Permits - Permit# SP13-023 - 2398 Black Lake Road - 1/1/2013JK
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CI'B V OF SPRING PARK
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4349 Warren Avenue Spring Park, MN 55384
Noise Ordinance In Effect:
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Phone (952) 471-9051 Fax (952) 471-9160
Monday- Friday
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before 7 a.m. and after 10 p.m.
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MECHANICAL PERMIT
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Weekends/Holidays
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before 7 a.m. and after 8 p.m.
Date: O C
/
State Bond No.
Gas Fitters License No.
SITE ADDRESS:,q-3
OWNER Z l CVIYI6aFt-e,
MECHANICAL CONTRACTOR Name / Address / City / State / Zip ! Daytime Telephone
Heating 8t Air Conditioning
ESTIMATED VALUE
Standard
130 FPIYMOUM 1AMMU
flarthC
TYPE OF WORK: Residential ❑ Com&�&&24-2656
New Replacement Other
WARM AIR
AIR CONDITIONING SYSTEM
UNDERGROUND DUCT SYSTEM: Yes ( ) No
Gravity Forced
Tons CFM Ductwork
Input B.T.U. Output B.T.
I
VENTILATION ! AIR EXCHANGE
Exhaust Onlv Air Exchange Unit
No. of Fans Size Type Type -Mixing Box
Heat Recovery Ventilation
C.F.M. Del Static Pressure Recovery Efficiency - Net Air Flows
Where ventilation is used/located
WET HEAT
GAS FITTINGS
Baseboard In -Floor
Steam Hot Water
❑ Water Heater ❑ Furnace ❑ Stove ❑ Dryer ❑ Grill
Gross Sq. Ft. Input B.T.U.
o Unit Heater c Fireplace ❑
FIREPLACE
No. of Fireplaces
Mechanical Permit Fee: $ c6o'coo
Fuel Type
Gas Fitting Permit Fee: $
Mechanical Comments:
State Surcharge: $5.00
$
Total MECHANICAL Permit:i$
Signature of this application by the legal property owner ors licensed contractor, as the owners representative is required and aut;=es the city Zoning Atlmtnlstralor or designee p(nd the Ciry ilding Official designee. c
enter upon the property to perform needed inspections. Entry may be without prior notice. I hereby acknov iedge that I have read this application and slate that all information Is bur(and correct to the besttafmyok'nowred . I
funkier agree that all work parfom+ed will be in accorttence wqn approved plans, rpecificonditions and to abide by all ordinances of the City and the laws of the state Minnesota regarding scaken p am
to this permit. I agree to pay all planreview fees evenot to proce w errnq expires when work Is not commenced with 180 days from date t issued, ail building enis
suspended, abandoned or not inspected for 180 da . Work b n r tit a or insp do ill be subject to a penally.
Call MN ECT fo ns ctl ns a ( 52) 44 -7 0. (24 Hour Notice) 8:00 a.m. - 4:30 p.m. Q
SIGNATURE OF APPLICA DATE: �O 7
PRINTED NAME: DATE:
For Ali Kough-In And Final Rfspections Call MNSPECT At (952) 442-7520 (24 Hour Notice)
Gas Line Air Tests Required
CITY of SPRING PARK
PERMIT CARD
(VALID FOR A SINGLE PROJECT)
PERMIT NO. SP13-023 Nature of Work: O T n 1 e.. V- LA-V t1a- 6 e
Site Address: '�13gT Ukcttt �-V k2j, Building: itI��
Applicant Name: Slam&vg We,' ti A C' - Date Issued: (O - t 3
INSPECTION RECORD
THIS CARD MUST BE VISIBLY POSTED, ACCESSIBLE, AND PROTECTED FROM WEATHER AND PHYSICAL DAMAGE
FOR THE DURATION OF THIS PERMIT.
REFER TO HANDOUT FOR INSPECTION REQUIREMENTS
OFFICE USE
❑ ROOFING ❑ SIDING
❑ WINDOW ❑ DOOR
HANDOUT
INSPECTION:
DATE:
Issued by: Received by:
❑ FENCE
❑ SHED
front: Back:
INSPECTION:
DATE:
Side: Side:
*MECHANICAL ❑ FIREPLACE ❑,PLUMBING
COMMENT
_ROUGH -IN:
DATE:
Pressure test for plumbing and hydronic piping
_GAS LINE:
DATE:
Air test required for new gas line
.FINAL:
DATE:
Gas line fittinq test required
MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS.DAY.PRIOR TO INSPECTION DAY
PHONE (9S2) 442-7S20 . MNSPECT, LLC TOLL FREE (888) 446-1801