Permits - Permit# SP13-003 - 3826 Budd Lane - 1/1/2013W
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CITT OF SPRING PARK
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.
Date: 2 LA 3
State Bond No,
M 600 s
Gas Fitters License No.
PC 000Z3q
SITE ADDRESS: 3 �2�
OWNER SuS0 V,k_\ NAG_V/A_� V,_
MECHANICAL CONTRACTOR Name / Address / City / State / Zip / Daytim/e� Telephone
BLS �vTi�'2.55 ion �I`>�"�b` hLp�•���•� /T f%
ESTIMATED VALUE
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�- QU irl�c.-�ot1 Gt- N• M le.Gro�e• /�n1 553to`j
TYPE OF WORK: Residential ❑ Commercial
New Replacement_ Other
WARM AIR
AIR CONDITIONING SYSTEM
UNDERGROUND DUCT SYSTEM: Yes ( ) No (x )
Gravity Forced X
Tons CFM Ductwork
Input B.T.U. L Z�Sj� Output B.T.U.
111
VENTILATION /AIR EXCHANGE
Exhaust Only Air Exchanoe 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 Hot Water
❑ Water Heater umace ❑ Stove ❑ Dryer ❑ Grill
Gross Sq. Ft. Input B.T.U.
❑ Unit Heater ❑ (replace ❑
FIREPLACE
No. of Fireplaces
Mechanical Permit Fee: $ 3 0`
Fuel Type
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Gas Fitting Permit Fee: $ o '
State Surcharge: $5.00
Mechanical Comments:
$ S. 00
$
Total MECHANICAL Permit: $
Signature of this application by the legal ptopeity owner or a licensed contractor. as fie owners repn:sentsflve is required and authorizes the City Zoning Admbastrator or designee and the City Building Ofgdal or designee
enter upon the property to perform needed Inspections. Entry may be without prior notice. I hereby acknowledge that I have read Vila application and state that all information Is true and correct to the best of my knowledge. I
further agree that all work performed will be In acCtWance with approved plans. specifications and conditions and to abide by all ordinances of the City and the laws of the State of Minnesota regarding actions taken pursuant
to this permit. 1 agree to pay as plan review fees even if I choose not to proceed with the work. Permit expires when work is not commenced with 180 days from date of permit issued, or it building and work is
suspended. abandoned or not Inspected for 180 days. Work beyond or witnoul a r inspection will be subject to a penally.
Call MNSPECT for I pec ' at ( 2) 442-7520. (24 Hour Notice) 8:00 a.m. - 4:30 p.m.
SIGNATURE OF APPLICANT: DATE: As- (
PRINTED NAME: DATE: IL �3
ror An Rough -in And Final inspections Call MNSPECT At (952) 442-7520 (24 Nour Notice)
Gas Line Air Tests Required