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Permits - Permit# SP-2021-000124 - 2425 Black Lake Road - 12/20/2021
City of Spring Park Permit —� CITY Of [C=' F'- To Schedule an Inspection Call: 952-442-7520 Details Permit Number: SP-2021-00124 Issue Date: 12/20/2021 Zoning Type: RESIDENTIAL Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS Site Address: 2425 BLACK LAKE ROAD, SP, MN 55384 Description: LOWER LEVEL BATH & BAR AREA; RELOCATE SILLCOCK; RELOCATE PEX LINES Permit Granted To: B & D Plumbing Heating & AC Homeowner's Name: MARK & JESSICA CHASE Phone Number: Parcel #: 1911723120127 Permit Type: PLG - General (residential) Permit Exp: 6/14/2022 Valuation: $0.00 Fees Receipt# Product Sale Date Quantity Date Paid Status Prnt Info Amount 14558 State Surcharge Flat Fee - $1.00 12/16/2021 1.00 12/17/2021 Paid Visa: ****-***"-****2297 $1.00 14558 PLG - New Fixture - $75 Min 12/16/2021 1.00 12/17/2021 Paid Visa: ****-* "* **2297 $75.00 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 2020 MN State Building Code City of Spring Park Permit Number: SP-2021-00124 Issue Date: 12/20/2021 SITE ADDRESS: 2425 BLACK LAKE ROAD, SP, MN 55384 Description: PERMIT TYPE: PLG - General (residential) LOWER LEVEL BATH & BAR AREA; REIOCATE SILLCOCK; ZONE/USE TYPE: RESIDENTIAL RELOCATE PEX LINES APPLICANT: B & D Plumbing Heating & AC OWNER: MARK & JESSICA CHASE 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 (4) Plumbing Underground R. I. Required Plumbing Aboveground R. I. Required Gas Line Certification Required Plumbing 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 S� 2221— 001-1`4 Spring Park, MN 55384 ❑Handout Given Routed to MNSPECT Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given taff ' �(O SITE ADDRESS: ✓Mac-cL - Lmcz tie-- ! `J� PiD: 1) Was the home constructed before 1978? (YESX, continue with line 2, NO 13 continue without completing EPA Section) 2) Will the work dlsturb 26 sq ftof interior painted surfaces or ?20 sq ft of exterior painted surfaces? (YES ❑ go to line 4, NO line 3) 3) Are there any windows being replaced? (YES a, go to line 4, NO o 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) a I r� PROPERTY OWNER: ti. � SS i Address: { , r City State: Zip r r Email: --^ Contact Nary: ty Phone. • CONTRACTOR: Q� AC —Address: C' Cf Cit : S . ( State: ZIP S 71(o Phone: 7 3L4,q '7 D Fax - y4 % ' Lf" 3 Contractor License No: Q x �('�Q? Contact Name: ntrangg 3� Email: (✓ ARCHITECT: Address: Citv: State: Zip: Phone: Fax: • Email: Contact Name: Phone: TYPE OF WORK: ❑ New Construction ❑ Deck ❑ Pool ❑ Re -Roof ❑ Commercial Residential o Change of Use ❑ Retaining Wall _ Porch ❑ Re -Side EST. VALUATION OF WORK Finish Basement u Demolition ❑ Fence $ / 01 I O. °O ❑ Remodel o Fire Sprinkler ❑ Shed Square feet: ❑ Addition ❑ Fire Alarm ❑ Window/Door Replacement - Garage-Attached/Detach X Plumbing -provide detail on Page 2 # being replaced Detailed Description of Work: Accessory Structure ❑ Mechanical -provide detail on Paget Mise Other Lae e signature of this application by the legal property owner or a licensed tonlraCtor, as the owners representative, Is required and authdrius the Zoning Administrator or designee and the Building Official a 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 d my knowledge. I further agree that all work performed will be In ac cerfance with approved plans, specifications and conditions and to ablde 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 . r Isnot commenced within 180 days from date of pOWr of Mwork U suspended abandoned, or not Inspected for 180 days. Work beyond the scope of this perrnk or work without a perms a Inspection, • will be subject to a penally. Noise Ordinance in Eftect: MONDAY - FRIDAY Before 7 am. and after 10 P.M. Weekends/Holidays before 7 a.m. and after 8 p.m. DATE: D SIGNATURE OF APPLICANT: PRINTED NAME: This is the signature of: ❑ Owner or lztOwner's Representative OCCUP TYPE CONST. TYPE: CODE: BLDG SPRINKLED Yes/No VALUATION: $ Permit Fee: $ ri 6. O 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: $2 485 } Copy Charge ($.25 per 8.5 x11 page) $ Other. $ z Licorice Chock ($6) / Load Chock ($6) $ TOTAL DUE: $ to WSUB -TOTAL $ I 0 NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs to D Plumbing Fee (from Page 2) $ 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. 0 LL Special Conditions/Required Setbacks: LL 0 Building Approval By: DATE: Printed Building Approval By: 0 License Verification O Lead Verification -Checked By: City Approval By: DATE: (� a Paid: r[ . D b Date: f Receipt No. 1( jpap 58 By: u 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: City: State: Zi 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,fxture): MECHANICAL FIXTURES GAS LINES Quantity Quantity 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 Orrice Use Only: ❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ o Addition/Remodel Gas Line Permit Fee: $ ❑ New Construction State Surcharge: $ ❑ Other Other. $ Total Mechanical Permit: $ PLUMBING INFORMATION Plumbing Contractor: (3 i Address: 0 4 c tnzr-,e C Cit y: GIt. l', te: -.1 Zip- Si Phone: 3 - L4 J -7 - D Fax: Plumbers License No: PAAWA AT7 IState Bond No: G 61q1 Contact Name: r Contact Phone: 7fv - - � O Email: r.-\ —a r S . Detailed Description o 1Nork: 1 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 i Shower Laundry Tub ❑ Gas ❑ Electric Dishwasher Rough -In Future Fixture Water Softener Clothes Washer Sump Lawn Sprinkler System Ice Maker Line Water Piping System f Water Closet (Toilet) Hose Bib Floor Drain Lavatory (Wash Basin) Bathtub 3: ; Office Use Only: ❑ Replacement (one fixture only, no piping or vent changes) Plumbing Permit Fee: $ I$ Addition/Remodel State Surcharge $ ❑ New Construction Other: $ ❑ Other Total Plumbing Permit: $ Payment Confirmation Payer Information: Payment Made By: Payment Made For: Email: Permit Address: Address: Payment Description Payment Date: Business Name City of Spring Park (Permits) Claire M Daleiden Claire M Daleiden cdaleiden@bdplumbers.com 2425 Black Lake Rd 4145 MacKenzie Ct NE St. Michael, MN 55376 Permits 12/17/2021 9:03:06 AM Payment Payment Confirmation Amount Method Account Number VISA ****2297 76620758 $76.00 Convenience Total Fee $2.99 $78.99 This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. 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YOU ARE HEREBY NOTIFIED THAT, IF YOU ARE NOT AN INTENDED RECIPIENT LISTED ABOVE, OR AN AUTHORIZED EMPLOYEE, OR AGENT OF AN ADDRESSEE OF THIS COMMUNICATION RESPONSIBLE FOR DELIVERING E-MAIL MESSAGES TO AN INTENDED RECIPIENT, ANY DISSEMINATION, DISTRIBUTION, OR REPRODUCTION OF THIS COMMUNICATION (INCLUDING ANY ATTACHMENTS HERETO) IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMMEDIATELY BY A REPLY E-MAIL ADDRESSED TO THE SENDER AND PERMANENTLY DELETE THE ORIGINAL E-MAIL COMMUNICATION AND ANY ATTACHMENTS FROM ALL STORAGE DEVICES WITHOUT MAKING OR OTHERWISE RETAINING A COPY. Thank you for your Payment! Transaction ID:14558 Transaction Number. Transaction Type: Payment Recipient: Contractor Notes: B&D Plumbing 1 CI UY 01. P rk PT It\ -1 j i\ I Q I -r-K X, A4Ab41" IS01A City of Spring Park 4349 Warren Avenue SP MN,55384 Ph: 952-442-7520 $76.00 Date: 12/17/2021 Method: Visa: ****-****-****2297 Address: 2425 BLACK LAKE ROAD, SP, MN 55384 Reference: Permit Number: SP-2021-00124 Type: PLG - General (residential) for B & D Plumbing Heating & AC Fees Product: State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $1.00 PLG - New Fixture - $75 Min Paid 1.00 $75.00 $75.00 Total Amount: $76.00 Page 1 of 1 Printed on: 12/20/2021