Permits - Permit# 10-23M - 4341 Channel Road - 1/1/2010ao
CITT OF SPRING PARK
Noise Ordinance to Effect:
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4349 Warren Avenue Spring Park, MN 55384
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Phone (952) 471-9051 Fax (952) 471-9160
Monday - Friday
G M ic z
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: 0 Ito
State Bond No.
Gas Fitters License No.
SITE ADDRESS: y� y A n n e
OWNER ke ki �d O
MECHANICAL CONTRACTOR Name / Address / City / State / Zip / Q.1 aI ecrinologlell,
r*, dba Fireside Hearth & Home
ESTIMATED VALUE
Hearth & Home Technologies, Inc. License 20512060
0: Ave
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License 20512060 Roseville,
N. Fairview Ave. 651/633-2561
,�257000
TYPE OF WORK: Residential u Co6mmer5cial
New Replacement Other
WARM AIR
AIR CONDITIONING SYSTEM
UNDERGROUND DUCT SYSTEM: Yes ( ) No ( )
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 Hot Water
❑ Water Heater ❑ Furnace ❑ Stove ❑ Dryer ❑ Grill
Gross Sq. Ft. Input B.T.U.
❑ Unit Heater ❑ Fireplace ❑
FIREPLACE
(Mechanical
No. of Fireplaces
Permit Fee: $
Fuel Type �L�
Gas Fitting Permit Fee: $
State Surcharge: $
Mechanical Comments: Gas F; y, oe ( a C
bar c lAer-
$
1
Irr,C.�e/-
$
Total MECHANICAL Permit: $
SWtature of thks application by the legal properqwner oor a licensed om*actor. as the owner's reprasanWve's required and auttodess the City Zani g or designee and the City Bnldng Official or designee to
enter aeon tee properly to pedum needed . Entry may be wdhmd prior non®. i h—eby edanMledge that k have read nre app6ratiar and state aral all inb reNdIO r is true and correct to the best of my knowledge. i
dher agree that ad work perfomred vA be in acoordance wfth approved plans. spedfxetions and conditions and to abide by all ordinances of the City and the laws of the State of KIn nesota regardbg actions taken pursuant to
this pemut l agree to pay allplan r- is fees even iff choose Trot to props, withthe wovk. Perenit expires when work is non comnrmred with 180 days from data of pennit's98d, or If buddin and work is suspended.
abandonedor not kspecthd for 180 days. Work beyond or without a pemdt or Inspection will be subject to a permdy.
Call MNSPECT for inspections et (952) 442-7520. (24 Hour Nofise) 8:00 a.m. - 4:30 p m.
SIGNATURE OF APPLICANT: DATE:a
PRINTED NAME: /C j)/i i C DATE: /� D