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Permits - Permit# SP-2022-00040 - 4469 Lafayette Lane - 5/6/2022 City of Spring Park Permit l CI I Y OF -� Permit Number: SP-2022-00040 INI �` r Issue Date: 5/5/2022 2 t \ t � _._ Zoning Type: RESIDENTIAL %4 ! N IN 1 50 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:4469 LAFAYETTE LANE, SP, MN 55384 Description: Plumbing -New Home Permit Granted To: Crimson Copper LLC Homeowner's Name:ROLAND GEORGE GROTH Permit Type: PLG-General(residential) Permit Exp: 10/31/2022 Phone Number: Parcel#: 1911723210058 Valuation:$0.00 Fees Receipt ProductDate Quantity Date '. • Status Pmt Info Amount 17092 State Surcharge Flat Fee-$1.00 5/4/2022 1.00 5/5/2022 Paid Visa: ****--****'***3352 $1.00 17092 PIG-$10 per Fixture over Min 5/4/2022 33.00 5/5/2022 Paid Visa: ****--****'***3352 $330.00 Total: $331.00 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! Scoff Qualle, Building Official City of Spring Park*4349 Warren Avenue♦ 55384 Copyright©2022 INSPECTION RECORD 2020 MN State Building Code City of Spring Park Permit Number: SP-2022-00040 Issue Date: 5/5/2022 SITE ADDRESS: 4469 LAFAYETTE LANE,SP,MN 55384 Description: PERMIT TYPE: PLG-General(residential) Plumbing-New Home ZONE/USE TYPE: RESIDENTIAL APPLICANT: Crimson Copper LLC OWNER: ROLAND GEORGE GROTH 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) Inspection Inspector's Response Approval Date Comments or Corrections Required 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 4F SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue - 092/6 Spring Park, MN 55384 Handout Given Phone: 952-471-9051 Fax: 952-471-9160 ❑Lead Handout Given Routed to MNSPECT Solt-. AIX'RESS: PID: 1)Was the home constructed before t976?'�1fES❑,continue with line 2,NO❑continue without completing EPA Section) 2)Will the work disturb?fi sq ft of interior painted surfaces or no sq ft of exterior painted surfaces?(YES o go to line 4,NO o:ire _ 3)Are there any windows being replaced?(YES❑,go to line 4,NO o continue without completing EPA Section) 4)Has this home been Certified Lead Free?(YES o,you MUST Attach Certification Information,NO o complete line 5) 5)EPA Contractor Certification Number. NAT- (applies to contractor only) • PROPERTY OWNER: Address: �a JEVA State: A/ Zip: d Entail: ;k nt �l N ir11+e Piton. • CONTRACTOR: 'r. < r e Address: . t' /L zl : YX Phone: "V- V —ZT4ax Contractor License No: L 7D Contact c,7 PhuneftrA Email: ARCHITECT: Address c State: Zip: Phone: Fwr • Final: Contact Nam - Phone: TYPE OF WORK. o c;anct,uctrc,n ;;e.-A ❑Pool Re-Roof Commercial Rtarn*;Wall ❑Porch Ze• :I �i EST.VALUATION OF WORK Ftnrsh Bassniew Detnoldton o Fence Dario a Relrr,rfei ;,e Sprinkler n Shed Square feet. 1l drhttur: _ i irr,Aiarw o Window/Door Replacement D Garage dttached,Dolach o PIurT.t:lri4-a•ovide detaii on Page 2 #being replaced + Drei Description of Work: ssa�Stnrrturt i.�Mech:,eiN.al-provide detail on Page 2 ❑Misc Other • IF z -- — -_ � :pn.rn d ids appwcatlon by t•kgd proper�r owns a•ticenaed esnirector,n tie dwrters rapraaardatve,'s raquked and euMorbbs the rainy/Wrtp,bbador a drgn.a and the 9uetkrg cr deslpnee to~Upon"piopMy le patron needed i spaatbns.Entry may to Whwul prior nodes.I hereby ecimwredge a+at I hava read trwa eppweafnr eyed state trrat M hfe-mWbn is true and e red to to beat of nor Im wiscIp.I hotter agree tut d wori,pwlormee is im m accordance with approved pbns.specwcamns and CwldWft end to abtds by d wdhw+cp or tee Municipality and the lows of tw Stitt of liftvnacta tarts more taken pteralmnt to ft parmtt I agree to PAY au plan rsvisw fees ewer fr I choose not to proceed wVh*wwork.PAannsWw=~wceK r a not eommertead vAlk 180 days ham deia ctpetaa:4m 1rvwt'As M apended.abandoned,or not Inspected for 1110 days.Work bayond the scope ortie pemw,orwork wwnout a pwmt ar Inspection, • va be s+ged to a par aft. .. Noise Ordinance In Effect MONDAY-HaDAY Before 7 sin.and aver 10 pan.WeakendaMoidays before 7 am.and after 0 pm. SIGNATURE OF APPLICANT: .� _- - ----- — -- DATE: PRINTED NAME: This is the signature of: ,. -r ar '�wnr•rs T1e nr�selmiatiea OCCUP.TYPE: CONST.TYPE: CODE: BLDG SPRINKLED Yes/No VALUAMOWT 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: $ a2016 SAC Escrow,124$� Copy Charge($.25 per 8.5 xf 1 page)$ Other. $ C Lioanco Ctieek(S6)/Load Chock(0)$ TOTAL DUE: S ru sus-TOTAL$ 331. Plumbing Fee(from Page 2 $ Comir'�plain vA be submM W to the Na CotAndl Envkornrntad evu !v Mechanical Fee from 2)$ r SA_Net wr.rrrr °wrw gECpaymerd IN be req'f'd when permit is"cued' it to detarridive4 escrow wrr be refirrded In firtL u. Special Conditions/Required Setbacks: Building Approval By. DATE: Printed Building Approval By. ❑ License Verification❑ Lead Verification-Checked By. City Approval B DATE: J Paid: aT17 Dabs: q�� Receipt No. 'T J �7 By: CITY OF SPRING PARK ❑ MECHANICAL PERMIT Q PLUMBING PERMIT SP-?022-00040 PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL INFORMATION Mechancal Contraction Address: State: zkX Phone: Fax: State Bond No: Contact Name: EmaiL Contact Phone: Detailed Dmrkftn of Work: Indicate type of project,fixtures,and Gas Lines you will be installing or replacing(include count for each type of fixture): MECHANICAL FDffVRES GAS UNES Quantity Guardit Quantity Furnace Kitchen Fan Furnace _ Air Conditioning System Bath Fan Fireplace _ Air Exchanger _Grill Unit Heater .t Fireplace Water Heater Unit Heater _ Grill In Floor Heat DrM Gas Lo 011lve Use ow, G Replacement(one focture only,no piping or vent changes) ;+ Mechanical Permit Fee: $ c.Addition/Remodel Gas Line Permit Fee: $ c New Construction State Surcharge: $ Other Other. $ Total Mechanical Perm $ PLUMBING INFORMATION Plumbing Contractor: y- Address C Jv-d-rozip. '51.VC7 Phone: _S"-% 7 - /S%� Fax: Plumbers License No: - . 3. State Bond No: Contact Nerve: < Contact Phone: 3 rG 7 Email: //sir Detailed Descr of Worft: Indicate type of project and factures you will be instalftng or replacing(include count for each type of fixture): PLLWBING FIXTURES Water Heater Shower Laundry Tub s 0 Electric _�Dishwasher Rough-In Future Fixture Water Softener f Clothes Washer Sump Lawn Sprinkler System I Ice Maker Late Water Piping System Water Closet(Toilet) Hose Bib Floor Drain Lavatory ash Basln Bathtub Ofte US*OF*. o Replacement(one fixture only,no piping or vent changes) Plumbing Permit Fee: $ 330.00 Addition/Remodel State Surcharge $ 1.00 vi New Construction Other. $ a Other Total Plumbing Permit: $ 331.00 �y69 Payment Confirmation Payer Information: Payment Made By: Michael Wickenhauser Payment Made For: Michael Wickenhauser Email: mike@crimsoncopper.com Address: 1416 Deerfield Rd Waconia, MN 244 Payment Description: Licenses Payment Date: 5/4/2022 10:57:30 AM Business Name Payment Payment Confirmation Convenience Method Account Number Amount Fee Total City of Spring Park VISA ****3352 78542673 $642.00 $18.94 $660.94 (Licenses) This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. 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CtrY M 3" A P R iN I _r X-RK UtNNESaTA City of Spring Park 4349 Warren Avenue SP MN,55384 Ph:952-442-7520 Transaction ID: 17092 Transaction Number: $331.00 Transaction Type:Payment Recipient:Contractor Date:5/5/2022 Method:Visa:****-****-****3352 Notes: Address:4469 LAFAYETTE LANE,SP,MN 55384 Reference:Permit Number:SP-2022-00040 Type:PLG-General (residential)for Crimson Copper LLC Fees Product: State Surcharge Flat Fee-$1.00 Paid 1.00 $1.00 $1.00 PIG-$10 per Fixture over Min Paid 33.00 $330.00 $330.00 Total Amount: $331.00 Page 1 of 1 Printed on:5/5/2022