Permits - Permit# SP18-40 - 2425 Black Lake Road - 1/1/2018g052458 - Doo l
HEARTH & HOME TECHNOLOGIES
dba FIRESIDE HEARTH & HOME
Llc # BC662651i
2700 FAIRVIEW AVENUE N
ROSEVILLE. MN se14,2
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SUlldo r_Ope®h aorp.@arn
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CUTT GII' SPRUNG 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
0
Z
before 7 a.m. and after 10 p.m.
$
m
NIICAL PIER
Weekends/Holidays
before 7 a.m. and after 8 P.M.
Date: f b 1q �1
�� / - /l 7- 3- 1 of
/ Q
State Bond No.
Gas Fitters License No.
SITE ADDRESS: 4c/ctqk I J
OWNER -
I /, G.✓ fi J�.55i C� IQS�-
'MECHANICAL CONTRAC .R Name / Address / City / State/ Zip / Daytime Telephone
ESTIMATED VALUE
TYPE OF WORK: e Residential ❑ Commercial
New Nr Replacement Other
WARM AIR
AIR CONDITIONING SYSTEM
UNDERGROUND DUCT SYSTEM: Yes ( ) No ( )
Gravity Forced
Tons CFM Ductwork
Input B.T.U. Output B.T.U.
VENTILATION / AIR EXCHANGE
Exhaust Only 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 usedAocated
WET HEAT
GAS FITTINGS
Baseboard In -Floor
Steam Hot Water
❑ Water Heater o Furnace ❑ Stove o Dryer ❑ Grill
Gross Sq. Ft. Input B.T.U.
❑ Unit Heater a ❑
FIREPLACE
No, of Fireplaces_ ``
Vials anicai Permit Fee: $
`I 3,30
Fuel Type
Gas Fitting Permit Fee: $
Mechanical Comments:
�.
State Surcharge: oill-,1C.6
Ary ka.,
J!
Total MECHANICAL Permit: $ t3l.,
Signature of thla application by Me legal property owner or a licensed contractor, as the owner's representative Is required and autholizos the City Zoning Admlydslretor or designee and thejBuildina Official or designee to
enter upon the property to perform needed Inspections. Entry may be without prior notice. I hereby acknowledge that I have read this application and state that all Information is true end eono the best of my knowledge I
furtheragree Nat all work performed will be In accordance with approved plans, speblgcations and conditions and to ebldeby all ordinances of theCity and t e laws of the State of Mh nesotgeMkng actions taken pursuant
to this permit. I agree to pay all plan review fees even t I choose not to proceed with the work. pert expires when work b rot commenced with 180days from date of permit issued, oI ding and work Is
suspended, abandoned or not Inspected for 180 days. Work beyond or without a pent or Inspecton will be subject to a penalty. - - - -
- Call MNSPECT for Inspections at (952) 442-7520. (24 Hour Notice) 8 00 a.m. - 4:30 p.m.
SIGNATURE OF APPLICANT: ` ( DATE:
PRINTED NAME: DATE:
For All Rough -In And Final Inspections Call MNSPECT At (952) 442-7520 (24 Hour Notice)
Gas Line Air Tests Required
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LICENSE/CERTIFICATE/REGISTRATION DETAIL
RESIDENTIAL BLDG
Class Type:
Number:
BC662656
CONTRACTOR
Application
310744
Status:
ISSUED
No:
Effect
Expire Date:
3/31/2020
4/1/2018
Date:
Print
Orig Date:
2/12/2013
2/5/2018
Date:
Enforcement
NO
Action:
Workplace
Experience:
N/A
Name: HEARTH & HOME TECHNOLOGIES LLC DBA FIRESIDE HEARTH & HOME
Address: 7571 215TH ST W
LAKEVILLE , MN 55044
Phone: 952-985-6601
Business Relationship
Requirements
Name:
FISHER, DOUGLAS C
Status:
ISSUED
Expire Date:
8/18/2019
Ong Date:
5/18/2015
_.............._h.r 1- ku ----
Another Lookup?
Lic/Reg No: Q8694418
Application No: 353073
Effect Date: 2/17/2017
THIS CARD MUST BE VISIBLY POSTED, CITY of SPRING PARK Permit #
ACCESSIBLE, AND PROTECTED FROM
WEATHER AND PHYSICAL DAMAGE PERMIT CARD S P 18'O4O
FOR THE DURATION OF THIS PERMIT.
(VALID FOR A SINGLE PROJECT)
Site Address: 51495 Black La,�& f2j Building: a5)&nc�
Owner Name: Mo ,(V t Tess) cA- NIQSe--,
Contractor Name: HW4-h + HuMe,
Contractor License: P60, Ubo1IPY& Date Issued:
REFER TO HANDOUT FOR INSPECTION REQUIREMENTS
OFFICE USE
❑ ROOFING
❑ SIDING ❑
WINDOW ❑ DOOR
HANDOUT
INSPECTOR:
DATE:
Issued by: Received by: ilia
❑ FENCE ❑
SHED
Front: Back:
INSPECTION:
DATE:
Side: Side:
❑ MECHANICAL
XFIREPLACE
❑ PLUMBING
COMMENT
ROUGH -IN:
DATE:
.
Pressure test for plumbing and hvdronic Diving
_GAS LINE:
DATE:
Air test required for new gas line
FINAL:
DATE:
Gas line fitting test required
MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS DAY PRIOR TO THE INSPECTION DAY
Permit will expire 180 days after Issuance. All work must comply with the MN State Building Code.
PHONE (9S2) 442-7S20 MNSPECT, LLC TOLL FREE (888) 446-1801