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Permits - Permit# SP-2022-00014 - 4242 West Arm Drive - 2/4/2022City of Spring Park Permit 1 My o5 � Permit Number: SP-2022-00014 P R PT J Issue Date::2/4/2022 RESID ( j \ Zoning Type: RESIDENTIAL M 114 dN 1 S t 1 A Use Type: To Schedule an Inspection Call: 952-442-7520 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM • NO HOLIDAYS Details Site Address: 4242 WEST ARM DRIVE, SP, MN 55384 Description: Install fireplace, no gas line Permit Granted To: Fireside Hearth Permit Type: MECH - Fireplace (Manufactured)(new) Homeowner's Name: MARK EVENSON Permit Exp: 8/2/2022 Phone Number: Valuation: $0.00 Parcel #: 1811723430175 Fees Receipt # Product Sale Date Quantity Date Paid Status Pmt Info Amount 14873 Mechanical - New Appliances 2/3/2022 1.00 2/4/2022 Paid Master Card: ****-**** ****4616 $75.00 14873 State Surcharge Flat Fee - $1.00 2/3/2022 1.00 2/4/2022 Paid Master Card: **** `***-"* 4616 $1.00 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 ©2022 INSPECTION RECORD Citv of Sprinq Park Permit Number: SP-2022-00014 SITE ADDRESS: 4242 WEST ARM DRIVE, SP, MN 55384 PERMIT TYPE: MECH - Fireplace (Manufactured)(new) Install fireplace, no gas line ZONE/USE TYPE: RESIDENTIAL APPLICANT: Fireside Hearth OWNER: MARK EVENSON Issue Date: 2/4/2022 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 Fireplace -.ugh -in Required Fireplace Gas Line Fireplace Final Required 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 SP-aDo?o1—OOD (q- Spring Park, MN 55384 ❑ Handout Given Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT SITE ADDRESS: 4242 WEST ARM DRIVE PID: 1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO o 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 windows being replaced? (YES ❑, go to line 4, NO n continue without completing EPA Section) 4) Has this home been Certified Lead Free? (YES ❑, you MUST Attach Certification Information, NO ❑ complete line 5) 6) EPA Contractor Certification Number. NAT - (applies to contractor only) • PROPERTY OWNER: EVENSON RESIDENCE Address: same as site • City: State: Zip: Email: •• Contact Name: JIM 612-685-3576 Phone: • CONTRACTOR: Fireside Hearth & Home Address 2700 Fairview Ave N City: ROSEVILLE State MN Zip: 511 Phone: 651-633-2561 Fax: Contractor License No: BC1369656 MR662572 Contact Name: Phone: Email ROSEVILLE BUILDER OPS HNICORP.COM ARCHITECT: Address: Ci : State: Zip: Phone: Fax • Email: Contact Name: Phone: TYPE OF WORK: ❑ New Construction ❑ Deck ❑ Re -Roof ❑ Commercial xc Residential ❑ Change of Use ❑ Pool ❑ Re -Side EST. VALUATION OF WORK ❑ Finish Basement ❑ Retaining Wall o Fence $ 12,332.00 ❑ Remodel ❑ Porch ❑ Shed Square feet: ❑Addition ❑ Demolition ❑ Window/Door Replacement ❑ Garage-Attached/Detach ❑ Plumbing -provide detail on Page 2 # being replaced •• Detailed Description of Work: ❑Accesso Structure Mechanical -provide detail on Page 2 ❑ Misc Other INSTALL GAS FIREPLACE Signature of this application by the legal property owner or a licensed contractor, as the owner's 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 wflhout prior notice. I hereby acknowledge that I have read this application and state that all Information I8 true and correct to the best of my knowledge. 1 further agree that al 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 pion review few even if 1 choose not to proceed with the work. Permit expires when work •• is not commenced within 180 days from data oipema, or 11 work is suspended, abandoned, or not Inspected for 180 days. Work beyond the scope of this permit, or work without a permit or Inspection, • will be subject to a penaky. 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: 2/1/22 PRINTED NAME: This is the signature of: ❑ Owner or ❑ Owner's Representative OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes 1 No VALUATION: $ 5' co Permit Fee: $ WAC Charge: $ Plan Review Fee: $ --r"—' 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: $ SAC Escrow. $2 485. Copy Charge ($.25 per 8.5 x11 page) $ Other. $ zz License Check ($5) / Lead Check ($5) $ TOTAL DUE: $ (D W N SUB -TOTAL $ . 'NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs Plumbing Fee (from Page 2) $ W for SAC determination. Escrow payment will be required when permit Is issued. If Mechanical Fee from Page 2 $ after Met Council review no SAC is determined, escrow will be refunded in full. 2 LL — Special Conditions/Required Setbacks: LL O Building Approval By: DATE: Printed Building Ap roval By: ❑ License Verification ❑ Lead Verification - Checked By: City Approval DATE: Oa Paid: Date: c!�)aReceipt No.5jDS 5 By: CITY OF SPRING PARK V MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL INFORMATION Mechanical Contractor: Fireside Hearth & Home Address: 2700 Fairview AveN city: ROSEVILLE state: MN zip: Phone: 651-633-2561 Fax: State Bond No: MB662572 Contact Name: STUART Email: ROSEVILLE BUILDER OPS HNICORP.COM Contact Phone: JAM 612-685-3576 Detailed Description of Work: INSTALL GAS FIREPLACE 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 Furnace Kitchen Fan Furnace Air Conditioning System Bath Fan Fireplace Air Exchanger Grill Unit Heater 1 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: 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 FIXTURES Quantity Quantity Quantity Water Heater Shower LaundryTub 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: $ 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) CHRISTA WEGWART STUART SELSETH ROSEVILLE_BUILDER_OPS@HNICORP.COM 4242 WEST ARM DR 2700, FAIRVIEW AVENUE N ROSEVILLE, MN 55113 Permits 2/3/2022 9:20:13 AM Payment Payment Confirmation Amount Convenience Total Method Account Number Fee MC ****4616 56843895 $76.00 $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! -, CITY OF P R C---'"A -K AR- - Transaction ID: 14873 Transaction Number. Transaction Type: Payment Recipient: Contractor Notes: Fees Mechanical - New Appliances Paid State Surcharge Flat Fee - $1.00 Paid City of Spring Park 4349 Warren Avenue SP MN,55384 Ph:952-442-7520 $76.00 Date: 2/4/2022 Method: MasterCard: ****-****-****4616 Address: 4242 WEST ARM DRIVE, SP, MN 55384 Reference: Permit Number: SP-2022-00014 Type: MECH - Fireplace (Manufactured)(new) for Fireside Hearth 1.00 $75.00 $75.00 1.00 $1.00 $1.00 Total Amount: $76.00 Page 1 of 1 Printed on: 2/4/2022