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�' ���� I I <br /> ,,�,: <br /> ;� <br /> Date: 10/12/2005 Revision Date: 10/12/2005 Existing Const�uction: Pre 1994. <br /> Site Information <br /> Address 1: 13�L4��re. Project#: <br /> Address 2: Lot: Block: � <br /> City: Orono County: Hennepin Subdivision: �� �C��c <br /> T <br /> Aaplication Information �/��( J Q <br /> Business Name: Flare Heating &A/C MN Contractor License#: `� <br /> Contact Person: Mike Guerre <br /> Office Ph: 763-542-1166 Fax: 763-542-3101 Cell Ph: <br /> Address 1: 9303 Plymouth Ave. <br /> City: Golden Valley State: Mn. Zip Code: 55427 <br /> Square Feet <br /> Square Feet: 5818 sq. ft. <br /> Combustion Aqpliance <br /> Water Heater: Natural Draft Input BTUs: 50,000 Common Vent <br /> Furnace/Boiler 1: Fan Assisted Input BTUs: 88,000 Common Vent <br /> Furnace/Boiler 2: Direct VenUSealed Combustion Input BTUs: 60,000 Independently Vented <br /> Other Combustion Appliances <br /> Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No <br /> Gas Fired Natural Draft Fireplace(s): Yes Solid Fuel Appliance(s): No <br /> Exhaust Equipment <br /> Exhaust Fan Rating (cfm): 1144 <br /> Make-Up Air <br /> Total Make-Up Air Required (cfm): 624 <br /> Power Make-Up Interlocked With Largest Exhaust System. (cfm): 600 <br /> Passive Make-Up, Round Rigid: 5 inches or Insulated Flex: 6 inches <br /> Applicant Name (print): /�/�i!�� Gu x�RR� Signature/Date: �°���-� s <br /> Code Official (print): Signature/Date: <br /> � y 1�,I <br /> h ,�' ! <br /> � � � <br /> ±� . ��� <br /> ;1: ;g',:%�'i" <br /> , <br /> 0 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 <br />