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Permits - Permit# SP-2021-00049 - 2424 Black Lake Road - 9/23/2021City of Spring Park Permit 1 CITY Of P R I cup-PY To Schedule an Inspection Call: 952-442-7520 Details Permit Number: SP-2021-00049 Issue Date: 9/23/2021 Zoning Type: RESIDENTIAL Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS Site Address: 2424 BLACK LAKE ROAD, SP, MN 55384 Description: extend ductwork for basement finish Permit Granted To: TIMELINE MECHANICAL LLC Homeowner's Name: Tony Strumstad Phone Number: Parcel #: 1911723120007 Fees 13794 Mechanical - New Appliances 13794 State Surcharge Flat Fee - $1.00 Notes Permit Type: MECH - General Permit Exp: 11/29/2021 Valuation: $0.00 6/2/2021 1.00 9/23/2021 Paid Check:1560 $75.00 6/2/2021 1.00 9/23/2021 Paid Check:1560 $1.00 Total: $76.00 • This permit is issued in accordance with and subject to all provisions of Ordinances and policies governing building and zoning in City of Spring Park. • Permit Holder/Contractor/Owners Agent is responsible to call for the inspections! • Permit Packet, including approved plan, and this inspection record must be posted in an accessible location before calling for inspection. Maintain this inspection record until work is complete. • No deviations from the approved plans are allowed without prior consent from the building inspections department. • To Owner, Occupant, or Contractor: It is ILLEGAL TO OCCUPY this area/building until all required final inspections have been made, approved, signed, and certificate of occupancy issued! Scott Qualle, Building Official City of Spring Park +4349 Warren Avenue ♦ 55384 Copyright ©2021 INSPECTION RECORD 2020 MN State Building Code City of Spring Park Permit Number: SP-2021-00049 Issue Date: 9/23/2021 SITE ADDRESS: 2424 BLACK LAKE ROAD, SP, MN 55384 Description: PERMIT TYPE: MECH - General extend ductwork for basement finish ZONE/USE TYPE: RESIDENTIAL APPLICANT: TIMELINE MECHANICAL LLC OWNER: Tony Strumstad No inspection will be performed, and a re -inspection fee will be charged, if this "Inspection Record", the "City of Spring Park Permit", and, when applicable, the approved plans are not available to the inspector. This permit expires if construction activity does not commence within 180 days from obtaining this permit; when construction activity has been suspended or abandoned for at least 180 days; or the work has not been inspected within 180 days from the last documented activity. IF SEPARATE PERMITS ARE REQUIRED, REFER TO THE "SEPARATE PERMITS REQUIRED FOR:" STAMP ON YOUR APPROVED PLANS/CONSTRUCTION DOCUMENTS TO IDENTIFY WHAT SEPARATE PERMITS ARE REQUIRED. ALL REQUIRED ROUGH -IN INSPECTIONS, NOTED ON SEPARATE PERMITS, MUST BE COMPLETED PRIOR TO SCHEDULING A FRAMING INSPECTION. ALL REQUIRED FINAL INSPECTIONS, NOTED ON SEPARATE PERMITS, MUST BE COMPLETED PRIOR TO SCHEDULING A BUILDING FINAL INSPECTION. DO NOT COVER ITEMS TO BE INSPECTED. Permit Card (6) Inspection Inspector's Response Approval Date Comments or Corrections Required Mechanical Rough -In Required Gas Line Air Test Required Mechanical Final Required Fireplace Rough -In Required Fireplace Gas Line Required Fireplace Final Required MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS DAY PRIOR TO THE INSPECTION DAY: 8:00 A.M. TO 4:30 P.M. MONDAY THRU FRIDAY. PHONE NUMBER TO CALL: 952-442-7520 When a Certificate of Occupancy is needed, return this card and the approved final inspection notice to the City of Spring Park office. CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue SP- C;2od t- ppoy Spring Park, MN 55384 ❑ Handout Given Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT SITE ADDRESS: 2- W (5 / '� O' / � % 1 PID: 1) Was the home constructed before 1978? (YES o, continue with line 2, NO o continue without completing EPA Section) 2) Will the work disturb z6 sq ft of interior painted surfaces or>_20 sq ft of exterior painted surfaces? (YES o go to line 4, NO ❑ line 3) 3) Are there any windows being replaced? (YES ❑, go to line 4, NO ❑ continue without completing EPA Section) 4) Has this home been Certified Lead Free? (YES o, you MUST Attach Certification Information, NO ❑ complete line 5) S) EPA Contractor Certification Number: NAT - (applies to contractor only) ! PROPERTY OWNER: Address: • City: State: Zip: Email: • Contact Name: Phone: CONTRACTOR: iM t° C h 1, '1,' rc.-t 1 Address: 71 cl a-?C, t,, J- Ci : V State: ►✓ Zip: ' c7 j Phone: Fax: a1 Contractor License No: i l 6 ' C/ Contact Name: y Pt�rte • Email: ryu 1 rV' Q�` Q�C40 Ufa:. ARCHITECT: Address: Ci : State: Zip, Phone: t Fax: • Email: Contact Name - Phone: TYPE OF WORK: ❑ New Construction ❑ Deck ❑ Re -Roof y ❑ Commercial I�Zesidential � Change of Use ❑Pool' Re -Side ❑ EST. VA_LU TION OF WORK Finish Basement in j �4 ❑Fence _ $ ❑ Remodels ❑Shed Square feet. ❑Addition a olitton ❑ Window/Door Replacement In Garage-Attached/D �umbing-provide ich detail on Page 2 4 being replaced •• Detailed Description of Work: ILlAccesso: "' bture ❑ Mechanical -provide detail on Page 2 ❑ Misc Other • zb Signature of this application by the legal property owner or a'llcensetl cord elor as thep"ers representative. is required and authorizes the Zoning Administrator or designee and the Building Officlal or designee to enter upon the property to perform needed Inspections Entry may bemill tout prior notice. I hereby acknowledge that I have read this application and state that all information is true and correct to the best of my knowledge. I further agree that all work performed wre b�►'6*cofdance with approved plans, specifcations and conditions and to abide by all ordinances of the Municipality �• and the laws of the State of Minnesota regarding actions taken ptityuant to-tMs permit. I agree to pay all plan review tees even If I choose not to proceed with the work. Permit expires when work knot commenced within 180 days from data,rp�iiiJf irk jy,ff78pended. abandoned, or not inspected for 180 days. Work beyond the P Y • scope of this yo p permit, or work without a permit or Inspection. will be subject to a penalty. I", Noise Ordinan&', EffecIONDAY - FRIDAY Be fo a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m. SIGNATURE OF AP . IC r DATE: t^� � 7 •—,2 PRINT This is the signature of: �Owneror o Owner's Representative OCCUP. Tj E CONST. TYPE: CODE: BLDG SPRINKLED Yes / No VALUATION'�, Permit Fee: $ WAC Charge: $ Plan Review Fee'. $ Sewer & Water Hook -Up: $ State Surcharge: $ Sewer & Water Disconnect: $ Site Inspection Fee: $ Water Meter $ S.E.C. Fee: $ Muni SENVA Fee: $ Investigation Fee / Other Fee: $ "2016 SAC Escrow: $2,485 Copy Charge ($.25 per 8.5 x 11 page) $ Other: $ zo License Check ($5) / lead Check ($5) $ TOTAL DUE: $ w SUB -TOTAL $ to D 'NC)TE: Commercial plans will be submitted to the Met Council Environmental Svcs Plumbing Fee (from Page 2) $ tL U for SAC determination. Escrow payment will be required when permit is issued. If Mechanical Fee (from Page 2) $ after Met Council review no SAC is determined, escrow will be refunded in full. LL Special Conditions/Required Setbacks: O Building Approval By: DATE: Prin#ed Building Approval B O License Verification ❑ Lead Verification - Checked By: City Approval 8 . DATE: c' P 7 Date: /a� ceipt No. 1,6j��n By: CITY OF SPRING PARK �NECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL INFORMATION Mechanical Contractor: -r ^ + -e e 1-1 C i /l 1;,n/C1. I Address: ?'t-, f G . L City: State: zip: Phone: Fax: State Bond No: ,A G -7 7 lContact Name: `�� h" 0—Pl -i, ,2f Email: Contact Phone: —"L �- Yy 1 Detailed Description of Work: Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count for each type of fixture): MECHANICAL FIXTURES GAS LINES Quantity Quantity Quantity Furnace Kitchen Fan Furnace r Air Conditioning System Bath Fan Fireplace `• ��4 Air Exchanger Grill Unit Heater Fireplace Water Heater Unit Heater Grill � In Floor Heat Dryer " Gas Log 'Stove Offke Use Only, ❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ —. Uo Y ❑ Addition/Remodel Gas Line Permit Fee: $ ❑ New Construction State Surcharge: $ _ too ❑ Other MW Other: $ Total Mechanical Permit: $ 7 !e . ©C3 PLUMBING INFORMATION Plumbing Contractor: Address: City: State: Zi • Phone: Fax: Plumbers License No: State Bond No: Contact Name: Contact Phone: Email Detailed Description of Work: Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES Quantity uantiQuantity Water Heater Shower Laundry Tub E_ Gas ❑ Electric Dishwasher Rough -In Future Fixture Water Softener Clothes Washer Sump Lawn Sprinkler System Ice Maker Line Water Pipinq System Water Closet (Toilet) Hose Bib Floor Drain Lavatory Wash Basin Bathtub Office Use Only: ❑ Replacement (one fixture only, no piping or vent changes) Plumbing Permit Fee: $ ❑ Addition/Remodel State Surcharge $ ❑ New Construction Other: $ ❑ Other Total Plumbing Permit: $ Thank you for your Payment! Transaction ID: 13794 Transaction Number: Transaction Type: Payment Recipient: Property Owner Notes: -1 CITY OF S P IR I N C�'s\_Z�<< `wt%�44t, -NO A City of Spring Park 4349 Warren Avenue SP MN,55384 Ph:952-442-7520 $76.00 Date: 9/23/2021 Method: Check: 1560 Address: 2424 BLACK LAKE ROAD, SP, MN 55384 Reference: Permit Number: SP-2021-00049 Type: MECH - General for TIMELINE MECHANICAL LLC Fees Product: Mechanical - New Appliances Paid 1.00 $75.00 $75.00 State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $1.00 Total Amount: $76.00 Page 1 of 1 Printed on: 9/23/2021