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Permits - Permit# SP-2021-00012 - 2463 Black Lake Road - 3/2/2021City of Spring Park Permit CITY OF S P z I 1\I C"rA To Schedule an Inspection Call: 952-442-7520 Details Permit Number: SP-2021-00012 Issue Date: 3/2/2021 Zoning Type: RESIDENTIAL Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS Site Address: 2463 BLACK LAKE ROAD, SP, MN 55384 Description: Water softener Permit Granted To: Hero PHC Homeowner's Name: GREGG & CAROL STEIGER Phone Number: Parcel #: 1911723120026 Fees 11605 Plumbing - Fixture Maintenance 11605 State Surcharge Flat Fee - $1.00 Notes Permit Type: PLG - Fixture Replacement Permit Exp: 8/17/2021 Valuation: $2,600.00 2/18/2021 1.00 3/2/2021 Paid Check:52114 2/18/2021 1.00 3/2/2021 Paid Check:52114 $50.00 $1.00 Total: $51.00 • 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-2021-00012 Issue Date: 3/2/2021 SITE ADDRESS: 2463 BLACK LAKE ROAD, SP, MN 55384 PERMIT TYPE: PLG - Fixture Replacement ZONE/USE TYPE: RESIDENTIAL APPLICANT: Hero PHC OWNER: GREGG & CAROL STEIGER Water softener 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. DO NOT COVER ITEMS TO BE INSPECTED. Permit Card Inspection Inspector's Response Approval Date Comments or Corrections Required Plumbing Final Close File 10/25/2021 MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS DAY PRIOR TO THE INSPECTION DAY: 8:00 A.M. TO 4:30 P.M. MOND" 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 Spring Park, MN 55384 ❑ Handout Given Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT SITE ADDRESS: 2463 Black Lake Road 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 220 sq ft of exterior painted surfaces? (YES ❑ go to line 4, NO o 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: Gregg Steiger Address: 2463 Black Lake Road City: Spring Park State: MN Zip: 55384 Email: Contact Name: Gregg Steiger Phone: (612) 709-3235 • CONTRACTOR: Hero PHC Address: 10900 Hampshire Ave S City: Bloomington State: MN Zip: 5543E Phone: 763-244-3371 Fax: Contractor License No: PC648531 Contact Name: Phone: Email: permits@callhero.com ARCHITECT: Address: city: State: Zip: Phone: Fax: • Email: Contact Name: Phone: TYPE OF WORK: ❑ New Construction ❑ Deck o Re -Roof ❑ Commercial V Residential ❑ Change of Use ❑ Pool ❑ Re -Side EST. VALUATION OF WORK ❑ Finish Basement ❑ Retaining Wall ❑ Fence $ 2600 ❑ Remodel ❑ Porch ❑ Shed Square feet: ❑Addition ❑ Demolition ❑ Window/Door Replacement Water softener and Carbon filter ❑ Garage-Attached/Detach ❑ Plumbing -provide detail on Page 2 # being replaced Detailed Description of Work: ❑ Accessory Structure ❑ Mechanical -provide detail on Page 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 Official or designee to enter upon the property to perform needed inspections. Entry may be wttttout 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 wd be In accordance with approved plans. specifications and conditions and to abide by at 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 foes even if I choose not to proceed with the work. Permit expires when work u is not commenced within 180 days from date of permit, or Ifwork is suspended. abandoned, or not Inspected for 190 days. Work beyond the scope of this permit. or work without a permit or Inspection, • will be subject to a penalty. Noise Ordinance In Effect: MONDAY - FRIDAY Before 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m. SIGNATURE OF APPLICANT: DATE: PRINTED NAME: This is the signature of: ❑ Owner or ❑ Owner's Representative OCCUR TYPE: 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 SE/WA Fee: $ Investigation Fee / Other Fee: $ *2016 SAC Escrow. $2485 } Copy Charge ($.25 per8.5 x11 page) $ Other. $ J ZO License Check ($5) / Lead Check ($5) $ TOTAL DUE: $ W SUB -TOTAL $ 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 Fee from Page 2 $ after Met Council review no SAC is determined, escrow will be refunded in full. 2Mechanical LL Special Conditions/Required Setbacks: LL 0 Building Approval By: DATE: Printed Building Approval By: ❑ License Verification ❑ Lead Verification - Checked By: City Approval By: DATE: Paid: Date: Receipt No. By: 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: zi : Phone: Fax: State Bond No: lContact 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 Quantity Quantity Fumace 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: $ INFORMATIONPLUMBING 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 Quantity Quantity 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: $ Transaction ID: H 605 Transaction Number. Transaction Type: Payment Recipient: Contractor Notes: Fees Plumbing - Fixture Maintenance State Surcharge Flat Fee - $1.00 Thank you for your Payment! 1CiryOF 3;"A P R I iN I R K _rxt__ 1li4.1 XE�0 1it City of Spring Park 4349 Warren Avenue SP MN, 55384 Ph: 952-442-7520 $51.00 Date: 3/2/2021 Method: Check: 52114 Address: 2463 BLACK LAKE ROAD, SP, MN 55384 Reference: Permit Number: SP-2021-00012 Type: PLG - Fixture Replacement for Hero PHC Paid 1.00 $50.00 $50.00 Paid 1.00 $1.00 $1.00 Total Amount: $51.00 Page 1 of 1 Printed on: 10/27/2021