FAA Form 337 - Taylorcraft
| | | Form Approved |
| | |OMB No. 2120-0020 |
| | |For FAA Use Only |
| | |Office Identification |
| | | |
|INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 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. 1421). Failure to report can result in a civil penalty not to exceed $1,000 |
|for each such violation (Section 901 Federal Aviation Act 1958) |
|1. Aircraft |Make |Model |
| |Taylorcraft |BC12-D |
| |Serial No. |Nationality and Registration Mark |
| |8908 |N96608 |
| |Name (As shown on registration certificate) |Address (As shown on registration certificate) |
|2. Owner |Steven N. Gervae |751 Seventh St. |
| | |Ontonagon, MI 49953 |
| | | |
| | | |
|3. For FAA Use Only |
| |
| |
|4. Unit Identification |5. Type |
|Unit |Make |Model |Serial No. |Repair |Alteration |
| | | |x |
|AIRFRAME |~~~~~~~~~~~~~~~~~~~~(As described in item 1 above)~~~~~~~~~~~~~~~~~~~~ | | |
| | | | | | |
|POWERPLANT | | | | | |
| | | | | | |
|PROPELLER | | | | | |
|APPLIANCE |Type | | | | |
| | | | | | |
| |Manufacturer | | | | |
| | | | | | |
|6. Conformity Statement |
|A. Agency’s Name and Address |B. Kind of Agency |C. Certificate No. |
|James McNamara | |U.S. Certificated Mechanic |A & P 1373065 IA |
|3 | | | |
| | | | |
|513 S. 8th St. | |Foreign Certificated Mechanic | |
|Escanaba, MI 49829 | |Certificated Repair Station | |
| | |Manufacturer | |
|D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 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. |
|Date |Signature of Authorized Individual |
| | |
| | |
|7. Approval for Return to Service |
|Pursuant to the authority given persons specified below, the unit identified in item 4 was inspected in the manner prescribed by the |
|Administrator of the Federal Aviation Administration and is APPROVED REJECTED |
|BY | |FAA Flt Standards | |Manufacturer |x |Inspection Authorization |Other (Specify) |
| | |Inspector | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | |FAA Designee | |Repair Station | |Person Approved by Transport | |
| | | | | | |Canada Airworthiness Group | |
|Date of Approval or Rejection |Certificate or |Signature of Authorized Individual |
| |Designation No. | |
| | | |
FAA Form 337 (12-88)
| 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.) |
|1946 Taylorcraft BC12-D N96608 S/N 8908 |
| |
|This aircraft is being modified I/A/W STC SA1-210 Conversion of Taylorcraft Model BC or Model BC12D to the equivalent of aircraft models BC12D85, F19. |
|This STC incorporates fuel system modifications to allow the use of a larger engine. This STC also incorporates minor structural changes to allow a |
|gross weight increase to either 1280 lbs or 1500 lbs depending on model choice, however these structural modifiacations were not accomplished per |
|attached letter of approval from FAA Engineering dated May 21, 1974. Aircraft gross weight remains at 1200 lbs. The TCDS for the F19 allows the use of |
|up to Continental 0-200 engines. I am installing a Continental C-90-12F engine of 90hp. Reference Aircraft Specification A-696 BC12-D-85 and TCDS 1A9 |
|Model F19. This field approval is not valid without the installation of STC SA1-210 with exceptions noted above. |
| |
|Installed Continental C-90-12F engine and Sensenich 76AK-40 propeller.Installed Hanlon-Wilson exhaust due to unavailable Taylorcraft exhaust for this |
|combination, exhaust is certified for installation on C90-12F. Placarded engine instruments in accordance with the engine manufacturers operation manual|
|limits.This engine and prop is a FAA certificated engine and prop combination. This engine mounts directly to the existing engine mount with no |
|modification. No cowling modification is required. No weight and balance changes. No aircraft operational changes. Weight and balance accomplished and|
|recorded in aircraft logbooks. |
| |
|Instructions for Continued Airworthiness |
|#1 This form 337 will become part of the aircrafts maintenance records. These ICA's will be incorporated into the aircraft annual inspection |
|#2 Replacement of Continental C-85 engine with Continental C-90 engine. No interface with other systems. |
|#3 No special control or operation procedures |
|#4 No change |
|#5 Inspect at each annual inspection using Taylorcraft BC12-D Service Manual and Continental C-90 Engine Manual as revised and CFR 43 Appendix D. |
|#6 Reference Continental C-90 Engine Manual as revised. |
|#7 Remove In accordance with Taylorcraft Service Manual. |
|#8 N/A |
|#9 N/A |
|#10 N/A |
|#11 N/A |
|#12 N/A |
|#13 N/A |
|#14 No additional overhaul time limitations |
|#15 N/A |
|#16 For changes to the ICA's contained on this 337 a letter will be submitted to the FSDO for acceptance. Once accepted a log book entry will be entered|
|in the aircraft logbooks identifying the revision, location, and date. END |
| Additional Sheets Are Attached |
-----------------------
[pic]
U.S Department of
Transportation
Federal Aviation
Administration
MAJOR REPAIR AND ALTERATION
(Airframe, Powerplant, Propeller, or Appliance)
U.S.GPO:1989-0-663-171
U.S.GPO:1989-0-663-171
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