Permits - Permit# 725 - 4333 Channel Road - 1/1/1988CITY OF SPRING PARK / APPLI CATION FOR 3 �._--
Mechanical Permit
GENERAL INFORMATION
1. was Nov aPpty boa naaAaaieat ptamtta 6y ma[t oa is ptatos at tht_City oJileee. Mailtd-in pewits ate.Aubjeet-to the
postage sad idling del♦ •howa below.
T. Fe4■4t e44d6 .rill bt Aeat by 4etuan omit the same day the application lA ateeived. PERMITS ARE NOT VALID UNTIL you
RECEIVE A PERMIT CARP. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
J. when any new constauetion oa 4emodefing is involved, a sepa4ate building peamit must be obtained.
4. Aft moth must be donein aeae4dance with Slate Building Code aequitamentA.
S. All me4h must be inspected I4ough-4a and dixall. Call 471-7311 .fA-houa notice 4equi4t4d.
s. nouat Nesting Test Recoad east be submitted beJete jimat - see attached.
INSTRUCTIONS ComPtett all items on thi• applicatios. Coeputt the pe4eit jet. Sign and data the eeatidieation.
INCOMPLETE A►►LICATIONS Will NOT BE PROCESSEV. It you have questions, Batt 47l-7lf7
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JOB SITE P3J�
Occupancy Type+ L_ au idistlst _ 49eme4eiatl 04444
Owner' s Name ,Tm �=, s char Telephone Number
came-11 XV f.
Mailing Address �33,3 '
Contractor's Name V-1196? /4/c Telephone Number,4=77- ,
Mailing Address /PO /,�Oj( V65 ANWI—) J%%II/ �3loY
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MINIMUM FEE (520.00 per project)
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MATING SYSTEMS $15.0Geach unit
FUEL net. gas, _ 1p g+s, _ oil. __ elect.
other (specify it combination burner)
EQUIP. (if more than 1 unit per bldg., list each separately)
NO. Type Btuh Input Brand Name Model No,
t. a. furnace ::2!J,1)n 64,a `"7s
hw boiler '
�- unit heat--s
_
solar
equipments
$SU.UO
�S a 0
_
each system
Total
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AIR CONDITIONING
$15.00 each unit
_( Central Air Separate Central Air system
W/furnace
brand Name i MI-) DX Nodal tic. � 45NWTofts
Total
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WKXID BURNING EQUIPMENT (attach copy of mfgr's installation
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$ 15.00
space.)
each unit
Mood stove With flub
Factory Fireplace(@) freestanding built-in
30.00 each unit
Wood combination or add -on unit
_ _
Hood Stove(e) tranklin, other
15.00 each unit
factory fireplace, wish flue
brand Name Model No.
Mtgr'e Min. Clearances, side , rear , Min. Flue Dia.
Total
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VENT I LAXnN
g 5.00 each
exhaust fans (bath, kitchen,
No. Kitchen Exhaust _ ducted _ recirculating cfm
attic, etc.)
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ofm
Total
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TIM _ATORAr,.,t (must be approved by fire marshal)
Fuel Oil, gallons underground inside outside
Lp Gas. gallons
_ Other,
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SPRINatrR gv5TeM5 ($20.00 minimum; $100.00 maximum)
a) Residential •
$20.00
Number of Heads No. of Risers
b) Commercial
$20.00 Plan . Review
Type of system (] sets of plans required for review)
$2.00 per head
Total
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Commercial, Industrial a Multi-Pamily see Fee Schedule
PERMIT FEE CALCULATION
1..
Total
of above Installations or Minimum Fee ($20.00)
$ 30, 50
2.
State
Surcharge Add the State Building Code Diviaios SutcheAge to eaah peamit
$ .50
3.
Postage
and Handling on all waited -in applications, add the postage and handling deg
$
4 .
TOTAL
PERMIT FEE add lines I - above
ht uadt4s4gaed htaebg applies to the City of Otago dot iAsuanct at a Ileahanieal Pa4mit, a94ee4 to do sit wo4h in Atalet
•co%dance math the o4dinaneee o4 the City and the 4egulaliona at the M44446044 State Building Code. and at4titiee that
rr stnt.aemt• made on this application 44t eomptete. tout and eo4teet.
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No. 204
Permit 30.50
Sur Charge.50 No. 725
State .Of . kuon'ne80ta, City of S or i n 4 Pa r k
.a.
County of Hennepin _ Office of
MECHANICAL Permit
Minneapolis
IN CONSIDERATION OF The statements made b
Tim Fischer & Smith Vtg. & C Inc.
in application therefor duly filed in this office, which application is hereby made a part hereof,
PERMISSION IS HEREBY GRANTED To said as owner
to Install Furnace & Central Air
upon that tract of land described as follows: Lot Block plat or addition
Address 4333 Channell Road
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and h- contractors, agents, workers
andemployees, shall. comply in all respects with the ordinances of the
City of Spring Park
Given under the hand of the Building Inspector of said. City and its corporate
seal and attested by its Clerk , this 19th day of May , 10
Buil'aing Inspector