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Permits - Permit# 91-05 - 2429 Black Lake Road - 1/1/1991y _ q CITY OF SPRING PARK, MINNESOTA APPLICATION FOR XBCHANICAL PERMIT GENERAML INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Mailed -in permits are subject to the postage and handling . fees shown below. 2. Permit cards will be sent by return mail the same day the application is received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK, MUST NOT BEGIN UNTIL THE PERMIT CARD IS .POSTED O .THE JOB SIT$. 3. When any new construct on or remodeling is involved? a separate bui'ld`ing permit must be obtained. 4. All work must be done in accordance with State Building Code requirements. S. All work must be inspected (rough -in and final). Call 473-7357. 24-hour notice required. 6. House Heating Test Record must be submitted before final. INSTRUCTIONS Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have, questions, call 473-7357. WALK-IN PERMITS apply at City Offices: 4349 Warren Avenue, Spring Park, MN MAIL -IN PERMITS enclose fee - Mail to: P.O. Box 452, Spring Park, MN 55384 Please check one: JOB SITE:` 0�G,,� Owner's Name Mailing Address:M; Contractor's Name: Mailing Address New Addition Repair Replace Zip: +jS3$4- S Telephone Number: 477 ) -9 City:. Zip: Telephone Nwnber s . 6-�A-YYt� City: Zip: MINIMUM FEE ($30.00 per.project) SYSTEM DBSCRI)PTION: $15.00 each unit Heating Systems: Quantity: Make: Model: Fuel: Flue Size: 21' QU.C, Input BTUs: Output BTUs : j I D. n� CFM : �' Cooling Systems: Quantity: Makes i Y Model: Tons: H.Power: ., 'WOOD BURNING.BQUIPMENT $15.00 each unit Wood stove with flue Wood combination or add -on unit Factory fireplace with flue `:'actor Fireplace (s) freestanding built-in Stove ( s ) franklin, other rand Name Model No. ';If grIs Min., Clearances, side , rear , min. flue dia. i Total rTILATION $15.00 each project No. Kitchen Exhaust ducted recirculating cfm 1c. Bath Exhaust (must be ducted outside) cfm to Other Fans: Locations cfm Total 4"JEL..STORAGE ( must be approved by fire marshal) $15.00 Permanent/Temporary Fuel oil, gallons underground inside outside _.� LP Gas, gallons Other Gas opening GAS LINE INSPECTION ;i.s gh/Low Pressure $15.00 PERKIT FEE CALCULATION 30 OO l , Total of above Installations or Minima= ee.._i$30.:00 ) $ a State Surcharge. Add the State Building Code Division Surcharge to each .permit $ ...50.. 3. Postage and Handling on all mailed -in applications, 1..50 4. TOTAL PERMIT FEE add lines 1-3 above at°p undersigned hereby applies to the City of issuance of a Mechanical Permit, ,,y ees to do all work in strict accordance with the ordinances of the City and "".he regulations of the Minnesota State Building Code, and certifies that all :,�_atements made on this application are complete, true and correct. Xp,.aicant I s Signatur _ Date: v Hur..}amffll i9 3� _ 32.00 Otate of Aiinne5ota, Countyof HENNEPIN MECHANICAL © W.S. BOOTH, BAKER BLOO., MPLS. 88402 SECURITY BLANK BOOK, 386 WACOUTA, ST. PAUL 88101 no. 91-05 CITY 0f SPRING PARK Office of,, BUILDING INSPECTOR hermit IN CONSIDERATION OF The statements made by GARY & LYNN CHRISTENSEN ;n their application therefor duly filed in this office, which application is hereby made apart hereof, PERMISSION IS HEREBY GRANTED To said Gary & Lynn Christensen as owner ro Install Heating and Cnnling-,;yctamc upon that tract of land described as follows: Lot—_ -Block-- plat or addition — Address 2429 Black lake Rnad 19-117-23-12-0018 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..i s. contractors, agents, workers and employees, shall comply in all respects with the ordinances of the .............................................. City —of Spring Park Given under the hand of the -Du i 1 d i ng Ins Deck of raid � ity and its corporate seal and attested by its —Clerk this__ 25th .day of June 19 91 Clerk glii ldino Inspector