P - 48472Building
Ir�spections
7�3-572-3604
763-502-4977 FAX
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SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
F.FFECTIVE 1-1-2011 _
YQUR E-MAIL ADDRESS
❑ OWNER` �ONTRACTOR
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CONTRACTOR co�� rrn�:
SUBMIT A COPY OF CONTACT PERSON: �
YOUR STATE STATE LICEN E# O./� �
LICENSE WITH pDDRESS. r ry
APPLICATION PH�� ,� 3
PERMIT TYPE �GLE FAMILY ❑ TWO FAMILY
TYPE OF WORK: � �W LACEMENT
DETAILED DESCRIPTION OF WORK
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Permit No.:
Received By:.
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FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELO�
PROVIDE HEAT LOSS CALC'S PER MANU�HRAE HANDBOOK. ���,{ q SIZEBTU ��
Equipment Installed MFG: MODELV�/'7L�� l`� �
_A/C $25.00
AIR TO AIR EXCHANGEER $15
BOILER $35.00
CHIIviNEY LINER $10.00
DUCT WORK $10.00
MFG:
MODEL:
�G; MODEL:
FIltEPLACE (GAS) $15.00
_FIREPLACE (WOOD) $35.00
LFURNACE $35.00
GAS DRYER $10.00
GAS PIPING $10.00
SIZEBTU
SIZEBTU
GAS RANGE/OVEN $10.00
NEW GAS GRILL $10.00
GAS iJNIT H'I'R $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 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 applicatio or a permi d work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all w� h re es review and approval of plans.
SIGNATURE OF APPLICAI�TT PRINT NAME ��Q� �a`-� �� DA�� �"— O//
, �,_ �
APPROVAL
TURE
''����.r.� � City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
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• Total Comfort Heating & Cooling
,' 4000 Winneta Ave N Suite 100 - New Hope, MN 55427
� 763-383-8383 -
Whole House Heat Loss/Gain System l
David Kuether Sales Consultant: Steve Hawes
4340 St. Imier Dr Proposal#: KUE/SWH
Fridley, MN 55421 Date: 02/04/2011
763.571.3146
Design Conditions:
Winter Outdoor Temp. -18 Winter Indoor Design Temp: 70
Summer Outdoor Temp. 93 Summer Indoor Design Temp: 73
Loss/Gain Summary:
Loss Gain
Walls 20593 3576
Windows 15516 13712
Doors 5100 1374
Ceilings 7460 3840
Skylights 0 0
Floors 4976 196
People/Kitchen 0 1200
Infiltration 25249 3279
Duct LosslGain
Total Sensible 78894 27177
Total Latent 0 8153
Total 78894 35330
Total BTUH Gain
Capacity Multiplier
A/C Unit BTUH Rating
35330
1.00
35330
Nominal A/C Unit Size* 3.0
Gas Furnace fJutput BTUH 78894
Electric Furnace KW 23.1
Calculations are Estimated values based on a Whole House Heat LosslGain 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)