HomeMy WebLinkAboutOT 2020-00097 Gas Line for Pool Heater CITY OF OAK PARK HEIGHTS 1111111111 1111111111
14168 OAK PARK BLVD N.
OAK PARK HEIGHTS, MN 55082- * z 0 2 0 - 0 0 0 9 7 *
(651) 351-1661 FAX: (651) 439-0574 ISSUED: 06/09/2020
Permit #: 2020-00097
ADDRESS : 5836 PENROSE AVE N
PIN : 03.029.20.21.0033
LEGAL DESC : OAK PARK
: LOT 3 BLOCK 5
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW
CONSTRUCTION TYPE : GAS
ACTIVITY : GAS LINE
NOTE: PERMIT ISSUED FOR INSTALLATION OF 30 FEET+1-OF NEW GAS LINE TO SUPPLY POOL HEATER AND POOL HEATER
CONNECTION. WORK SHALL BE PER MANUFACTURER SPECS,PRODUCT STANDARDS AND IN COMPLIANCE WITH MN CODE
AND I.,OCAL ORDINANCE. CITY PERMIT FEE WAIVED-COVID-19 RELIEF. JOB VALUE$3,000
APPLICANT OTHER PERMIT FEE 0.00
OTHER PERMIT SURCHARGE, FLAT 1.00
CHAMPION PLUMBING(& MECH)
3670 DODD RD TOTAL 1.00
STE 100 Payment(s)
EAGAN, MN 55123- CHECK 1489 1.00
(651)365-1340
Minnesota State License#: 5196531
OWNER
PATRIN, RANDALL E
5836 PENROSE AVE
OAK PARK HEIGHTS, MN 55082-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (I)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 work
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 conformance
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.