Permits - Permit# 22SP-00003 - 4405 Lafayette Lane - 5/20/2022 .� Cityof Spring Park
P 9 Mechanical (Residential)
4349 Warren Ave, Spring Park, MN 55384
SPRING PARK 22SP-00003
On La fie�Winneton a 1 (952)471-9051 Fax (952)471-9160
For Inspections: (952) 442-7520
Date Issued: 05/20/2022 Property Owner: Matt Moe
Expiration Date: 11/16/2022 Mailing Address: 4405 Lafayette Lane
Job Site Address: 4405 Lafayette Lane, Spring Park, MN Spring Park, MN 55384
55384 Phone:
Category: Residential Miscellaneous Email:
Permit Type: Mechanical (Residential)
Valuation:
Description of Work:
Replace furnace and AC
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
State Surcharge (Fixed) $1.00
Residential Mech./Pig. Replacement Permit $50.00
Total Fees: $51.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
5/20/2022
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK 4349 Warren Ave, Spring Park, MN 55384
On GaleWinnetonka
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION.PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE
APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY.STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE.
PERMIT NO.: 22SP-00003 PERMIT TYPE: Mechanical ISSUED DATE: 05/20/2022 EXPIRATION DATE: 11/16/2022
PROJECT ADDRESS: 4405 Lafayette Lane,Spring Park,MN 55384 PARCEL NO.:
OWNER: Matt Moe CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK:
Replace furnace and AC
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Mechanical Rough-In Air/Hydrostatic Test
Reports Mechanical Final
To request an inspection:(952)442-7520
Page 1 of 1
CITY OF SPRING PARK PAGE 1 BUILDING PERMIT
4349 Warren Avenue �{�— o003
Spring Park, MN 55384 Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given
SITE ADDRESS:4405 Lafayette Lane PID: 19-117-23-21-0059
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 z20 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❑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: Matthew Moe Address: 4405 Lafayette Lane
City: Spring Park State:MN Zip: 55384 Email: n/a
•� Contact Name: Phone:
• CONTRACTOR: Pronto Heating 8 AC Address: 7415 Cahill Road
City: Edina State: MN Zip: 55439 Phone: 952-835-7777 Fax:
Contractor License No: MB004828 Contact Name: Mariely or Kelsey Phone:952-835-7777
Email: permitsgpirontolheat.corn
ARCHITECT: Address:
City: State: Zip: Phone: Fax:
• Email: Contact Name: Phone:
TYPE OF WORK: ❑New Construction ❑Deck 111111IMi. ❑Re-Roof
❑Commercial .Residential ❑Change of Use ❑Pool ❑Re-Side
EST.VALUATION OF WORK ❑Finish Basement pRetaini all ❑Fence
$ 11,320 ❑Remodel '❑Porch ❑Shed
Square feet: ❑Addition oemolitjon ❑Window/Door Replacement
❑Garage-Attached/D h Alumbjng-provide detail on Page 2 #being replaced
Detailed Description of Work: m Accessory Structure echanlcal-provide detail on Page 2 ❑Misc Other
replacement of furnace and AC
•
•
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 Officlel
or 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 of my knowledge.I further agree that all 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 plan review fees even if I choose not to proceed with the work.Permit expires when work
u Is not comment ad within 180 days from sate of permit,or If work Is suspended,abandoned or not inspected for 180 days.Work beyond the scope of this permit,or work without a permit or Inspection.
• Wit be subject to a penalty.
Noise Ordinance In Effect:MONDA//Y-FRIDAY Before 7 a.m.and after 10 p.m.Weekends/Holidays before 7 a.m.and after 8 p.m.
SIGNATURE OF APPLICANT: CZ DATE: 5/18/2022
PRINTED NAME: T 8 e G This is the signature of: c Owner or ❑Owner's Representative
OCCUP.TYPE: CONST.TYPE: CODE: BLDG SPRINKLED Yes/No
VALUATION:$
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: $ SAC Escrow: $2,485
>- Copy Charge($.25 per 8.5 x11 page) $ Other. $
ZLicense Check($5)/Lead Check($5) $ TOTAL DUE: $
w SUB-TOTAL $ (.
fn *NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs
D Plumbing Fee(from Page 2) $ for SAC determination. Escrow payment will be required when permit is issued. If
u! Mechanical Fee(from Page 2) $ after Met Council review no SAC is determined,escrow will be refunded in full.
U
E Special Conditions/Required Setbacks:
U.
0
Building Approval By: DATE:
Printed Building Approval By: ❑ License Verification❑ Lead Verification-Checked By:
City Approval B . DATE: a
Pa' .UD Date: 5�� Receipt No. By.
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL INFORMATION
Mechanical Contractor:Pronto Heating 8 AC Address'7415 Cahill Road
City: Edina State: MN Zip:55439 Phone:952-835-7777 Fax:
State Bond No: MB004828 Contact Name: Mariely or Kelsey
Email: permits@prontoheat.com Contact Phone:952-835-7777
Detailed Description of Work: Replacement of furnace and AC
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
1 Furnace Kitchen Fan Furnace
1 Air Conditioning System Bath Fan Fireplace
Air Exchanger Grill Unit Heater
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 ermit Fee: $
❑Addition/Remodel Gas Line Permit Fee: $
❑New Construction State Surcharge: $
❑Other Other: $
Total Mechanical Permit: $
PLUMBING INFORMATION
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 Laundry Tub
E 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: Wade Sedgwick
Payment Made For: Wade Sedgwick
Email: permits@prontoheat.com
Permit Address: permits@prontoheat.com
Address: 7415 Cahill Road
EDINA, MN 55439
Payment Description: Permits
Payment Date: 5/18/2022 1:50:27 PM
Payment Payment Confirmation Convenience
Business Name Method Account Number Amount Fee Total
City of Spring Park VISA ****6163 03385410 $51.00 $2.25 $53.25
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
225P-00003 SPRING PARK Mechanical (Residential) On Lake Minnetonka
Receipt Number: 12
Payment Amount: $51.00 May 20, 2022
Transaction Method Payer Cashier Reference Number
Credit Card Pronto Heating and Air Jamie Hoffman 03385410
Comments
VISA last four- 6163
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
05/20/22 State Surcharge (Fixed) $1.00 $1.00 $0.00
05/20/22 Residential Mech./Plg. Replacement Permit $50.00 $50.00 $0.00
Totals: $51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4405 Lafayette Lane Matt Moe 4405 Lafayette Lane
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Replace furnace and AC