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Permits - Permit# SP-2021-00118 - 2463 Black Lake Road - 11/15/2021City of Spring Park Permit —� CITY Of .SP Z1�iC�' I_r_x X ,%4 IN% I IS0IA To Schedule an Inspection Call: 952-442-7520 Details Permit Number: SP-2021-00118 Issue Date: 11/15/2021 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: 'S/B REMODEL Permit Granted To: Danas HVAC Inc Homeowner's Name: GREGG & CAROL STEIGER Phone Number: Parcel #: 1911723120026 Permit Type: MECH - Furnace (replacement) Permit Exp: 5/14/2022 Valuation: $0.00 Fees Receipt # Product Sale Date Quantity Date Paid Status Pmt Info Amount 14270 MECH - Fixture Maint 11/15/2021 1.00 11/15/2021 Paid Check: 1303 $50.00 14270 State Surcharge - Flat Fee $1.00 11/15/2021 1.00 11/15/2021 Paid Check: 1303 $1.00 14278 Mechanical - New Appliances 11/15/2021 1.00 11/15/2021 Paid Check: 1303 $25.00 Total: $76.00 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 INSPECTION RECORD City of Spring Park Permit Number: SP-2021-00118 Issue Date: 11/15/2021 SITE ADDRESS: 2463 BLACK LAKE ROAD, SP, MN SS384 Description: PERMIT TYPE: MECH - Furnace (replacement) ZONE/USE TYPE: RESIDENTIAL APPLICANT: Danas HVAC Inc OWNER: GREGG & CAROL STEIGER 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 Mechanical Final 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 PAGE 1 BUILDING PERMIT 4349 Warren Avenue -9p.apa1 — p011 g ` Spring Park, MN 55384 ❑ Handout Given Phone: 952-471-905' 1 Fax: 952-471-9160 ❑ Lead Handout Given � d to MNSPECT 45 /,&, 6ji¢�e SITE ADDRESS: rf T _ e �D- Was the home constructed before 1978? (YES 0, continue with line 2. NO n continue without completing EPA Section) Will the worts disturb n sq ft of interior painted surfaces or?2Q sq ft of exterior painted surfaces? (YES :i go to line 4. NO , line 3) 3) Are there any windows being replaced? (YES c, 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 r. complete line 5) a) EPA Contractor Certification Number: NAT - (applies to contractor only) • FIROPERTYOWNER: �i>, Address: Sf�� C:i State: Zr Email: Contact Name: Phone: e CONTRACTOR: DA14 Address: 41 StateZi Phone: / Fax Contractor L iceme No: Contact Name: LrVACZy' Ernall: Car,-, ARCHITECT: Address: State: zip: Phone: Fax: • Email: Contact Name. Phone: TYPE OF WORK: r New Construction it Deck �� Pool ❑ Re -Roof Commercial esidential t i Change of Use Retaining Wall n Porch r Re -Side EST. VAL,LWION OF WORK ra Finish Basement Demolition t- Fence _ellermdel j Fire Sprinkler a Shed Squart3 feet n Addition -; FireAlaim o WindowlDoor Replacement r Garage-Attached!Detach c. Plumbing-i;mvide detail on Pafle 2 # being replaced Oeta Ned Description of Work: a Accessory Structure echanicai arovids detaaon Pam z r Mlsc other l� • of Vas appece", by ft "ai pmpaty mmm ar a f eslaed carlealix as the asrla s tspresantsyw. la ragrisd Wei saerortras the r deaignsa to actor upon 8re parparry b patonn needed rrepeelb Enlryany be cheat prior rlo-1- t herebyacknowledge wd I have read thla « � end the OW epi to din end site M1el . iraf teptforl Is tme sit enact to tw boat d my krraatadgs.l tmdlwr agree wilt oA work parkmad Will be n eccadares with approved pVra, epacleceMern and conditions cad b abkla by ee ordkrarlwe d ew i+MrAc[piy ;ad the laws of we Stale ore8reasola regarding aesan Wm pursumA to frs pame. t agree to pay an plan rwmwttaas amen "I., -. nor 1D proceed WMh tfls work. permit apses YAM"* u n rod cammeneed w0ih 18D days noln dale of pemst or Vwcrk is stapended. abandoned. or not Inspecbd for 100 deya Wilk beyond h scope of this parak. or wok wMhemt a perm! or Inspsceon. • aY be atrhied to a panty ty. Noise t]rditssrtca In Effect ti10N Before 7 a.m. and after 10 p.m. WeekendslHolidays before 7 a.m. and attar 8 p.m. SIGNATURE OF APPLICANT: DATE: II —/ •-%Z I:1RNTED NAME: This Is the signature of: c Owner or d Owner's ffgwesentative OCCUP. TYPE: CONST. TYP CODE: BLDG SPRINKLED Yes I No VALUATION: $ Pefmit Fee: $ IS, to WAC Charge: $ Plan Review Fee: $ Sewer& WaterHook4Jp: $ State Surcharge: $ Sewer & Water Disconnect: $ Site Inspection Fee: $ Water Meter $ S_E.C. Fee: $ Muni SEIWA Fee: $ Investigation Fee / Other Fee: $ `2016 SAC Escrow. J Copy Charge ($.25 per 8.5 xI I page) $ Other. $ O License Cheek ($6) I Land Chock ($6) S TOTAL DUE• _ w SUB TOTAL $ ~I j Plumbing Fee (from Page 2) $ 'NOTE' c0Ae1"0d PISM will be submitted to the Max cauncii Eftb)onmenbf for & C dehrnakWon. Eaarow payment will be required when parmR is issued. M LU Mechanical Fee from Pap 2 $ alter Yet COW14 rsvlew no sett is determined. aarlaw will be rounded in full IL Special Conditions/Rewired Setbacks: O Building Approval By: DATE: Printed Building Approval By. ❑ License Verification ❑ Lead Verification - Checked By. City Approval DATE: Paid: Receipt No. % b t_::3 By S CITY OF SPRING PARK MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL•' • Mechanical Contractor: Address: C' ' State: Phone: 1- L Fax: State Bond No: Contact Name: ' Email: GL I Ltt Contact Phone: Z 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 i-7X7 RES GAS LINES Quantiltv 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 Der Gas LouStave Office Use Only. ❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ c Addition/Remodel Gas Line Permit Fee: $ n New Construction State Surcharge: $ ❑ Other Other: $ Total Mechanical Permit: $ PLUMBING •. • Plumbing Contractor- Address: C'State: zip: 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 f/X ERES Quantltv Quantity Water Heater Shower Laundry Tub 0 Gas n Electric Dishwasher Rough -In Future Fixture Water Softener Clothes Washer Sump Lawn Sprinkler System Ice Maker Line Water Piping System Water Closet (Toilet) Hose Bib Floor Drain Lavatory ash Basin Bathtub Office Use Ony: ❑ Replacement (one fixture only, no piping or vent changes) Plumbing Permit Fee: $ ❑ Addition/Remodel State Surcharge $ ❑ New Construction Other: $ o Other Total Plumbing Permit: $ Thank you for your Payment! CITY OF 5PR-11FC )A INkINOIA Transaction ID: 14270 i Transaction Number: 11 Transaction Type: Payment Recipient: Contractor Notes: Fees are actually $76.00 ($75.00 + $1.00 for State Surcharge) City of Spring Park 4349 Warren Avenue SP MN,55384 Ph:952-442-7520 $51.00 Date: 11/15/2021 Method: Check: 1303 Address: 2463 BLACK LAKE ROAD, SP, MN 55384 Reference: Permit Number: SP-2021-00118 Type: MECH - Furnace (replacement) for Danas HVAC Inc Fees Product: MECH - Fixture Maint Paid 1.00 $50.00 $50.00 State Surcharge - Flat Fee $1.00 Paid 1.00 $1.00 $1.00 Total Amount: $51.00 Page 1 of 1 Printed on: 11/16/2021 Transaction ID: 14278 Transaction Number: Transaction Type: Payment Recipient: Contractor Notes: Permit fee is $75.00 + $1.00 State Surcharge Thank you for your Payment! F CITY OF I_�IC�'�A_Zs� City of Spring Park 4349 Warren Avenue SP MN,55384 Ph:952-442-7520 $25.00 Date: 11/15/2021 Method: Check: 1303 Address: 2463 BLACK LAKE ROAD, SP, MN 55384 Reference: Permit Number: SP-2021-00118 Type: MECH - Furnace (replacement) for Danas HVAC Inc Product: Status: Quantity: Price: Total Amount: Mechanical - New Appliances Paid 00 $25.00 $25.00 Total Amount: $25.00 Page 1 of 1 Printed on: 11/16/2021