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Permits - Permit# 22SP-00014 - 4766 West Arm Road - 7/12/2022 City of Spring Park Plumbing (Residential) 4349 Warren Ave, Spring Park, MN 55384 SPRING PARK 22SP-00014 On Lake 7Winneton a (952)471-9051 Fax(952)471-9160 For Inspections: (952) 442-7520 Date Issued: 07/12/2022 Property Owner: Champion Plumbing Expiration Date: 1/8/2023 Mailing Address: 4766 West Arm Road Job Site Address: 4766 West Arm Road, Spring Park, MN Spring Park, MN 55384 55384 Phone: Category: Residential Miscellaneous Email: Permit Type: Plumbing (Residential) Valuation: Description of Work: Replace gas water heater and water softener Subdivision: Required Setbacks: Parcel ID: Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount State Surcharge (Fixed) $1.00 Residential Plumbing Permit $75.00 Total Fees: $76.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 7/12/2022 MUST BE POSTED ON JOB SITE INSPECTION CARD �i-' City of Spring Park SPRING PARK On Lake Minnetonka 4349 Warren Ave, Spring Park, MN 55384 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. Plumbing PERMIT NO.: 22SP-00014 PERMIT TYPE: (Residential) ISSUED DATE: 07/12/2022 EXPIRATION DATE: 01/08/2023 PROJECT ADDRESS: 4766 West Arm Road,Spring Park,MN 55384 PARCEL NO.: OWNER: Champion Plumbing CONTRACTOR: CONTRACTOR PHONE: DESCRIPTION OF WORK: Replace gas water heater and water softener CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Underground Plumbing Plumbing Rough-In 71 Plumbing Final Fire Approval: Date: Fire Approval: Date: PW Approval: Date: Other( ): Date: To request an inspection:(952)442-7520 Page 1 of 1 RECEIVED JUL 05 2022 '.ITY OF SAD RII`dG PARK PAGE i BUILDING PERMIT 4349 Warren Avenue a_ o��—L9t30 I Spring Park, MN 55384 ❑ Handout Given Routed to MNSPECT Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given SITE ADDRESS: 1 7&o Aim A 0JJ PID: 1)Was the home constructed before 1978?(YES o,continue with line 2, NO o continue without completing EPA Section) 2)Will the work disturb>_6 sq ft of interior painted surfaces or z20 sq ft of exterior painted surfaces?(YES❑go to line 4, NO o line 3) _ 3)Are there any windows being replaced?(YES n,go to line 4,NO❑continue without completing EPA Section) 4)Has this home been Certified Lead Free?(YES n,you MUST Attach Certification Information, NO n complete line 5) 5)EPA Contractor Certification Number. NAT- (applies to contractor only) • PROPERTY OWNER:Troy Ehlers Address: 4766 West Arm Road city:Sprincj Park State: Mn zip: 55384 Email: " Contact Name: Phone: CONTRACTOR:Cham ion Plumbing Address: 3670 Dodd Road Suite 10 City: Eagan state: Mn zip:55123 Phone:651.365.1340 Fax: Contractor License No: PC 000308 Contact Name: Troy Good ljone` ' Email:permits(aD-championplumbing.net ARCHITECT: Address: City: State: Zip: Phone: Fax: • Email: Contact Name.. hone: TYPE OF WORK: ❑New Construction ❑Deck ❑Pool � ' ❑Re-Roof ❑Commercial X Residential ❑Change of Use n Retal Po ❑Re-Side EST.VALUATION OF WORK ❑Finish Basement 1 ❑Fence $ 2000.00 ❑Remodel A pri ❑Shed Square feet a Addition ❑ larm o Window/Door Replacement ❑Garage Attachd/De Q�t > ' Iumbing-Provide detail on Page 2 #being replaced Detailed Description of Work: ❑Acces cture �,., -�Mechanical-provide detail on Page 2 ❑Misc Other nnrf�rar�l_ince one (1) water softener Signature of this application by the legal property owner orb ensa ,es lhilit sea 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, ibut 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 wont pprf Ml in accordance with approved plans.specifications and conditions and to abide by at ordinances of the Municipality and the laws of the State of Minnesota red ollons taken pur (ant hfi`permit.I agree fo pay all plan review fees even If I choose not to proceed with the work.Permit expires when work rt is not commenced within 180 days from da"�f pBmrit,of.it 41;4teapended,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 penalty. Noise Ordinanp))}Effectg'MONDAY-FRI DAY Before 7 a.m.and after 10 P.M.Weekends/Holidays before 7 a.m.and after 8 p-m. SIGNATURE OF APPOCA'll DATE: 06/30/2022 PRINTEQ: „ Ij oy Good This is the signature of: ❑Owner or ❑Owner's Representative OCCUP._NPF: CONST.TYPE: CODE: BLDG SPRINKLED Yes/No VALUATION:$4 Permit Fee: $ �S 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 License Chock($5)/Lead Check($5) $ TOTAL DUE: $ O SUB-TOTAL $ 111 'NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs N F f Page $ � Plumbing ee(from g 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 LL Special Conditions/Required Setbacks: LL 0 Building Approval By: DATE: Printed Building Approval By: ❑ License Verification ❑ Lead Verification-Ch cked By: City Approval By: DATE: 1 Paid: ,� Date: r7i ,1 /Q Receipt No. q By: 1 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: 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 eIrtyp' fixture): MECHANICAL FIXTURES GA&LIN QuantityQuantityQuantity Furnace Kitchen Fan Furnace Air Conditioning System Bath Fan Fireplace Air Exchanger Grill Unit Heater Fireplace Water H, Unit Heater Grill In Floor Heat Gas Log 5Use OqI ❑Replacement(one fixture only,no piping or vent changes) chanical" ermit Fee: $ ❑Addition/Remodel Gas Line Permit Fee: $ ❑New Construction State Surcharge: $ ❑Other Other. $ Total Mechanical Permit: $ INFORMATION Plumbing Contractor: Chain I n i Address:3670 Dodd Road Suite 100 city: Eagan Slate. H Phone:651.365.1340 Fax: �.,.,..,i'.' Plumbers License No: PC Odom State Bond No:MB650446 Contact Name: Troy GO Contact Phone: Email: p Mitftuhaa0n bin .net Detailed Descri ' of Ret ce one 1 as water heater and replace one 1 water softener Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES Quantity Quantity Quantity 1 Water Heater Shower Laundry Tub X Gas ❑Electric Dishwasher Rough4n Future Fixture 1 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 Ofl/ce Use Only: x 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: Troy Good Payment Made For: Troy Good Email: permits@championplumbing.net Permit Address: 4766 West Arm Road Address: 44 Raven Rock Road Pikeville, TN 37367 Payment Description: Permits Payment Date: 7/8/2022 8:30:47 AM Payment Payment Confirmation Convenience Business Name Method Account Number Amount Fee Total City of Spring Park MC ****1713 62958250 $25.00 $1.49 $26.49 (Permits) This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. 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RECEIPT City of Spring Park �^ 4349 Warren Ave, Spring Park, MN 55384 (952)471-9051 SPRING PARK 22SP-00014 I Plumbing (Residential) On Gaffe Winnetonkg Receipt Number:29 Payment Amount: $76.00 July 12,2022 Transaction Method Payer Cashier Reference Number Check Champion Plumbing Jamie Hoffman 1452 Comments Paid by both check and CC -CC confirmation#is 62958250 Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Code Assessed Amount Paid Balance Due 07/07/22 State Surcharge(Fixed) $1.00 $1.00 $0.00 07/07/22 Residential Plumbing Permit $75.00 $75.00 $0.00 Totals.. $76.00 $76.00 Previous Payments $0.00 Remaining Balance Due $0.00 Permit Info Property Address Property Owner Property Owner Address Valuation 4766 West Arm Road Champion Plumbing 4766 West Arm Road Spring Park, MN 55384 Spring Park, MN 55384 Description of Work Replace gas water heater and water softener _��--- ____ _ _. __-- __-. -__ 1452 CHAMPION PLUMBING, LLC Bel' 1`.i1,/Bank PERMIT ACCOUNT bell.bank 3670 DODD RD 77-1052/913 EAGAN,MN 55123 7/1/2022 651-365-1340 0 PAY TO ORDER OFE City of Spring Park $ "51.00 y a m Fifty-One and 00/100********„*«*** ** * ****.*******.***.***** DOLLARS Cn City of Spring Park - 8 4349 Warren Ave. 9 Spring Park, MN 55384 MEMO AUTHORIZED S URE .<, . - :'�,.,, �e�^✓Z,l::t��.._*.�_=K..� --�'�.,`�r.c_luZ.u�i�:v'`�'iG�..�;��-.': Sc�r..x�'_ TFy.`r.,.:3c. i' II600145211' 1:09L31052111: II'65208960L. LIII CHAMPION PLUMBING,LLC 1452 City of Spring Park 7/1/2022 Date Type Reference Original Amt. Balance Due Discount Payment 7/1/2022 Bill 4766 WEST ARM ROAD 51.00 51.00 51.00 Check Amount 51.00 RECEIVED JUL 05 2022 Bell Permit Account 51.00