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Permits - Permit# SP-2021-00099 - 3860 Park Lane - 9/28/2021INSPECTION RECORD City of Spring Park SITE ADDRESS: 3860 PARK LANE, SP, MN SS384 PERMIT TYPE: MAINT - Roofing Replacement ZONE/USE TYPE: RESIDENTIAL APPLICANT: Pahl Exteriors OWNER: REBECCA A GROVES Permit Number: SP-2021-00099 Issue Date: 9/28/2021 Description: 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. Permit Card Re -Roof In -Process DO NOT COVER ITEMS TO BE INSPECTED. 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 Permit -,C -rYOf IRINIC�'�\z<< To Schedule an Inspection Call: 952.442-7520 Details Permit Number: SP-2021-00099 Issue Date: 9/28/2021 Zoning Type: RESIDENTIAL Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM • NO HOLIDAYS Site Address: 3860 PARK LANE, SP, MN 55384 Description: Permit Granted To: Pahl Exteriors Homeowner's Name: REBECCA A GROVES Phone Number: Parcel #: 1711723320050 Permit Type: MAINT - Roofing Replacement Permit Exp: 3/27/2022 Valuation: $0.00 Fees Receipt # ProductDate Quantity Date •. • Status Pmt Info Amount 0 License Lookup 9/28/2021 1.00 Due $5.00 0 Residential - Re -Roof 9/28/2021 1.00 Due $50.00 0 State Surcharge Flat Fee - $1.00 9/28/2021 1.00 Due $1.00 Total: $56.00 Notes • 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 CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue SP- aoa i -- =2!� Spring Park, MN 55384 ❑ Handout Given Routed to MNSPECT Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given �(10 C Q' SITE ADDRESS: .S PID: 1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO ❑ continue without completing EPA Section) 2) Will the work disturb 2:6 sq ft of interior painted surfaces or Z20 sq ft of exterior painted surfaces? (YES ❑ 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 ❑, you MUST Attach Certification Information, NO ❑ complete line 5) 5) EPA Contractor Certification Number: NAT - (applies to contractor only) • PROPERTY OWNER: iL- + c- , t - , G Address: City7.^gin ra, State: A /V Zi : 3 Email: rr Contact Name: Phone: 1 (� CONTRACTOR: i -Ql i (DV—S L L.L Address:.3 e r< city: State: /v /Zi 2% Phone: S )Q 14.: Contractor License No: IS G 0 Contact Name: fCi 4hone: Email: r " ( n, N & `t ►cam ,M ARCHITECT: Address: City: State: Zip: Phone: Fax: • Email: Contact Name: Phone: TYPE OF WORK: ❑ New Construction ❑ Deck ❑ Pool Pe -Roof ❑ Commercial Residential ❑ Change of Use ❑ Retaining Wall ❑ Porch Li Re -Side EST. VALUATION OF WORK ❑ Finish Basement p Demolition ❑ Fence $ t % ❑ Remodel o Fire Sprinkler ❑ Shed Square feet: ❑ Addition ❑ Fire Alarm Li Window/Door Replacement ❑ Garage-Attached/D h ❑ Plumbing -provide detail on Page 2 # being replaced Detailed DescriRgon of Work ge 2 ❑ Misc Other Signature of this application by the legal property owner or a licensed contractor. as the owners representative. Is required and authorizes the Zoning Administrator or designee and the Building Offklal or designee to enter upon the property to perform needed inspections. Entry may be without 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 will be In accordance with approved plans, specifications and conditions and to abide by all ordinances of the Municipality and the laws of the State of Minnesota regarding actions taken pursuant to this permit. I agree to pay all plan review fees even if I choose not to proceed with the work. Permit expires when work Is not commenced within 180 days from date of permit, or if work is suspendedabandoned. or not inspected for 180 days. Work beyond the scope of this permitor work without a permit or Inspection, will be subject to a penally, Noise Ordinance In Effect: M DAY - FRIDAY 13-voka.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m. SIGNATURE OF APPLICANT: DATE: PRINTED NAME: of h This is the signature of: ❑ Owner or ❑ Owner's Representative OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes 1 No VALUATION: $ Permit Fee: $ 5� U WAC Charge: $ Plan Review Fee: $ Sewer & Water Hook -Up: $ State Surcharge: $ 1 Sewer & Water Disconnect: $ Site Inspection Fee: $ Water Meter. $ S.E.C. Fee: $ Muni SE/WA Fee: $ Investigation Fee / Other Fee: $ SAC Escrow: $2-485 Copy Charge ($.25 per 8.5 x11 page) $ Other. $ z Licence Check ($5) / Lead Check ($5) $ 5 • TOTAL DUE: $ SUB -TOTAL $ 56, W N Plumbing Fee (from Page 2) $ NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs D for SAC determination. Escrow payment will be required when permit is issued. If W Mechanical Fee from Page 2 $ after Met Council review no SAC is determined, escrow will be refunded in full. U LL Special Conditions/Required Setbacks: LL O Building Approval By: DATE: Printed Building Approval By: ❑ License Verification ❑ Lead Verification - Checked By: City Approval DATE: 9 Paid: 5, Date: Receipt No. By: a CITY OF SPRING PARK ❑ MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL INFORMATION Mechanical Contractor: Address: City: State: zip: Phone: Fax: State Bond No: Contact Name: Email: Contact Phone: 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 ua nt' Quantity Furnace Kitchen Fan Furnace Air Conditioning System Bath Fan Fireplace Air Exchanger Grill Unit Heater Fireplace Water Heater Unit Heater Grill In Floor Heat Dryer Gas Log Stove Office Use Only: ❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ _ ❑ Addition/Remodel Gas Line Permit Fee: $ ❑ New Construction State Surcharge: $ ❑ Other Other: $ Total Mechanical Permit: $ PLUMBING INFORMATION Plumbing Contractor: Address: City: State: Zip: Phone: Fax: Plumbers License No: IState 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 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! j Transaction ID: 13897 Transaction Number: Transaction Type: Payment Recipient: Contractor Notes: CITY OF P —r'� [ f � r-r- City of Spring Park 4349 Warren Avenue SP MN,55384 Ph:952-442-7520 $56.00 Date: 9/28/2021 Method: Check: 8930 Address: 3860 PARK LANE, SP, MN 55384 Reference: Permit Number: SP-2021-00099 Type: MAINT - Roofing Replacement for Pahl Exteriors r-roduct: Residential - Re -Roof Paid 1.00 $50.00 $50.00 License Lookup Paid 1.00 $5.00 $5.00 State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $1.00 Total Amount: $56.00 Page 1 of 1 Printed on: 9/28/2021