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P - 36807Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY �ate Rec'cl: 763-502-4977 FAX "�s `{ . ., �' EFF'EC'fIVG 1-1-2011 i DATE Q���_ YOURE-MAII,ADDRGSS I S-/�cl!'cP5 � y�.����-�t _C��!-� SITEADDRESS (�(.Q ��*-r►ww,,�) �i!'c�C �G� THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY NAME:��N�����(� Sp�T�s�' OWNER/ n�DaESS: I�FO f�� TENANT ���.c�C'�c/� �crrY F.eic�lea .��✓ s�rnTr�Lir tis-�3�( PHONE: % (��_5��.� �E� // CONTRACTOR �pMPANY NAMF: ��,�,y��saE.,p �� f��s� �.� ri-i.r 4�7�L`a�j,C�st�+ _t..t JL SUBMIT A COPY Ol� CON"I'ACT PERSON: �T'"�.� S_� c YOUR STA7�E STATE LICENSG # __ GXP DATE _ LICF,NSE WCI'll ADDRESS: ID)OI _�I�I ��,J CITY._.���Q�t ��2 Y STATG h/tiLlP S�S 16s APPLICA'I'[ON .��_��_� �3 �_ 3� �� �d� _��o PI�IONE FAX PERMIT TYPE �STNGLE FAMILY ❑ TWO FAMILY � TOWNHOUSE TYPE OF WORK: � NEW � REPI.ACF,MENT ❑ AL'1'ERATION/RF,MODGI. DETAILED DESCRIPTION OF WORK _�7 �Q C .�iCy',�,t,�o [t� a,,ly��Qj�__�� ' FN:F.S ARE BASED ON 510.00 PER FIXTURF,, F,XCF,PT WHERE NO'1'F,D. FIX"I'URES: (INDICATE TOTAL NUMBER OF EACfI BF,LOW) PROVIDE HEA7' LOSS CALC'S PER MANUAL J 2006 ASHRAE HANUBOOK. EquipmentInstalled MFG: �,t�i�f MODF.I.:3j�OS(y/O(o� S17.E/f3TU (�p_Q� MFG: „/'p,Q�q,�tiy�- MOD�L: /si(q�OO�� SI'7_E/I3TU j/�� MFG: MODEL; SI'LE/[3TU �( A/C $25.00 FIRh:PLACE (GAS) $15.00 GAS RANGF;/OVI:N $10.00 AIR'I'O AIR F.XCHANGEER $15 �IREPLACE (WOOD) $35.00 NEW GAS GRII.L $10.00 BOILER $35.00 ��URNACF. $35.00 GAS UNI'f tfI'R $10.00 CHIMNEY I.INF,R $10.00 GAS DRY�R $10.00 POOL HEA"I'F;R $35.00 DUCT WORK $10.00 GAS PIPING $10A0 VEN"1'ILA'fOR $I5.00 Number of fixtures �a, $10.00 x $10.00 = $ � •e Number of fixtures (a� $15.00 x $I5.00 = $ �� ''OO� *jS- Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures (cr�, $35.00 x $35.00 = $ State Surcharge = $ 5.00 MINIMUM FEE $40.00 Tota1= $ ��s THIS IS AN APPLICATTON FOR A P[:RMIT-NOT VALID UN'fIL 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 o hich u' es review and approval of plans. SIGNA'I�URE OF APPLICANT _ P INT NAMIi�.L�� C DAII? ew(�_� /(( APPROVAL INSPE(:"1'ORS SIGN U DATE /� PLEASE NOTE: SEPARATE PERMIT AR QUIRED 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 ��;" . �— :�"L�/f�1'ATE/I'�'ASTER� Whole Nouse INorksheet _ ,.,; ;::lorm�tion ._ � ,aJ �7fL�iL'. Phone: =.�;rct.:. - � Fax: — _,.� �.:; � �,�, F e�rh .�rv 'sF3 aia� No�es: e.L ��'; :::,r�u C�es�gn T�mP ' U minus Outside Htg Design Temp= —� G f Ily Temp Ditl � e>�-, --'�"�' ���'9�' -�r'u l/� minus Ins�de Clg Design Temp= ��j Cig Temp Grtf �.,�c .. � neating la Doors and Windows � ..,:.]'vw �1�(.cs Sr�g�,a Gi;i;s DcuUir, Gl:iss Srgle w;storm Tri{.�e �1:,55 - Ga�Gif: nls�orm Srr�ie Glass Doutle Gass Trwla Gt�ss - ,�,..,:s.a ..istC.rm �.r.,c sk:� SviyfE Do.r Gour,� r,a,r ,'' --.. Gnry � vvStCrrn cr W.S. � w/$lorm i 4V j. , __: =t: _✓-ir �.d$tCNrn:;f W$ 1 Assume 2 per50ns per beciroom 2 Cakulate only it duct in unconditionec7 space 3 For crawl or baSemeM use 1.Q5 muhiplier in COOling - Hig Factor �so 9.5 9.0 _. 7.0 50 14.0 8.5 5.5 71.0 16.5 i25 35 0 240 f� X Area I = EiTUH Loss Table B- Cooling 1w Doors and Wlndows Single Glass UouWe Glass Temp Di8 Temp Difl Direcpon t5° 2(P 25° Is° m �5 NE 8 NW 35 40 45 3p 3,5 E 8 W 55 55 60 45 50 SE 8 SW 45 50 55 40 a0 S 30 30 35 25 25 Doors 13 13 Factors assume windows have insk3e shading by draperies or Winds .� �� J� A�O� doo � Ternp Dltt I X Area I = dn�r' (�ain � To�es: Tabie C - Adjusvnent Factors (Heating) Temp Difl °F 30 q0 50 60 0 �U A Adjusunent Factor 3 4 5 6 7 B 9 ^ 3 L�w� �c �n�� �an�bil�iy ol weather, system inslallation, and iiving habits this analysis is to bo consfcicr;:d �n est�mate. - � � / — 3` /� � / ! `�b 14Si