Permits - Permit# 683 - 2425 Black Lake Road - 1/1/1986TY OF SPRING Pt►RK _ Of L I CATION FOR ';
GENERAL INFORMATION Mechanical Permit�
t. postage aaQlkaadti�gc6eescshomsabetomi"wby mail oa in peason at
the City o66ices. Mailed -in permits sat subject to the
I. Permit egad• will Ot sent by aetuaN mail the saint day the application is aectived. PIRMITS ARE NOT VALID UNTIL YOU
RECEIVE A PERMIT CARD. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
!. When any new constauction oa aesodeting is involved, a sepaaate building peamit must be obtained.
I. All woak must be dose in accoadance with State Building Code aequiaements.
S. All work must be inspected (sough -in and dinall. Call 473-1351 91-hou4 Notice aequiaed.
s.. House Heating Test Recoad must be submitted be6ore 6in4l - ate attached.
INSTRUCTIONS Complete all items on this appUcation. Compute the peamit let. Sign and date the ceati ication.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. T6 you have
_ ...... .......-- .... -- Questions, call I73-1lS7_
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Owner's Name
--� is La Telephone Number
Mailing Address
Contractor's Name Telephone Number
Mailing Address Xj ac-
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MINIMUM FEE ($20.00 per project)
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HEATING SYSTEMS
FUEL _ nat. gas, 1p Spa, _ oil, _ elect. $15.0Gedch unit
other Ispecify if combination burnor)
EQUIP.
�_ (it more than 1 unit per bldg., list each separately)
No- Type Btuh Input Brand Name Model No.
r
f. a. furnace r �`
by boiler
unit heater
solar htg,
equipment __$50. 00
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AIR CONDITIONING
$15.00 each unit
Central Air Separate Central Air System
w/furnace
<Brand Name Model No.
Tons
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tlOnn euRNIN. FnuIpMENT (attach copy of migz'o installation space.) YC15,00
rfictory Fireplace(s) _ freestanding _ built-in each unit Wood combinationeach unit flood stove with loreadd-o un.
30.00
'Wood Stoves(e). franklin, other 15.00 each unit factory fireplace with flue
Brand Name Model No.
Mf9r'9 Min. Clearances, aide ,.rear , Min. Flue --
Total
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1
S 5.00 each
No. Kitchen Exhaust
exhaust tans (bath, kitchon,
ducted _ recirculating cfm attic, etc.)
JNc. _ Bath Exhaust (must be ducted outside) _ cfm
NO. _ Other Fans: Locations cfm
Total
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(must be approved by fire marshal)
Fuel oil, - gallons underground inside outside
Lp Gas, gallons
Other, j
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S PRTNR7cR SXSZMc ($20 00 minimum; $lob.00 maximum) a) Residential' $20.00
Nuiber of Heads No, of Risers b) Commercial $20.00 Plan Review
— —
"Type of System (2 gate o! plans required for review) $2.00
^� per head Total
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Cominercial, Industrial b Multi -Family see Foe Schedule
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a: PERMIT FEE CALCULATION 5�
1. Total.of above Installations or Minimum Fee O20.00) $ a d
2. State Surcharge add the State Building Code Division Surcharge to each peamit $ .50
3. Postage and Handlir 2 On aft mailed -in applications, add the postage and handling bet $
A. TOTAL PERMIT FEE add tines 1.5 above
he undeaaigned heaeby applies to the city on Orono boa issuance o6 a Mechilmical Permit, dgaeea to do all work in strict a
._coidance w4th the oadinanets o6 tl:e %:ity and the aegutation.s 06 the Minntsuta State Building Coda, and ce4ti6ies that
el statements made on this apptieatio�: sae Cumptete, taue and coaaeet.
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Form No. 284' Miller•Davia Co., Minneapolis
-
• o
No.
State of Minnesota
County of j Office
1 Permit
IN SI RATION Thus ments made b -'C"'
in application therefor duly filed in this office, which application is hereby made a part hereof
DU T0N2 HEREBY GRANTED To' aid
as owner
upon that tr ct of land described as .follows: t Block y plat or addition
Address
which tract is of the size and area specified in said application. ,
This permit is:granted upon the express conditions that said owner and h_contractors, agents, workers
and employees, shall. comply in all respects with the ordinances of the `'
E of
Given under the hand of the of said and its corpor
Aje
seal and attested by its 12 is day off L—� , ig
Attest
Form No. 294
Miller -Davis Co.,
No
9 '
State of Minnesota, �f
County of N 1=— j Office of h
I� Permit
INMSID RATIONFIE,�(F The st m�ts made b T
in application therefor duly filed in this office, which application is hereby made a part hereof,
PERMISSION—PERMISSION-L9 HEREBY GRAPjjED To aid as owner
upon that tract of land described as follows: Lot
Address
which tract is of the size and area specified in said a
Block . plat or addition
ration.
This permit is granted upon the express conditions that said owner and h_ contractors, agents, workers
and employees, shall comply in all respects with the ordinances of the `-'
ofK
Given under the hand of the '• of said �'� and its corporAte
..,� seal and attested by its 01 �L ,� this day of xJ �� LN , 19