Permits - Permit# SP-2022-00003 - 4242 West Arm Drive - 1/12/2022City of Spring Park Permit
—� CITY OF _
P R I
i—?% !si 4 1 01 A
To Schedule an Inspection Call: 952-442-7520
Details
Permit Number: SP-2022-00003
Issue Date: 1/12/2022
Zoning Type: RESIDENTIAL
Use Type:
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS • MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS
Site Address: 4242 WEST ARM DRIVE, SP, MN 55384
Description:
1/11/22; ventilate 2 bath fans and extend gas line to new fireplace location.
Permit Granted To: 4 Front Energy Solutions Permit Type: MECH - Gas Line
Homeowner's Name: MARK EVENSON Permit Exp: 7/10/2022
Phone Number: Valuation: $0.00
Parcel #: 1811723430175
Fees
Receipt•• Sale Date Quantity D.- Paid Status Pmt Info Amount
14727 State Surcharge Flat Fee - $1.00 1/11/2022 1.00 1/12/2022 Paid Visa: ****-****-.***97 $1.00
14727 Mech -Gas line/Piping Only - $50 1/11/2022 1.00 1/12/2022 Paid Visa: ****-****-****97 $50.00
Total: $51.00
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 1D2022
INSPECTION RECORD
Citv of Spring Park Permit Number: SP-2022-00003 Issue Date: 1/12/2022
SITE ADDRESS: 4242 WEST ARM DRIVE, SP, MN 55384 Description:
PERMIT TYPE: MECH - Gas Line 1/11/22, ventilate 2 bath fans and extend gas line to new fireplace location.
ZONE/USE TYPE: RESIDENTIAL
APPLICANT: 4 Front Energy Solutions
OWNER: MARK EVENSON
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
Gas Line Air Test Required
Mechanical 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
S1P_Z1Q-0060.3
4349 Warren Avenue
Spring Park, MN 55384
❑Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax:952-471-9160
❑ Lead Handout Given
l 2 "! Z v
PID,
SITE ADDRESS. . -
1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO ❑ continue without completing EPA Section)
2) Will the work disturb z6 sq ft of interior painted surfaces or 220 sq ft
of exterior painted surfaces? (YES ❑ go to line 4, NO ❑ line 3)
3) Are there any winduws 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: M g f X EvcnSo n
Address: LI Z y 2 W e5 r Afro
Citv: rl State; AJ Zip: 5 S •3 �y
Email: — -- -
"
Contact Name: G r
Phone: (D 12 �� 3 57
CONTRACTOR: gf(011f EAG� y S0)t14,'C"s
Address: orMPI Ave r.
:Sf LOh ` K State: MA/ Zip,
rtrt n�
IGto Fax' Z r 9� j'1 60
Phone:Cil
Contractor License No: 4A 8_2145Z'i'3
Contact Name: elrl') P anez:. 1 610
Email: 0'bd(
J'
ARCHITECT
Address: Ap
City: State: Zip:
Phone: Fk:
•
Email:
Contact Nam ~ 0_A& , 'Pi one:
TYPE OF WORK: / n New Construction
❑ Deck ❑Pool o Re -Roof
o Commercial 5f Residential ❑ Change of Use
❑ Retaining Wall . a Porch ❑ Re -Side
EST. VALUATION OF WORK ❑ Finish Basement
❑ DemoliBbn"" ❑ Fence
$ L' fJ00.00 ❑ Remodel
❑ Fire..Spnnkler ❑ Shed
Square feet: o Addition
o FlreAlafm ❑ WindowlDoor Replacement
❑ Garage-AflachedlDetach
:n Plumbing -provide detaa on Page 2 # being replaced
Detailed Description of Work: ----I ❑ Accessory Structure
Mechanical -provide detail on Page 2 ❑ Mise Other
Z'i L Z �} TA� �fian to ry8sf
signature of this app[eaeon by the legal property axner oPi#Jkensed'tbidraclor as t ets representative, b required and authorizes the Zoning Administrator or detlgrwe and the Bulging Official
or das}gnoe to enter upon the property to perform needed fd liens. Entry ma out prior notice. I hereby acknowledge that I have read this appfcatlon and state that all hformet;on Is true and
dormeQ,�O� h'accoxis"a wSth approved pans, speciscatiors and conditions and to abide by al ordinances of the MunkpaRy
r
cortect to the but of my knowledge. I further egree that al vror
and the la',tis of the State of Aunraso!a r ( ns le Fan ant tea" is perm. I agree to pay all plan review fees even If I choose not to proceed with the work. Permit explros When work
h not commenced vi+glfl f e0 da}s from da p nded. ebandoned, or not Inspected for t FA days. work beyond the scope of this permit. or t1-drk v.i•.hout a permt or "action.
vmba subjectto a penalty', ¢ - -
Noise Ordins Effect )AONDAY - FRRIID,AY Before 7 a.m. and after 10 p.m. WeekendslHolidays before 7 a.m. and after 8 p.m.
SIGNATURE OF APPI.IC NT: G r
G
DATE:
is the Owner downer's Representative
PRINTED.NAME: t.' S /V 6) / /
This signature of: ❑ or
OCCUP. fft: CONST. TYPE: ODE:
BLDG SPRINKLED Yes! No
VALUATION: '
Permit Fee: $ 'to
WACCharge: $
Plan Review Fee: $
Sewer & Water Hook -Up: $
State Surcharge: $
Sootier & Water Disconnect: $
Site Inspection Fee: $
Water Meter $
S.E.C. Fee: $
Muni SEANA Fee: $
investigation Fee / Other Fee: $
*2016 SAC Escrow: 92 485
Copy Charge ($.25 per 8.5 x11 page) $
Other. $
z
O
Licence Chock ($S)1 Load Chock ($5) $
SUB -TOTAL $
TOTAL DUE: S . Ub
W
'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.
U
ti
Special Conditions/Required Setbacks:
LL
O
Building Approval By:
DATE:
Printed Building Approval By:
❑ License Verification ❑ Lead Verification - Checked By:
City Approval By:
DATE: 17 1 o1 �
Paid: 5 l , � Date: i f o? � � Receipt No. IO $ l �� ( By:
„rLF
CITY OF SPRING PARK S41MECHANICAL PERMIT
o PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
fl" 6
Mechanical Contractor, L rlonJ 6C{ 4 Address: 0 bconccm be kP
City: x^;-, -A State: N ZI _. SS YZ % Phone: `0 Fax: 9f2 •93 ' 190
State Bond No: 7L(5 Z
Contact Name: f-
Email (6 !%e
lContact Phone: 65 • G&
Detailed Descri do of Work: l n5�a11 : 3 �jw l;eS CCPA,/P r4 c I o n f Z
_- ._ A_ — -__--
r��Yt r,Rj paao,, ' h« CT t CO � V-05 yGtc I en WISAI AC tp
ew ue 11%,l .
:w
Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count for P2`>h typefflxture):
MECHANICAL FIXTURES GAS LIN ;._,
Oua t uanti
Quantity n itv Q, tY p
Furnace Kitchen Fan Furnace
Air Conditioning System 2 Bath Fan �_ Fireplace
Air Exchanger Grill Unit Heater
Fireplace Water.-,. 1
Unit Heater Grill �
In Floor Heat
Gas Log6S
Use On
❑ Replacement (one fixture only, no piping or vent changes) � ` chanicaf rmit Fee: $
Addition/Remodel Gas Line Permit Fee: $
❑ New Construction State Surcharge: $
" six
❑ Other` Other. $
_
Total Mechanical Permit: $
FORMATION
Plumbin Contractor: 481RW44Address:
City:State-. Zip": MO , Phone: Fax:
Plumbers License No:
State Bond No:
Contact Name: Vs
lContact Phone:
Email
Detailed Desert Lt of VI` fx:
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 o 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 Wash Basin Bathtub
Office use Only.
❑ Replacement (one fixture only, no piping or vent changes)
Plumbing Permit Fee: $
❑ Addition/Remodel
State Surcharge $
o New Construction
Other: $
o Other
Total Plumbing Permit: $
Transaction ID: 14727
Transaction Number:
j Transaction Type: Payment
Recipient: Contractor
Notes: 4 Front Energy
Thank you for your Payment!
CITY of
P Rt I I C
j"A
KIESUPIA
City of Spring Park
4349 Warren Avenue
SP MN,55384
Ph:952-442-7520
$51.00
Date: 1/12/2022
Method: Visa: ****-****-****97
Address: 4242 WEST ARM DRIVE, SP, MN 55384
Reference: Permit Number: SP-2022-00003 Type: MECH - Gas Line for 4
Front Energy Solutions
Fees
Product:
State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $1.00
Mech -Gas line/Piping Only - $50 Paid 1.00 $50.00 $50.00
Total Amount: $51.00
Page 1 of 1 Printed on: 1/12/2022
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)
Jeffrey Kline
Jeffrey Kline
permits@4frontenergy.com
4242 West Arm Dr
PO Box 26248
St Louis Park, MN 55436
Permits
1/11/2022 3:21:07 PM
Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
VISA ****0097 16181421 $51.00 $2.25 $53.25
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