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Permits - Permit# SP14-30 - 2473 Black Lake Road - 1/1/2014
ON CITY OF SPRING PARK m Z. 4349 Warren Avenue Spring Park; MN 55384 Noise Ordinance In Effect: ry -go Phone (952) 471-9051 Fax (952) 471-9160 Monday - Friday z before 7 a.m. and after 10 p.m. ' � MECHANICAL PERMIT � > X . Weekends/Holidays 3 d r before 7 a.m. and after 8 p.m. Date: �� I State Bond No. a/► 2 �! l` `7 1P Gas Fitters License No. SITE ADDRESS: A y , 3 161 a�� - OWNER 6 r 1 A� MECHANICAL CONTRACTOR Name / Address / City / State] Zip / Daytime Telephone VALUE /ESTIMATED TYPE OF WORK: 4 Residential ❑ Commercial New. Replacement Other WARM AIR UNDERGROUND DUCT SYSTEM: Yes ) No AIR CONDITIONING SYSTEM ( ( Gravity Forced Tons CFM Ductwork Input B.T.U. Output B.T.U. VENTILATION / AIR EXCHANGE Exhaust Only Air Exchange Unit No. of Fans Size 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 Hof Water ❑ Water Heater ❑ Furnace o Stove o Dryer ❑.Grill Gross Sq. Ft. Input B.T.U. o Unit Heater o Fireplace FIREPLACE No. of Fireplaces Mechanical Permit Fee: $ Fuel Type Gas Fitting Permit Fee: $ Mechanical Comments: State Surcharge: $ 5 �� ? eQlz&%.V- al 0L- $ ,\ $ Total MECHANICAL Permit: i i signature00 of this application by the legal property owner or a licensed contractor, as the owner`s representative Is required and authorizes the Clry Zoning Administrator or designee nd Chy Building Official or deal gn i enter upon the property to perform needed inspedons. Entry. may be without prior notice. I hereby acknowledge that I have read this application and state that all Information is true correct to the but of my further agree that all work performed win be In accordance with approved Wars, speaflcallonnand conditions and to abide by all ordinances of the city and the taws of the stela of tnnesota regarding actions taken to this perrtil.I agree to pay all plan review fees even If I choose not to proceed with the we, go.. it expires won work is nm ot comenced with 180 days from daft of permit Ise or if building and work Is suspended. abandoned or not Inspected for 180 days. Nbrk beyond or without a permit or inspection will be subject to a penalty. .� Call MNSPECT for spections at (952) 442-7620. (24 Hour Notice) 6:00 a.m. - 4:30 p:m:�- SIGNATURE OF APPLICANT: DATE: PRINTED NAME: f uir DATE: rorAn Kougn-m Ara rinai inspections (au MNSPECT At (952) 442-7520 (24 Hour Notice) Gas Line Air Tests Required yt' ant. Poor Quality Document Disclaimer The original or copy of a document or page of a document presented at the time of digital scanning contained within this digital file may be of substandard quality for viewing, printing or faxing needs. THIS CARD MUST BE VISIBLY POSTED, ACCESSIBLE, AND PROTECTED FROM WEATHER AND PHYSICAL DAMAGE FOR THE DURATION OF THIS PERMIT. NATURE of WORK: Site Address: CITY of SPRING PARK PERMIT CARD (VALID FOR A SINGE PROJECT) 0 ,6. 1 W A ( A li Permit # ISP14-030 Building: t s i d AVA A LEI �_� . r Date Issued: 1 s 2 I Applicant Name: `© RECORD INSPECTION R REFER TO HANDOUT FOR INSPECTION Wo\REQUIQRE�oMoR OFFICE USE REQUIREMENTS HANDOUT Q RO FING Q SIDING Q DATE: Issued by: Received by: INSPECTOR: Q FENCE SHED Front: Back: Q INSPECTION: DATE: Side: Side: MECHANICAL 0 FIREPLACE 0 PLUMBING COMMENT DATE: Pressure test plumbing and hydronic piping ROUGH -IN: DATE: Air test required for new gas line GAS LINE: DATE: Gas line fitting test required FINAL: MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS DAY the State Building THEgINSPECTION DAY Permit will expire 180 days after Issuance. Ail work PIY TnI I FRFF I S RRI AAA-1 RA1 MN�DFfT 1 1 �' Is