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Date: 6/9/2005 Revision Date: 6/9/2005 Existing Construction: Pre 1994. <br /> Site Information <br /> Address 1: 1150 Old Crystal Bay Rd. Project#: <br /> Address 2: Lot: Block: <br /> City: Orono County: Henn. Subdivision: <br /> Application Information <br /> Business Name: Flare Heating +A/C MN Contractor License #: <br /> Contact Person: Bill Lofgren <br /> Office Ph: 763-542-1166 Fax: 763-542-3101 Cell Ph: <br /> Address 1: 9303 Plymouth Ave. N. <br /> City: Golden Valley State: MN. Zip Code: 55427 <br /> Square Feet <br /> Square Feet: 9999 sq. ft. <br /> Combustion Appliance <br /> Water Heater 1: Natural Draft Input BTUs: 75,000 Common Vent <br /> Water Heater 2: Natural Draft Input BTUs: 50,000 Common Vent <br /> Furnace/Boiler 1: Fan Assisted Input BTUs: 110,000 Common Vent <br /> Furnace/Boiler 2: Fan Assisted Input BTUs: 80,000 Common Vent <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): Yes Solid Fuel Appliance(s): One <br /> Exhaust Equipment <br /> Exhaust Fan Rating (cfm): 600 <br /> Make-Up Air <br /> No Make-Up Air Required by Code <br /> Applicant Name (print): W; 11t�vv. OC—% rer- Signature/Date: 111- c. 7-.2e-0C <br /> Code Official (print): Signature/Date: <br /> 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page I <br />