Weight & Balance for the Mooney M20F Executive

Address (As shown on registration certificate) Address City Michaelis Alexander My Zip 3. For FAA Use Only 34 Frog Pond Rd Sand wich 03227-345Cuntry State USA NH 5. Unit Identification Alteration Unit Make ☑ AIRFRAME ☐ POWERPLANT ☐ PROPELLER Туре APPLIANCE Manufacturer Model (As described in Item 1 above) Serial No. A. Agency's Name and Address Neil Mayschwane Name Address City Zip 65 Aviatich Lay Gilford State NH 03249 Country USA 6. Conformity Statement B. Kind of Agency ☑ U. S. Certificated Mechanic Foreign Certificated Mechanic Certificated Repair Station Certificated Maintenance Organization Manufacturer C. Certificate No. 2257455 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel Signature/Date of Authorized Individual per 14 CFR Part 43 App. B Hul Muha 7. Approval for Return to Service 8/16/22 Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is FAA Fit. Standards Inspector BY Manufacturer Repair Station Rejected Persons Approved by Canadian Department of Transport ☑ Approved Maintenance Organization ☑ Inspection Authorization Other (Specify) FAA Designee Certificate or Designation No. 2252455 FAA Form 337 (10/06) Signature/Date of Authorized Individual Mul Muschener 8/16/22 Page 1 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N201DY Nationality and Registration Mark 8/16/22 Install Plane Power Alter notor con Version in SA106825C. Date accordance with STC kit # SAL 12-70. Weight + Balance revised to reflect change. End FAA Form 337 (10/06) Additional Sheets Are Attached Page 2 MAJOR REPAIR AND ALTERATION Form Approved OMB No. 2120-0020 2/28/2011 Electronic Tracking Number For FAA Use Only US Department of Transportation Federal Aviation Administration (Airframe, Powerplant, Propeller, or Appliance) INSTRUCTIONS: Print or type all entries. See Title 14 CFR $43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)) 1. Aircraft Nationality-and-Registration Mark N201DY Make- MOONEY Name (As shown on registration certificate) 2. Owner NGUYEN STACEY Serial-No: 857 Model Series M20E Address (As shown on registration certificate) Address 1206 S HURON DR City SANTA ANA State CA Zip 92704-3017 Country U.S.A. 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make AIRFRAME POWERPLANT PROPELLER Type ☐ APPLIANCE Manufacturer Model Serial No. (As described in Item 1 above) A. Agency's Name and Address Name GULF COAST AVIONICS CORP Address 3650 DRAIN FIELD RD City LAKELAND Zip 33811 Country U.S.A. 6. Conformity Statement B. Kind of Agency State EL ✓ U. S. Certificated Mechanic Foreign Certificated Mechanic Certificated Repair Station Certificated Maintenance Organization Manufacturer C. Certificate No. UB4R564M RADIO CLASS 1,2,3 LTD INST/AP D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B Signature/Date of Authorized Individual Brad Miller 12/28/2011 B Ве 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is Rejected Persons Approved by Canadian Department of Transport ☑ Approved FAA Fit. Standards Inspector Manufacturer Maintenance Organization BY Other (Specify) FAA Designee ✓ Repair Station Inspection Authorization Certificate or Designation No. UB4R564M FAA Form 337 (10-06) Brad Miller 2/24/2012 Signature/Date of Authorized Individual во NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N201DY 12/28/2011 Nationality and Registration Mark Date REMOVED GARMIN GNS530 w/GA56 ANTENNA, GMA-340 AUDIO PANEL. INSTALLED GARMIN GTN-750 GPS/ NAV/COM, GA35 GPS ANTENNA, GMA35 AUDIO PANEL. 1. INSTALLED THE GARMIN GTN-750 GPS SYSTEM AT FS #17.0 IN THE CENTER RADIO STACK. THE UNIT WAS FOUND TO BE WITHIN THE VIEWING REQUIREMENTS AS OUTLINED IN TSO C146a. INSTALLED THE GA35 GPS ANTENNA S/N 78888 AT FS #94.8. PROVIDED POWER TO THE GPS SYSTEM FROM THE 14VDC AVIONICS BUSS USING 1EA 5 AMP KLIXON 7277-2 BREAKER & 1 10A. MOUNTED ON THE AVIONICS BREAKER PANEL THAT IS ACCESSIBLE TO THE PILOT IN FLIGHT. THE SYSTEM WAS INSTALLED COUPLED TO THE G500 GDU-620 PFD DISPLAY AS #1 NAV/GPS. THE GPS IS COUPLED TO THE EXISTING STEC 55X AUTOPILOT WHEN THE AUTOPILOT IS SET TO "NAV", "APR" OR "GPSS" MODES. 2. INSTALLED THE GARMIN GMA-35 REMOTE AUDIO PANEL AT FS #12.0 IN THE CENTER RADIO STACK (BEHIND GDU-620 DISPLAY). PROVIDED POWER TO THE GPS SYSTEM FROM THE 14VDC AVIONICS BUSS USING 1EA 5 AMP KLIXON 7277-2 BREAKERS MOUNTED ON THE AVIONICS BREAKER PANEL THAT IS ACCESSIBLE TO THE PILOT IN FLIGHT. INTEGRATED SYSTEM TO ALL AIRCRAFT AUDIO COMPONENTS. 4. INSTALLED PRE-APPROVED FMS DATED GARMIN P/N 190-01007-A2 REV 1 FAA APPROVED 3/18/2011 INTO AIRCRAFT APPROVED FLIGHT MANUAL. 5. THE INSTALLATION IS IN COMPLIANCE WITH FAR 23.1301 & 23.1431. PERFORMED ELECTRICAL LOAD ANALYSIS REFERENCE 23.1351. 6. ALL WORK DONE IN REFERENCE TO MANUFACTURERS INSTALL MANUAL NUMBER GTN-6XX/7XX (GMA35) P/N 190-01007-A Rev. 3 3/2011& STC # SA02019SE-D w/AML DATED 3/18/2011. AC 43-13.1B CHAP 7 SEC 1-7, SEC 9-10, CHAP 10 SEC 2 PAR 10-16, 10-19, 10-20, CHAP 11 SEC 5-17, CHAP 12 SEC 1-4. AC 43-13.2B CHAP 1 (ALL), CHAP 2 PAR 200, 201, 202, 203, 205-210, & CHAP 3 PAR 300-310. LOGBOOK ENTRIES COMPLETE, REVISED EQUIPMENT LIST AND WEIGHT AND BALANCE. "INSTRUCTIONS FOR CONTINUED AIRWORTHINESS" 1. INSTALLED THE GTN-6XX/7XX (GMA35) INSTRUCTIONS FOR CONTINUED AIRWORTHINESS DOCUMENT GARMIN P/N 190-01007-A1 REV 1 INTO THE AIRCRAFT MAINTENANCE RECORDS. END- ☐ Additional Sheets Are Attached FAA Form 337 (10-06) MAJOR REPAIR AND ALTERATION Form Approved Electronic Tracking Number OMB No. 2120-0020 2/28/2011 For FAA Use Only US Department of Transportation Federal Aviation Administration (Airframe, Powerplant, Propeller, or Appliance) INSTRUCTIONS: Print or type all entries. See Title 14 CFR $43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)) Nationality-and-Registration-Mark- N201DY 1. Aircraft Make MOONEY Name (As shown on registration certificate) 2. Owner NGUYEN STACEY Serial-No: 857 Model Series M20E Address (As shown on registration certificate) Address 1206 S HURON DR. City SANTA ANA State CA Zip 92704-3017 Country U.S.A. 3. For FAA Use Only Model Serial No. (As described in Item 1 above) 4. Type Repair 5. Unit Identification Alteration Unit Make AIRFRAME ☐ ☐ POWERPLANT □ PROPELLER Type APPLIANCE Manufacturer A. Agency's Name and Address Name GULF COAST AVIONICS CORP Address 3650 DRAIN FIELD RD City LAKELAND. Zip 33811 Country U.S.A. 6. Conformity Statement B. Kind of Agency State EL ✓ U. S. Certificated Mechanic Foreign Certificated Mechanic Certificated Repair Station Certificated Maintenance Organization Manufacturer C. Certificate No. UB4R564M RADIO CLASS 1,2,3 LTD INST/AP D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B Bel Signature/Date of Authorized Individual Brad Miller 12/28/2011 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is FAA Fit. Standards Inspector BY Rejected Persons Approved by Canadian Department of Transport ☑ Approved Manufacturer Maintenance Organization Other (Specify) FAA Designee Certificate or Designation No. UB4R564M FAA Form 337 (10-06) ކ Brad Miller 2/24/2012 Repair Station Inspection Authorization Signature/Date of Authorized Individual Blu NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N201DY Nationality and Registration Mark 12/28/2011 Date INSTALLED STEC SYSTEM 55X AUTOPILOT. INSTALLED THE 6405-8-28L TURN-COORDINATOR IN THE CO-PILOTS INSTRUMENT PANEL AT FS #19.5. INSTALLED THE 55X COMPUTER P/N 01192-0-57TF IN THE RADIO STACK AT FS #18.1. INSTALLED THE ROLL SERVO P/N 0106-R9 AT FS#137.5 IN THE LEFT WING. INSTALLED THE PITCH SERVO P/N 0108-P4 AT FS# 171.0 IN THE TAIL SECTION. INSTALLED THE PITCH TRANSDUCER P/N 0111 AT FS# 15.0. THE SYSTEM WAS INSTALLED I.A.W. STEC INSTALLATION MANUAL P/N ST-592 AND STC#SA09011AC-D. INSTALLED PRE-APPROVED FAA FLIGHT MANUAL SUPPLEMENT P/N 891177 DATED 6/26/95 INTO A/C APPROVED FLIGHT MANUAL. THE INSTALLATION IS IN COMPLIANCE WITH FAR 23.1301 & 23.1431. PERFORMED ELECTRICAL LOAD ANALYSIS REFERENCE 23.1351. ALL WORK DONE IN REFERENCE TO MANUFACTURERS INSTRUCTIONS MANUALS: & AC 43-13.1B CHAP 7 SEC 1-7, SEC 9-10, CHAP 10 SEC 2 PAR 10-16, 10-19, 10-20, CHAP 11 SEC 5-17, CHAP 12 SEC 1-4. AC 43-13.2B CHAP 1 ALL, CHAP 2 PAR 200-210, CHAP 11. LOGBOOK ENTRIES COMPLETE, REVISED EQUIPMENT LIST AND WEIGHT AND BALANCE. "INSTRUCTIONS FOR CONTINUED AIRWORTHINESS" INSTALLED STEC INSTRUCTIONS FOR CONTINUED AIRWORTHINESS DOCUMENTS STEC P/N 81530 INTO AIRCRAFT MAINTENANCE RECORDS. --END- Additional Sheets Are Attached FAA Form 337 (10-06) MAJOR REPAIR AND ALTERATION Form Approved Electronic Tracking Number OMB No. 2120-0020 2/28/2011 For FAA Use Only US Department of Transportation Federal Aviation Administration (Airframe, Powerplant, Propeller, or Appliance) INSTRUCTIONS: Print or type all entries. See Title 14 CFR $43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)) 1. Aircraft Nationality-and-Registration Mark N201DY Make. MOONEY Name (As shown on registration certificate) 2. Owner NGUYEN STACEY 4. Type Repair Serial-No. 857 Model Series M20E Address (As shown on registration certificate) Address 1206 S HURON DR. City SANTA ANA State CA Zip 92704-3017 Country U.S.A. 3. For FAA Use Only 5. Unit Identification Alteration Unit Make AIRFRAME ☐ POWERPLANT ☐ PROPELLER Type ☐ APPLIANCE Manufacturer Model Serial No. (As described in Item 1 above) A. Agency's Name and Address Name GULF COAST AVIONICS CORP Address 3650 DRAIN FIELD RD City LAKELAND. Zip 33811 Country U.S.A. State EL 6. Conformity Statement B. Kind of Agency U. S. Certificated Mechanic Foreign Certificated Mechanic Certificated Repair Station Certificated Maintenance Organization Manufacturer C. Certificate No. JUB4R564M RADIO CLASS 1,2,3 LTD INST/AP D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B ☐ Signature/Date of Authorized Individual Belm 7. Approval for Return to Service Brad Miller 12/28/2011 Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is ☐ Approved ☐ Rejected Persons Approved by Canadian Department of Transport Maintenance Organization Other (Specify) FAA FIt. Standards inspector Manufacturer BY FAA Designee ✓ Repair Station Signature/Date of Authorized Individual Certificate or Designation No. UB4R564M FAA Form 337 (10-06) Inspection Authorization B Brad Miller 2/24/2012 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N201DY 12/28/2011 Date Nationality and Registration Mark REMOVED PILOTS VSI, TURN & SLIP, VACUUM D/G. INSTALLED GARMIN G500 PFD / MFD SYSTEM. FABRICATED NEW PILOTS INSTRUMENT PANEL FROM 2024T3-063 AND INSTALLED THE GDU-620 PFD DISPLAY AT FS #20.0. RELOCATED THE EXISTING VACUUM HORIZON, ALTIMETER, AND AIRSPEED FOR STANDBY INSTURMENTS. (REFERENCE GCA DRAWING N201DY-CAD)(WHICH MEETS THE VIEWING REQUIREMENTS OF 23.1311 & 23.1321 (a)) AND PER GARMIN INSTALLATION MANUAL. THE FLIGHT PORTION OF THE GDU-620 ELECTRONIC FLIGHT DISPLAY IS IN SAME POSITION THE HORIZON & D/G WERE REMOVED. THE SYSTEM IS POWERED FROM THE MAIN BUSS THROUGH A KLIXON 7277-2-5AMP BREAKER, ACCESABLE TO THE PILOT IN FLIGHT. INSTALLED THE GRS-77 AHRS IN THE REAR AVIONICS BAY AT FS #117.0 ON EXISTING SHELF USING SUPPLIED UNIVERSAL MOUNTING KT P/N 011-01780-00 AND MOUNTING RACK P/N 115-00459-00. INTEGRATED SYSTEM TO GMU 44 MAGNETOMETER INSTALLED IN TAIL AT FS #125.0, USING SUPPLIED UNIVERSAL BRACKET P/N 011-01779-01. SYSTEM IS POWERED BY THE MAIN BUSS THROUGH A KLIXON 7277-2-5AMP BREKAER, ACCESABLE TO THE PILOT IN FLIGHT. INSTALLED THE GDC-74A ADC IN THE REAR AVIONICS BAY AT FS #117.0 ON EXISTING SHELF, USING SUPPLIED MOUNTING RACK P/N 011-01011-00. SYSTEM CONNECTED TO EXISTING PITOT, STATIC. INSTALLED GTP-59 OAT PROBE ON BOTTOM OF FUSELAGE AT FS #117.0. THE SYSTEM IS POWERED FROM THE MAIN BUSS THROUGH A KLIXON 7277-2-5AMP BREAKER, ACCESABLE TO THE PILOT IN FLIGHT. THE G500 IS INTERERFACED TO THE FOLLOWING EQUIPMENT: 1. GTN-750 #1 NAV / GPS SYSTEM. 2. SL-30 #2 NAV/COM. 3. STEC SYSTEM 55X AUTOPILOT SYSTEM. 4. GARMIN GTX-330 TIS TRAFFIC. INSTALLED PRE-APPROVED FMS GARMIN P/N 190-01102-01 REV 7 FAA APPROVED 2/23/2011 INTO AIRCRAFT APPROVED FLIGHT MANUAL. THE INSTALLATION IS IN COMPLIANCE WITH FAR 23.1301, 23.1309,, 23.1311, 23.1321 (a), 23.1431, AND ELECTRICAL LOAD ANALYSIS REFERENCE 23.1351. PERFORMED GROUND AND FLIGHT SYSTEM CHECKS PER SECTION 5 OF THE INSTALL MANUAL. ALL WORK DONE IN REFERENCE TO MANUFACTURERS INSTRUCTIONS MANUALS NUMBER GARMIN G500 P/N 190-01102-06 Rev. 6 8/20011, AND IN ACCORDANCE WITH STC# SA02015SDE-D, AML DATED FEB 2011. AC 43-13.1B CHAP 7 SEC 1-7, SEC 9-10, CHAP 10 SEC 2 PAR 10-16, 10-19, 10-20, CHAP 11 SEC 5-17, CHAP 12 SEC 1-4. AC 43-13.2B CHAP 1 (ALL), CHAP 2 PAR 200, 201, 202, 203, 205-210, & CHAP 11. LOGBOOK ENTRIES COMPLETE, REVISED EQUIPMENT LIST AND WEIGHT AND BALANCE. "INSTRUCTIONS FOR CONTINUED AIRWORTHINESS" 1. INSTALLED THE GARMIN G500 INSTRUCTIONS FOR CONTINUED AIRWORTHINES DOCUMENT P/N 190-01102-01 REV1A INTO THE AIRCAFT MAINTENANCE RECORDS, WITH G500 CONFIGURATION AND CHECK OUT FORM. ·END. Additional Sheets Are Attached FAA Form 337 (10-06) MAJOR REPAIR AND ALTERATION Form Approved Electronic Tracking Number OMB No. 2120-0020 2/28/2011 For FAA Use Only US Department of Transportation Federal Aviation Administration (Airframe, Powerplant, Propeller, or Appliance) INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)) Nationality and Registration Mark N201DY 1. Aircraft Make MOONEY 2. Owner |Name (As shown on registration certificate) STACEY NGUYEN Serial No. 857 Model Series M20E SUPER 21 Address (As shown on registration certificate) Address 1206 S HURON DR. City SANTA ANA State CA Zip 92704-3017 Country UNITED STATES. 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make ୦ AIRFRAME ୦ О POWERPLANT ୪ о PROPELLER Type ☑ APPLIANCE Manufacturer A. Agency's Name and Address Name WILLIAM E BOEGE III Address 1225 N LAKE OTIS DR SE City WINTER HAVEN State EL Zip 33880 Country UNITED STATES Model Serial No. (As described in Item 1 above) 6. Conformity Statement B. Kind of Agency U. S. Certificated Mechanic Foreign Certificated Mechanic Certificated Repair Station Certificated Maintenance Organization Manufacturer C. Certificate No. 3115874 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range fuel per 14 CFR Part 43 App. B BY 1 Signature/Date of Authorized Individual Wel ls Воедели 10/24/2011 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is FAA Fit. Standards Inspector ☐ Manufacturer ☐ FAA Designee ○ Repair Station ☐ Rejected Persons Approved by Canadian Department of Transport ☑ Approved Maintenance Organization Other (Specify) ☑ Inspection Authorization Certificate or Designation No. 3115874 FAA Form 337 (10-06) Signature/Date of Authorized Individual Will I Bay M 10/24/2011 į, NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) N201DY 10/24/2011 Nationality and Registration Mark Date REPAIRED REAR CENTER SPAR IN ACCORDANCE WITH MOONEY SERVICE BULLETIN NO. M20-217 PAGE 2 STEPS 1-10 INSTALLED THE FOLLOWING MOONEY SUPPLIED PARTS: PN 020-217-1 DOUBLER 020-217-3 ANGLE 020-217-5 SPACER 020-217-7 SPACER AN3-5A BOLTS AN3-13A BOLTS MS 21045L3 NUTS AN960-10 WASHERS REPAIR WAS PERFORMED IN ACCORDANCE WITH MOONEY DRAWING 217-1 AND 217-2 and AC43.13-1b FIGURE 4-22, 4-21, AND PARAGRAPH 4-59. THIS REPAIR PERMITS THE DISCONTINUANCE OF SB M20-217 INSPECTION FAA Form 337 (10-06) -END- Additional Sheets Are Attached