HomeMy WebLinkAboutOT 2019-00300 Gas Line Pressure Test CITY OF OAK PARK HEIGHTS 1111111111 11111111 11111
14168 OAK PARK BLVD N.
OAK PARK HEIGHTS,MN 55082- * 2 0 1 9 - 0 0 3 0 0 *
(651)351-1661 FAX: (651) 439-0574 ISSUED: 10/28/2019
Permit #: 2019-00300
ADDRESS : 14560 60TH ST N
PIN : 33.030.20.43.0037
LEGAL DESC : SUMMIT PARK
: LOT 0 BLOCK 6
PERMIT TYPE : OTHER
PROPERTY TYPE : COMMERCIAL
CONSTRUCTION TYPE : GAS
NOTE: PERMIT ISSUED FOR GAS LINE PRESSURE TEST TO PIPING AT WENDY'S RESTAURANT FOR SERVICE RESTORATION
FOLLOWING FIRE. TEST SHALL BE PER MN CODE.
APPLICANT OTHER PERMIT FEE 25.00
OTHER PERMIT SURCHARGE,FLAT 1.00
BENCK MECHANICAL INC. TOTAL 26.00
628 230TH AVE.
Payment(s)
SOMERSET,WI 54025- CHECK 40194 26.00
(715)247-5653
Minnesota State License#: 2671521
OWNER
FOURCROWN INC&ACORN BUSINESS CTR
ONE DAVE THOMAS BLVD
DUBLIN,OH 43017-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1)the conditions of this permit;(2)the
approval plans and specifications;(3)the applicable city
approvals,Ordinances,and Codes;and,(4)the State Building
Code.This permit is for only the work described, and does
not grant permission for additional or related work which
requires separate permits.This permit will expire and become
null and void if work is not started within 180 days,or if wor
is suspended or abandoned for a period of 180 days any time
after work has commenced. The applicant is responsible for
assuring all required inspections are requested in conformanc:
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.