Permits - Permit# 07-04M - 2471 Black Lake Road - 1/1/20074.
Permit: 37.50 Valtlatt®Ei $3,000 no. 07-0401
PW 1.50
State: 1.50
Total: 40.50
&tau of Mumma City of Spring Park
County of Hennepin } Office of Building Inspector
IN CONSIDERATION OF The statements and representations made by Condor Fplc & Stove
in application therefore duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said Paul Thomas Homes (Sue Baker) as owner
to install to a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
Heat `n Glo
Front of width in feet ; side or length in feet ; height in feet ;
number of stories ; contents cubic feet; square feet, upon that
tract of land described as follows: Lot Block ; plat or addition
2471 Black Lake Road 19-117-23-12-0024
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and their contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the City of Snriniz Park ;
that it does not cover the use of public property, such as streets, sidewalks, alleys, etc., for which special permits must
be secured; and that it does not cover the following: none of the following
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits_ must be secured.
Given under the hand of the Building Inspector of said City and its corporate seal and
attested by its Clerk this 26th day of March Year 2007
Attest:
Sarah Friesen, Administrator Lyle Oman
Clerk Building Inspector
0�-0((M
CI TY OF SPRING PARK
NUE
SPRING PARK, MIINNESOTA 55384
952-471-9051
APPLICATION FOR MECHANICAL PERMIT
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each
beating, ventilation, humidification -dehumidification, and air conditioning installation including heat
loss/heat gain calculation, design temperatures, equipment ratings and identification as to type,
manufacturer and model. Data shall be presented on form provided. Identification of and
specifications for water beating equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough -in and final). Call 952-249-4600. A 24 hour notice is required.
7. 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 952-249-4600 or 952-471-9051.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE
Owner's Name _
Mailing Address
Contractor's Name
Mailing Address _
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity
Make v
Model 3
Fuel
Flue Size
Input BTUs
Output BTUs
CFM
COOLING SYSTEMS
Quantity
sz..j f-- V,,�,�
Number
Number
Poor Quality Document
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Mechanical Permit
Make
Model
Tons
H. Power
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add -on
Factory fireplace with flue
Factory fireplace(s)
Wood Stove (s)
Brand name
Mfgr's Min., Clearances, side
Freestanding
Franklin, other
rear
Masonry
Model No
min. flue dia.
Total
VENTILATION
No. Kitchen exhaust - ducted recirculating
No. Bath exhaust (must be ducted outside)
No. Other fans: Locations
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
Installation Removal
Fuel Oil gallons underground inside outside
LP Gas gallons
Other
PERMIT FEE CALCULATION(S)
2002 State Statute Yes, This Section Applies
cfm
cfm
_ cfm
Total
gas opening
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of $500.00 or less excluding the cost of the fixture or appliance; and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ $15.00
State Surcharge $ .50
Mail In Fee $ 1.50
1. 1.25% of Contract Price * or Minimum Fee ($35.00)
�zw 8 x .0125
(Contract Price)
2. State Surcharge ** Add the State Building Code Division
Surcharge to each permit. x .0005
(Contract Price)
or $.50, whichever is greater
3. Postage and Handling (Only mail -in applications)
N
$ 1.50
0
Mechanical Permit
i
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �
1
1 * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor, or installation are furnished by
the owner, tenant, or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event there is a dispute on the amount
of the job cost, the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50, whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the
price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit$ agrees to do all work
in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building
Code, and certifies that all tements made on this application are complete, true and correct.
Applicant's Si V, Date ot/
APP Signature
Approved By Date
3