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Home My WebLink About02 February CITY OF OAK PARK HEIGHTS 1111111111111111111111 II 14168 OAK PARK BLVD N. OAK PARK HEIGHTS,MN 55082- * z 0 z z - 0 0 0 1 3 * (651) 351-1661 FAX: (651) 439-0574 ISSUED: 02/01/2022 Permit #: 2022-00013 ADDRESS : 5815 KRUEGER LN TJ MAXX PIN : 05.029.20.21.0034 LEGAL DESC : THE SHOPPES OF OAK PARK HEIGHTS : LOT 2 BLOCK 1 PARCEL 0 PERMIT TYPE : MECHANICAL PROPERTY TYPE : COMMERCIAL CONSTRUCTION TYPE : FURNACE REPLACEMENT VALUATION : $ 3,850.00 NOTE: PERMIT ISSUED FOR RTU REPLACEMENT/CHANGE OUT-20 TON UNIT TO SAME @ TJ MAXX TENANT SPACE. WORK SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECS&PRODUCT STANDARDS AND SHALL COMPLY WITH MN CODE&LOCAL ORDINANCE REQUIREMENTS,INCLUDING SCREENING REQUIREMENTS. VALUE OF MECHANICAL 63850 APPLICANT MECHANICAL COMMERCIAL 638.50 MECHANICAL SURCHARGE-COMMERCIAL 1.92 ARCHITECT MECHANICAL INC 2917 ANTHONY LANE N TOTAL 640.42 ST.ANTHONY,MN 55418- Payment(s) (612)436-2250 CHECK 387076 640.42 Minnesota State License#: 3714823 OWNER THE SHOPPES OF OAK PARK HEIGHTS 300 PRAIRIE CTR DR#225 EDEN PRAIRIE, MN 55344 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 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. CITY OF OAK PARK HEIGHTS11 I 14168 OAK PARK BLVD N. _ OAK PARK HEIGHTS,MN 55082- * 2 o z z -=o 0 0 1 8 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 02/01/2022 Permit #: 2022-00018 ADDRESS : 14937 60TH STN 201 PIN : 04.029.20.11.0139 LEGAL DESC : CIC 284 UNITS 102-110,201-210 : LOT 201 BLOCK -- PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : FURNACE REPLACEMENT NOTE: PERMIT ISSUED FOR REPLACMEENT OF MAGIC PAK UNIT. WORK SHALL COMPLY WITH MANUFACTURER SPECIFICATIONS&PRODUCT STANDARDS AND WITH MN CODE. JOB VALUE:$7000 APPLICANT MECH-HVAC RESIDENTIAL 75.00 AIR MECHANICAL INC MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 16411 ABERDEEN ST NE LICENSE VERIFICATION 5.00 HAM LAKE,MN 55304- TOTAL 81.00 (763)746-3797 Payment(s) Minnesota State License#:3422193 CHECK 060911 81.00 OWNER DENISE HAMP CU-°,(\51 I 14937 60TH STN#201 201 OAK PARK HEIGHTS,MN 55082- GLOSlit ( ) 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 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. CITY OF OAK PARK HEIGHTS 1111111111 11111111111111 14168 OAK PARK BLVD N. OAK PARK HEIGHTS, MN 55082- * 2 0 2 2 — 0 0 0 1 8 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 02/01/2022 Permit #: 2022-00018 ADDRESS : 14937 60TH STN 201 PIN : 04.029.20.11.0130 LEGAL DESC : CIC 284 UNITS 102-110,201-210 : LOT 102 BLOCK -- PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : FURNACE REPLACEMENT NOTE: PERMIT ISSUED FOR REPLACMEENT OF MAGIC PAK UNIT. WORK SHALL COMPLY WITH MANUFACTURER SPECIFICATIONS&PRODUCT STANDARDS AND WITH MN CODE. JOB VALUE: $7000 APPLICANT MECH-HVAC RESIDENTIAL 75.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 AIR MECHANICAL INC LICENSE VERIFICATION 5.00 16411 ABERDEEN ST NE HAM LAKE,MN 55304- TOTAL 81.00 (763)746-3797 Payment(s) Minnesota State License#: 3422193 CHECK 060911 81.00 OWNER AMY& RICHARD SLATA 212 BIRCHWOOD ROAD N 102 c\ STILLWATER, MN 55082- 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 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. CITY OF OAK PARK HEIGHTS 111111111111111111111111 14168 OAK PARK BLVD N. OAK PARK HEIGHTS, MN 55082- * z 0 z z - 0 0 0 1 9 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 02/08/2022 Permit #: 2022-00019 ADDRESS : 5253 NOLAN PKWY N PIN : F0-030-71 LEGAL DESC : MCKEAN SQUARE : LOT 1 BLOCK 2 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : FURNACE REPLACEMENT NOTE: PERMIT ISSUED FOR BOILER REPLACEMENT WITHOUT ALTRATION TO SERVICE.WORK SHALL BE PER MANUFACTURER SPECIFICATION AND PRODUCT STANDARDS,IN COMPLIANCE WITH MN CODE&LOCAL ORDINANCES. JOB VALUE: $9007 APPLICANT MECH-HVAC RESIDENTIAL 50.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 SCHWANTES HEATING&AIR,INC. LICENSE VERIFICATION 5.00 6080 OREN AVE.N. TOTAL 56.00 OAK PARK HEIGHTS,MN 55082- (651)439-3331 Payment(s) Minnesota State License#: 3456815 CHECK 25887 56.00 OWNER SR HOUSING PARTNERS 2845 HAMLINE AVE N ROSEVILLE, MN 55113 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 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. CITY OF OAK PARK HEIGHTS 1111111111 II 111111 II 14168 OAK PARK BLVIk N. OAK PARK HEIGHTS, MN 55082- * 2 0 2 2 - 0 0 0 2 0 * (651) 351-1661 FAX: (651) 439-0574 ISSUED: 02/08/2022 Permit #: 2022-00020 ADDRESS : 14595 57TH ST N PIN : 04.029.20.13.0027 LEGAL DESC : BREKKE GARDEN HILLS : LOT 5 BLOCK 2 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : FURNACE REPLACEMENT NOTE: PERMIT ISSUED FOR REPLACEMENT OF FURNACE WITHOUT ALTERATION TO SERVICE TYPE. WORK SHALL COMPLY WITH MN STATE CODE,LOCAL ORDINANCE&MANUFACTURER INSTALLATION REQUIREMENTS. JOB VALUE: $5442 APPLICANT MECH-HVAC RESIDENTIAL 50.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 SCHWANTES HEATING&AIR,INC. LICENSE VERIFICATION 5.00 6080 OREN AVE. N. TOTAL 56.00 OAK PARK HEIGHTS,MN 55082- (651)439-3331 Payment(s) Minnesota State License#: 3456815 CHECK 25887 56.00 OWNER PAUL SMITH 14595 57TH ST N OAK PARK HEIGHTS,MN 55082- 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 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. CITY OF OAK PARK HEIGHTS 1111111111 IIII 11111 III 14168 OAK PARK BLVD N. OAK PARK HEIGHTS, MN 55082- * 2 0 2 2 — 0 0 0 2 1 * (651) 351-1661 FAX: (651) 439-0574 ISSUED: 02/08/2022 Permit #: 2022-00021 ADDRESS : 5422 NOLAN LN N PIN : F0-030-67 LEGAL DESC : MCKEAN SQUARE : LOT 1 BLOCK 3 PARCEL 0 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : FURNACE REPLACEMENT NOTE: PERMIT ISSUED FOR REPLACEMENT OF FURNACE WITHOUT ALTERATION TO SERVICE TYPE. WORK SHALL COMPLY WITH MN STATE CODE,LOCAL ORDINANCE&MANUFACTURER INSTALLATION REQUIREMENTS. JOB VALUE:$4036 APPLICANT MECH-HVAC RESIDENTIAL 50.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 SCHWANTES HEATING&AIR,INC. LICENSE VERIFICATION 5.00 6080 OREN AVE.N. OAK PARK HEIGHTS,MN 55082- TOTAL 56.00 (651)439-3331 Payment(s) Minnesota State License#: 3456815 CHECK 25887 56.00 OWNER SR HOUSING PARTNERS 2845 HAMLINE AVE N ROSEVILLE,MN 55113 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 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. CITY OF OAK PARK HEIGHTS 1111111111 11111111111111 14168 OAK PARK BLVD N. OAK PARK HEIGHTS, MN 55082- * 2 0 2 2 — 0 0 0 2 7 * (651) 351-1661 FAX: (651) 439-0574 ISSUED: 02/08/2022 Permit #: 2022-00027 ADDRESS : 5427 NOLAN LN N PIN : F0-030-59 LEGAL DESC : MCKEAN SQUARE : LOT 2 BLOCK 1 PARCEL 0 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : FURNACE REPLACEMENT NOTE: PERMIT ISSUED FOR BOILER REPLACEMENT WITHOUT ALTRATION TO SERVICE. WORK SHALL BE PER MANUFACTURER SPECIFICATION AND PRODUCT STANDARDS,IN COMPLIANCE WITH MN CODE&LOCAL ORDINANCES. JOB VALUE: $5756 APPLICANT MECH-HVAC RESIDENTIAL 50.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 SCHWANTES HEATING&AIR,INC. LICENSE VERIFICATION 5.00 6080 OREN AVE.N. OAK PARK HEIGHTS,MN 55082- TOTAL 56.00 (651)439-3331 Payment(s) Minnesota State License#: 3456815 CHECK 25897 56.00 OWNER SR HOUSING PARTNERS 2845 HAMLINE AVE N ROSEVILLE,MN 55113 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 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. CITY OF OAK PARK HEIGHTS 14168 OAK PARK BLVD N. OAK PARK HEIGHTS,MN 55082- * 2 0 2 z - 0 0 0 2 8 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 02/08/2022 Permit #: 2022-00028 ADDRESS : 14523 57TH ST N PIN : 04.029.20.13.0031 LEGAL DESC : BREKKE GARDEN HILLS : LOT 9 BLOCK 2 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : FURNACE REPLACEMENT NOTE: PERMIT ISSUED FOR BOILER REPLACEMENT WITHOUT ALTRATION TO SERVICE.WORK SHALL BE PER MANUFACTURER SPECIFICATION AND PRODUCT STANDARDS,IN COMPLIANCE WITH MN CODE&LOCAL ORDINANCES. JOB VALUE: $5542 APPLICANT MECH-HVAC RESIDENTIAL 50.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 SCHWANTES HEATING&AIR,INC. 6080 OREN AVE. N. LICENSE VERIFICATION 5.00 OAK PARK HEIGHTS,MN 55082- TOTAL 56.00 (651)439-3331 Payment(s) Minnesota State License#:3456815 CHECK 25897 56.00 OWNER TRS AGR OF JANET JOHNSON 14523 57TH ST N OAK PARK HEIGHTS, MN 55082- 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 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. CITY OF OAK PARK HEIGHTS 1111111111111111111111 14168 OAK PARK BLVD N. OAK PARK HEIGHTS, MN 55082- * z o z z - 0 0 o z 9 (651) 351-1661 FAX: (651) 439-0574 ISSUED: 02/15/2022 Permit #: 2022-00029 ADDRESS : 15081 63RD ST N PIN : 34.030.20.32.0108 LEGAL DESC : MC KENTY'S ADD : LOT 6 BLOCK 15 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : REMODEL ACTIVITY : GAS LINE NOTE: PERMIT ISSUED FOR INSTALLATION OF NEW GAS LINE FOR FURNACE AND PRESSURE TESTING. WORK SHALL BE PER 2020 MN CODE. JOB VALUE: $800 APPLICANT MECH-HVAC RESIDENTIAL 25.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 ANDERSON HEATING INC. 1446 7TH ST TOTAL 26.00 MOULTON, WI 54082- Payment(s) (715)549-6297 CHECK 11790 26.00 Minnesota State License#: 5170185 OWNER BERNADETTE ESTENSON 1631 CARLTON DR HASTINGS,MN 55033-0000 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 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. CITY OF OAK PARK HEIGHTS IIIIIIIIII II 1111 II II 14168 OAK PARK BLVD N. OAK PARK HEIGHTS, MN 55082- * 2 o 2 2 — 0 0 0 3 3 * (651) 351-1661 FAX: (651) 439-0574 ISSUED: 02/15/2022 Permit #: 2022-00033 ADDRESS : 14890 57TH ST N 1A PIN : 04.029.20.14.0189 LEGAL DESC : CIC 75 VALLEY VIEW CONDO SOUTH : LOT 0 BLOCK 0 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : AIR COND/FURNACE REPLACE NOTE: FURNACE,AC&WATER HEATER REPLACEMENT SHALL BE PER MANUFACTURER SPECIFICAITONS AND IN COMPLIANCE WITH MN CODE.ELECTRICAL WORK REQUIRES A PERMIT FROM MN DLI ELECTRICAL DIVISION.WORK WAS DONE WITHOUIT A PERMIT HAVING BEEN SECURED AND HAS BEEN ASSESSED AN INVESTIGATION FEE.JOB VALUE: $15,000 INVESTIGATION FEE 75 APPLICANT MECH-HVAC RESIDENTIAL 75.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 ANDERSON HEATING INC. LICENSE VERIFICATION 5.00 1446 7TH ST INVESTIGATION FEE 75.00 HOULTON, WI 54082- (715)549-6297 TOTAL 156.00 Minnesota State License#: 5170185 Payment(s) CHECK 11790 156.00 OWNER JAMES M THOMAS 14890 57TH ST N #1A IA OAK PARK HEIGHTS,MN 55082- 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 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. CITY OF OAK PARK HEIGHTS 14168 OAK PARK BLVD N. OAK PARK HEIGHTS, MN 55082- * 2 0 2 2 - 0 0 0 3 2 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 02/15/2022 Permit #: 2022-00032 ADDRESS : 14799 UPPER 56TH ST N PIN : 04.029.20.14.0183 LEGAL DESC : CIC 91 : LOT 9 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : FURNACE REPLACEMENT NOTE: REPLACE FURNACE PER MANUFACTURER SPECIFICATIONS&IN COMPLIANCE WITH MN CODE AND LOCAL ORDINANCES. JOB VALUE: $3,000 APPLICANT MECH-HVAC RESIDENTIAL 50.00 K.B. SERVICE CO. MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 430 COUNTY RD. D. LICENSE VERIFICATION 5.00 LITTLE CANADA,MN 55117-0000 TOTAL 56.00 (651)748-4933 Payment(s) Minnesota State License#:2181099 CHECK 34384 56.00 OWNER MARCIA NELSON 147999 UPPER 56TH ST N OAK PARK HEIGHTS,MN 55082- 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 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. CITY OF OAK PARK HEIGHTS 011111111 011111111 IIII 14168 OAK PARK BLVD N. OAK PARK HEIGHTS, MN 55082- * z o z z — 0 0 0 3 4 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 02/22/2022 Permit #: 2022-00034 ADDRESS : 14942 58TH ST N PIN : 04.029.20.11.0013 LEGAL DESC : RAYMIE JOHNSON EST : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : AIR COND/FURNACE REPLACE ACTIVITY : AIR COND REPLACEMENT NOTE: REPLACE AC PER MANUFACTURER SPECS,PRODUCT STANDARDS,AND IN COMPLIANCE WITH MN CODE AND LOCAL ORDINANCES. JOB VALUE: $1370 APPLICANT MECH-HVAC RESIDENTIAL 50.00 MECH-HVAC SURCHARGE-RESIDENTIAL 1.00 ERICKSON PLB,HTG.AIR&ELECTRICAL TOTAL 51.00 1471 92ND LANE NE Payment(s) BLAINE,MN 55449- (763)783-4545 CHECK 47242 51.00 Minnesota State License#: 3402008 OWNER WASHINGTON COUNTY CDA 7645 CURRELL BLVD WOODBURY,MN 55125-0000 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 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.