Permits - Permit# SP15-007 - 2429 Black Lake Road - 1/1/201510
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CITT OF SPRING PARK
Noise Ordinance
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4349 Warren Avenue Spring Park, MN 55384
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.
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Date: Zy
State Bond No.
Gas Fitters License No.
SITE ADDRESS:
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OWNER
MECHANICAL CONTRACTOR Name / Address / City / State / Zip / Daytime Telephone
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ESTIMATED VALUE
3VIV IJ6%i AL4_ Rac�J;.. *N s�au i-57- icy-1224
TYPE OF WORK: XResidential ❑ Commercial
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.U.
VENTILATION / AIR EXCHANGE
Exhaust Only Air Exchange Unit
No. Fans ' Size 0
of O 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.
❑ Unit Heater ❑ Fireplace ❑
FIREPLACE
No. of Fireplaces
Mechanical Permit Fee4 .39 -'
Fuel Type
Gas Fitting Permit Fee: $
Mechanical Comments:
W&H
State Surcharge: $
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$
Total MECHANICAL Permit:
Signature of this application by the legal property owner or a licensed omit. ctor, as the ownees representative is required and authorizes the City Zoning Administrator or d nee d the g sly I
enter upon the n City Building O I or
Property to perforn needed inspections. Entry may be without prior notice. I hereby acknowledge that I have read this application and slate that all informetlon is We
correct to the b my knowled 6. further agree that all work performed will be in accordance with approved plans, spe�caaons and conditions and to abide by OR ordinances of the City and the laws of the State of Min actions taken pur, im to this permit. I agree to pay all plan review fees even If 1 choose not to proceed with the worRarmg explres when work is rat commenced with 1 so days from data of
Issued, if bu'rkfing
permit or and work is
suspended, abandoned or rat Inspected for 160 tlaye. beyond or without a permit or inspection will be subject to a penalty.
Call MNSPECT r Inspections at (952) 442-7520. (24 Hour Notice) 5:00 a.m. - 4:30 p.m.
SIGNATURE OF APPLICANT: DATE: Y-Zy-(S
PRINTED NAME: DATE: 9- R-!s'
C- All w1. 1.. A --A tc:__� ��_—__
Ve r 13 rwsaysr— " And Final Inspections L ali mnartc 1 At (952) 442-7520 (24 Hour Notice)
Gas Line Air Tests Required
PHIS CARD MUST BE VISIBLY POSTED,
ACCESSIBLE, AND PROTECTED FROM
WEATHER AND PHYSICAL DAMAGE
FOR THE DURATION OF THIS PERMIT.
Site Address:
Owner Name/Address: _
Contractor Name/Address:
CITY of SPRING PARK Permit #
PERMIT CARD SP15-007
(VALI FOR A SINGLE PROJECT) ,n
Building: JC es ezt l a.
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Contractor License: 1M bn u Date Issued:
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REFER TO HANDOUT FOR INSPECTION REQUIREMENTS
OFFICE USE
17-1 ROOFING
0 SIDING WINDOW 0 DOOR
HANDOUT
INSPECTOR:
DATE:
Issued by: Received by:
FENCE SHED
Front: Back:
INSPECTION:
DATE:
Side: Side:
MECHANICAL
[__1 FIREPLACE O PLUMBING
COMMENT
ROUGH -IN:
DATE: Pressure test plumbing and hydronic piping
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 (952) 442-7520 MNSPECT, LLC TOLL FREE (888) 446-1801