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P - 48291Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTivE i-i-aoii DATE �� — ��"' SITE ADDRESS � THIS APPLICANT [S: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: YOUR E-MAIL ADDRESS 0 ❑ OWNER l�CONTRACTOR PHONE: 7(p�j � �,�`1 '�J� ��— COMPANY NAME: •�"' CONTACT PERSON: I � STATE LICENSE # (p ADDRESS: � ILt}- PHONE?�G�j ' 3 O 3`UC3 0 3 FAX �INGLE FAMILY ❑ TWO FAMILY ❑ NEW �REPLACEMENT DETAILED DESCRIPTION OF WORK EXP DATE � � � Z � CITY� ��3 - 3Fs3 � �; ❑ TOWNHOUSE ❑ ALTERATION/REMODEL �� Permit No.: Received By:�_ Date �� . , � � � ATE�ZIP,� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: ""�1�1a I.i F MODEL: TU Y�'a �Gd� A 9�3 SIZEBTU _A/C $25.00 _AIR TO AIR EXCHANGEER $15 _BOILER $35.00 CHIMNEY LINER $]0.00 DUCT WORK $10.00 MFG: MODEL: MFG: MODEL: FIREPLACE (GAS) $I5.00 FIREPLACE (WOOD) $35.00 �FURNACE $35.00 GAS DRYER $10.00 GAS PIPING $10.00 SIZE/BTU SIZE/BTU _GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 _POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL 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 ardinances 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 ermit and or is not to start without a permit; that the work will be in accordance with the approved plan in the case of all o k which r u' evi and approval of plans. SIGNATURE OF APPLICA � PRINT NAME // i /, DATE APPROVAL INSPECTORS SIGN � � �f DATE L�' ( 4 l� City of Fridley ' ing Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Total Comfort Heating & Cooling 4000 Winneta Ave N Suite 100 - New Hope, MN 55427 763-383-8383 - Whole House Heat Loss/Gain System I Brennan Sales Consuitant: Steve Hawes 1538 North Timber Ridge Fridley, MN 55432 163-574-9145 Proposal#: BRE/SWH Date: 12/07I2011 Design Conditions: Winter Outdoor Temp. Summer Outdoor Temp. -18 93 Winter Indoor Design Temp: Summer Indoor Design Temp: 70 75 Loss/Gain Summary: Loss Gain Walls 16639 1495 Windows 10861 10035 Doors 1182 420 Ceilings 2188 1014 Skylights 0 p Floors 2019 People/Kitchen 0 2400 Infiltration 6319 8g2 Duct Loss/Gain Total Sensible 39208 16226 Total Latent 0 4868 Total 39208 21094 Total BTUH Gain Capacity Multiplier A/C Unit BTUH Rating 21094 21094 Nominal A/C Unit Size* 2.0 Gas Furnace Output BT 3920 -1 Electric Furnace KW 11.5 Calculations are Estimated values based on a Whole House Heat Loss/Gain analysis for a typical application. Please refer to our Room by Room program for atypical applications. *Equipment Selection should match Manufacturers Performance Data. (Latent and Sensible)