P - 41800Buildi�g MECHANICAL Permit No.: --U�:��(.�
Inspections RESIDENTIA,L APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date Rec'a:_ `'�--' �� t
763-502-4977 FAX �,FrrcTivE i-i-zo� i
DA"fG 3�7J201 �___^_ YOUR I;-MAII, AL)DRGSS 9uyacs@comcast.net
SI'1'1? ADDRI^SS 6731 Quincy Street Fridley, MN 55432
TEllS APPLdCAN"I' 15; ❑ OWNER ��lCONTRACTOR � �
PROPF,RTY NAMB: Tom Johnson
OWNER/ ADDRESS: 6731Quincy Street �I.ry Fridley MN 55432
TENANT sTaTE zir
PIiONE:
CONTRACTOR �OMPANY NAMF,: Air Comfort Specialist inc
SUBMIT' A COPY OF
CONTACT PGRSON: Guy Stengel
YOUR STAT'E S7'A7'E L.ICENSE # EXP DATE
1_,lE'ENSE W1TH ADDRESS: 662 116th Lane NE ���.y Blaine STATE MN Z�p 55434
APPI;ICATION PH��rti 763-755-0770 pp}Z 763-755-9112
PERMIT TYPE r�( SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
7'YPE OF WORK: � N�W � REPLACEMENT ❑ ALTERATION/REMODEL
DETAIL,ED DESCRIPTION OF WORK Replace Fumace and Central Air
FEES ARE BASED ON $10.00 P�R FIXT'URE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PRUVIi)E HF,AT LUSS CALCS PER MANUAL J 20f16 ASHRAE HANDBOOK.
Equipmem Installed __ MF,G: n�,en��s�e�aa,a _ MODEL: AuH�sosons3sin _ 60000 _
SIZEB'I'U
� American Standard 4A7A3024D1000A Z4OOO
MFG: MODEL: S►ZEBTU
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MFG: : ` MODEL: SIZEBTU
,�A/C $25.00 F[RF,PLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 `
_AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.(� NEW GAS GR[LL $10:00
BOILER $35.0p �FURPiACE $35.00 GAS UNIT HTR $10.00
'CHIMNEY LINF,R $10A0 GAS DRYER $10.00 POOL HEATER $35.00
llUCT WORK $ f0A0 GAS PIPING $10.00 VENTILATOR $15A0
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THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCLSSED
i hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformdnce witl� ttie 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 appl'cation fi�r • permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case f a work wfiic • '• s r�iew and approval of plans. �
SIC,NATURE OF APPLICAN"f J!r PRINT' NAME Guy Stengel DATE 3/7/2011
APPROVAL INSPE('1'ORS SIGNATURE DATE 3/7/2011 :
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City of Fridley
ilding Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977