0
0
0
7,183
1,083
0
743
5,790
36,586
HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101
load calwlffiions are estimates only, aclual lo�s may vary due W weaU�er and construction diRerences.