Permits - Permit# SP14-052 - 2444 Black Lake Road - 1/1/2014lC1'II'9' 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.
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Date: D /
State Bond No,
Gas Fitters License No.
SITE ADDRESS: l' t '
OWNER je-
MECHAAICAL COY4TRACTOR Nam / Addres / City / State /
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ESTIMATED
10
l� 114L)
VALUE
J0
TYPE OF WORK: Residential ❑ Commercial
New � Replaceme
Other
WARM AIR
UNDERGROUND DUCT SYSTEM: Yes ( ) No)
AIR C ITIONING SYSTEM
Gravity Forced
Tons V �� CFM
Ductwork
Input B.T.U. L� ?6 Output B.T.U.
No. of Fans Size
C.F.M. Del
Exhaust Only Air Exchange Unit
Type Type -Mixing Box
Heat Recovery Ventilation
Static Pressure Recovery Efficiency
Where ventilation is used/located
Net Air Flows
GA5 FITTINGS
Baseboard In -Floor
Steam Hot Water ❑ Water Heater n Furnace ❑ Stove ❑ Dryer c Grill
Gross Sq. Ft. Input B.T.U. ❑ Unit Heater ❑ Fireplace u
No. of Fireplaces I Mechanical Permit Fee: $
Fuel Type
Gas Fitting Permit Fee: $
Mechanical Co�%ments: State Surcharge: $
Total MECHANICAL Permit: $
signature of this application by the legal property owner or a licensed coot eotur, as Ire wvnefs representative is required ano authorizes the Ciry Zoning Administrator or designed aria the City build ng Official or de,
mar upon the property to perform needed!nspections. Entry may be without prior notice_ I hereby acknowledge:hat , have read this appilicetion and state that a.l information is true and correct to the bast o1 my know
Inhar agree that ell work performed will be in acco-darce with approved plans, specifications and conditions and to aDide by 28 ordinarces of the City and ire laws cf the State of Minnesota regarding actiocs lateen
o this pehrot. I agree to pay all plan review fees even if I choose not to proceed with the wor iErmit exp'ras when work is not commenced "It' 180 days from date of earn:il issuea or it DuOing and work is
uspended, abandoned or not inspected for 180 days. Wdrk beyond or without a permit or inspection w.A be subject to a denalty.
Call MNSPECT for inspections at (952) 442-7520. (24 Hour Notice) 8:00 a.m. - 4:30 p.m.
IGNATURE OF APPLICANT: DATE:
RINTED 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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ACCESSIBLE, AND PROTECTED FROM
WEATHER AND PHYSICAL DAMAGE PERMIT CARD SP14-052
FOR THE DURATION OF THIS PERMIT.
(VALID FOR A SINGLE PROJECT)
NATURE of WORK: K l
Site Address: 2 4 U 4 Q c.IC Lk Building:
e s; d Ewy
Applicant Name: ' i r Date Issued: l t - -7 - ao ty
INSPECTION RECORD
REFER TO HANDOUT FOR INSPECTION REQUIREMENTS
OFFICE USE
M ROOFING SIDING E:3 WINDOW M DOOR
HANDOUT
INSPECTOR: DATE:
Issued by: Received by:
[:j FENCE 0 SHED
Front: Back:
INSPECTION: DATE:
Side: Side:
MECHANICAL 0 FIREPLACE =.. 0:.: 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
Perm/twill expire 18o days after issuance: All work must comply with the MN State 60ding Code:
PHONE (952) 442-7520 MNSPECT, LLC TOLL FREE18881-446 1801-
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