Permits - Permit# 08-11M - 4317 Channel Road - 1/1/2008$ Permit: 68.13 Valuation $ btanbarb ,fee Ro., 08-11fft
P&H:
State: 2.73
Total: 70.86
btate of Ainnegvta City of Spring Park
County of Hennepin } Office of Building Inspector
Aletbanical hermit
IN CONSIDERATION OF The statements and representations made by One Hour Heating & Air Conditioning
405 Smith Street, PO Box 327, Eden Valley, MN 55329
in application therefore duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said Donald Opheim as owner
to replace boiler a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
Replace boiler per application dated 8-25-08
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
4317 Channel Road 19-117-23-12-0033
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 Syrinz 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 25th day of August Year 2008
Attest:
Sarah Friesen, Administrator
Clerk
MNSPECT
Building Inspector
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CITY OF SPRING PARK
4349 WARREN AVENUE
SPRING PARK, MINNESOTA 55384
952-471-9051 Q 5g a-1 � W o
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
heating, 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 heating 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 -61093
Residential Commercial
JOB SITE `
Owner's Nar
Mailing Add
Contractor's
Mailing Add.
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity
Make
Model
Fuel_
Flue Size
Input BTUs b Ob
Output BTUs
CFM
COOLING SYSTEMS
Quantity
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) Freestanding
Wood Stove (s) Franklin, other
Brand name
Mfgr's Min., Clearances, side rear
Masonry
— Model No.
min. flue dia.
Total
VENTILATION
No. Kitchen exhaust - ducted recirculating cfm
No. Bath exhaust (must be ducted outside) cfm
No. Other fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
Installation Removal
Fuel Oil gallons underground inside outside
LP Gas gallons
Other gas opening
PERMIT FEE CALCULATION(S)
2002 State Statute Yes, This Section Applies
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
5 5 u x .0125
(Contract Price)
2. State Surcharge ** Add the State Building Code Division
Surcharge to each permit. _�Ibn x .0005 $ C� �3
(Contract Price)
or $.50, whichever is greater
3. Postage and Handling (Only mail -in applications)
2
Mechanical Permit
4. TOTAL PERMIT FEE (Add lines 1-3 above)
* 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 statements made on this application are complete, true and correct.
Applicant's Signature V,),,ad Date d
Approved By 0�/�L �� Date
.a INSPECTION NOTICE
CITY OF A PERMIT NO. OF-11 h
DATE SCHEDULED TIME k: W
ARRIVALTI E Z /a COMPLETEDTIME
ADDRESS f45/
OWNER / CONTR.
TELEPHONE NO..
❑ Site Inspection
❑ Footing / Slab
❑ Poured Walls / Core Fill
❑ Under Slab / Moisture Barrier
❑ Back Fill / Foundation
❑ Se & Wa Hookup
❑ Framing
❑ Insulation
❑ Wallboard / Penetrations
COMMENTS:
❑ Final
❑ Sediment / Erosion Control
❑ Plumbing RI / Final
❑ asline Air Test
Mechanical RI / n
lectrical RI / Fi
❑ Fireplace RI / Final
❑ Fire Sprinkler System
❑ Fire Alarm Inspection
❑ Rental Inspection
❑ Demolition
❑ Fire Inspection
❑ Progress Inspection
❑ Status Inspection
❑ Follow-up
❑ Special Investigation
❑ Reinspection
❑ Complaint
❑ Other:
❑ WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
❑ CORRECT WORK & PROCEED
❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
Q INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
)I —WORK COMPLETED: CLOSE FILE.
Owner/Contr. on site
Print Name
Inspector (952) 442-7520
Gold Copy to be kept on job site Toll Free 1-888-446-1801
White Copy / Inspector's File
Permit #: 08-11 M
City of Spring Park
4349 Warren Avenue, Spring Park, MN 55384
Mechanical Permit
PINS: 18-117-23-44-0049 ADDRESS: 4317 Channel Road
Permission is hereby granted to:
To install or construct the improvements applied for. This permit is granted upon the condition that
the person to whom it is granted, and his agents, employees and workmen, shall conform in all
respects to the Ordinances of the City of Spring Park and to the Statutes of the State of Minnesota in
such cases made and provided; this permit may be revoked at any time upon violation of any of the
provisions of said Ordinances, Statutes, or for any misrepresentation in the application.
Approved by MNSPECT, CBO
Date: August 25, 2008
NOTE: This card must be placed in a conspicuous place at the address which work is to be
performed.
CITY OF SPRING PARK
4349 Warren Avenue, Spring Park, MN 55384
INSPECTION RECORD
PINS **
Building Inspections — Permit No. *"
Footings
Date
Inspector
Framing
Insulation
Wallboard B-4 taping
Final
Others
ADDRESS**
Plumbing Inspections — Permit # **
Date Inspector
Rough -in
Air Test
Final
Permit #
Date
Inspector
Sewer
Water
Electric
Note: Contractor is responsible to call for these inspections. This card must be placed in
a conspicuous place, on the premises on which work is to be performed. 952-442-7520.