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� <br /> . � <br /> Date: 12/1/2008 Revision Date: 12/1/2008 New Construction <br /> Site Information <br /> Address 1: Project#: Westling <br /> Address 2: Lot: Block: <br /> City: County: Subdivision: Stonewood <br /> Application Information <br /> Business Name: UMR Geothermal MN Contractor License #: <br /> Contact Person: Jim Cusack <br /> Office Ph: 763-479-6325 Fax: 763-479-2183 Cell Ph: 612-369-3654 <br /> Address 1: 5115 Indurstrial St. <br /> City: Maple Piain State: MN Zip Code: 55359 <br /> House Detaiis <br /> Square Feet: 5545 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 5 <br /> Ventilation : Balanced <br /> Total Ventilation Capacity : 218 cfm. <br /> Minimum Continuous Ventilation :90cfm. <br /> Intermittent Ventilation: 128 cfm. <br /> Combustion Appliance <br /> Water Heater: NA <br /> Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 250,000 Independently Vented <br /> Other Combustion Appliances <br /> Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s}: No <br /> Gas Fired Natural Draft Fireplace(s}: No Solid Fuel Appliance(s): No <br /> Exhaust Equipment <br /> Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 <br /> Exhaust Fan Rating (cfm): 600 <br /> Make-Up Air <br /> No Make-Up Air Required by Code <br /> Combustion Air <br /> Minimum Combustion Air Requirements Have Been Met. <br /> � � <br /> Applicant Name (print): �f��c- I�U�.SC F-Ei�N/� Signature/Date: �� 2 �° <br /> Code Official (print): Signature/Date: <br /> O 20(kt CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page l <br />