Permits - Permit# 22SP-00013 - 4100 Spring Street - 7/12/2022 ,�- Cityof Spring Park
p 9 Mechanical (Residential)
4349 Warren Ave, Spring Park, MN 55384
SPRING PARK 22SP-00013
On Lake Yhmeton a 1 (952)471-9051 Fax(952)471-9160
For Inspections: (952) 442-7520
Date Issued: 07/07/2022 Property Owner: Precision Heating & Cooling
Expiration Date: 1/3/2023 Mailing Address: 4100 Spring Street
Job Site Address: 4100 Spring Street#301, Spring Park, #301
MN 55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone:
Permit Type: Mechanical (Residential) Email:
Valuation:
Description of Work:
Replace Furnace &AC
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
State Surcharge (Fixed) $1.00
Residential Mechanical Permit $75.00
Total Fees: $76.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
7/7/2022
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
OnLakf3finnetonka 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.
Mechanical
PERMIT NO.: 22SP-00013 PERMIT TYPE: (Residential) ISSUED DATE: 07/07/2022 EXPIRATION DATE: 01/03/2023
PROJECT ADDRESS: 4100 Spring Street#301,Spring Park,MN 55384 PARCEL NO.:
OWNER: Precision Heating&Cooling CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Replace Furnace&AC
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Mechanical Rough-In Air/Hydrostatic Test
Reports Mechanical Final
Fire Approval: Date: Fire Approval: Date:
PW Approval: Date: Other( ): Date:
To request an inspection:(952)442-7520
Page 1 of 1
CITY OF SPRING PARK PAGE 1 BUILDING PERMIT
4349 Warren Avenue
Spring Park, MN 55384 ❑ Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given
SITE ADDRESS: PID:
1)Was the home constructed before 1978?(YES i,continue with line 2.NO :j continue without completing EPA Section)
2)Will the work disturb>_6 sq ft of interior painted surfaces or>_20 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: , r s Q l
Citv�-O(-�44 �ht'4atMjl Zip Emal
Contact Name: Phone / 7/
CON CTOR• ( Address
XA-
Ci St t r) ZI Phone: Q27Fax:
Contractor License No: Q Contact Namelzcru Phon �
Email: ,
ARCHITECT: Address:
Cit State: Zip: Phone Fax
• Email Contact Name: Phone:
TYPE OF WORK: New Construction Deck Pool Re-Roof
Commercial esidentlal ❑Change of Use Retaining Wall - Porch _1 Re-Side
EST.VALUATION OF WORK ❑Finish Basement Demolition -Fence _
$ a Remodel Fire Sprinkler Shed
Square feet ❑Addition Fire Alarm Window/Door Replacement
c Garage-Attached!Detach Plumbing-provide detail on Dage 2 #being replaced
rd Detailed Description of Work: ❑Accessary Structure Mechanical-provide detail on?age 2 1 Mlsc Other
•
Signature of the appl¢atlon by the legal property owner or a kensed contractor as the owners representative.is requree ano authorizes the Zoning Admmstrator or assignee ano the Buwidmg otktai
or oeslgnee t0 enter upon the propery tc perform neeoeo irspect Ir may Ice rAthcu7 prior nonce I hereby aCMnowletlge that I have reac this appilcation and state that all nformatibn is true and
correct to the test or my knDwleoge I turner agree theta perfor be inacccroanCa with approved plans."C,ficaUors ano condrtors ano to abide by all orcrnances of the MunicpalRy
and the laws of the state of tdinneso:a regarding ac take pu a s permlt.I agree ty-0a n review lees even if I chose not to proceed with the work.Permit expires.vnan work
u IS not Cotnlmencetl withdn 180(jays from date o1 It,or It Is spends abantlOn¢'Y(or not in eo for 180 nays.work beyond the scope of;his pdrmit or work without a permit or Inspection.
• rail be subject to a penalty.
Noise Ordinance In ect:MO F AY f a.m.and after 10 p.m.WeekendslHolidays before 7 a.m.and after 8 p.m.
SIGNATURE OF APPLI NT: t DATE: �'Ap
PRINTED NAME: This is the signature of: Owner or Owner's Representative
OCCUP TYPE: CONS .TYPE: CODE: BLDG SPRINKLED Yes/No
VALUATION.$
Permit Fee: S ITO WAC Charge: S
Plan Review Fee: $_ Sewer&Water Hook-Up: S
State Surcharge: $ Sewer&Water Disconnect: S
Site Inspection Fee: $ Water Meter: $
S.E.C.Fee: S Muni SE/WA Fee: S
Investigation Fee/Other Fee: S 2016 SAC Escrow: S248�
} Copy Charge(S.25 per 8.5 x11 page) S Other: S
J
z License Chock($5);Lead Chock(S5) S TOTAL DUE: S
O
W SUB-TOTAL $
vy 'NOTE Commercial plans will be submitted to the Met Council Environmental Svcs
Z) Plumbing Fee(from Page 2) S for SAC determination. Escrow payment will be required when permit is issued. It
W Mechanical Fee from Page 2) S after Met Council review no SAC is determined,escrow will be refunded in full.
O
LL Special Conditions/Required Setbacks:
tL
O
Building Approval By: DATE:
Printed Building Approval By: a License Verification ❑ Lead Verification-Checked By:
City Approval By: DATE: a p-Ra
Paid: Date: IQgp, Receipt No. 1 By:
1�-{ r1 Ito
JxHoFFIgAN & e% . 6?INN r -'-i?AW , Mtq, u5
CITY OF SPRING PARK �AAECHANICAL PERMIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL INFORMATION
LL
Mechanical Contractor: ( 3 O J Addres
Cit : StateAfn Zi Phone: O/ Fax:
State Bond No: A4A DO Contact Name:
Email: e Contact Phone:
Detailed Descri ti n of Work:
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
4 Furnace Kitchen Fan Furnace
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 Permit Fee: $ 75•OD
o Addition/Remodel Gas Line Permit Fee: $ _
❑New Construction State Surcharge: $ �• —
o Other Other: $
Total Mechanical Permit: $ rI(A
PLUMBING INFORMATION
Plumbing Contractor: Address:
C Ity State: Zip: Phone: Fax:
Plumbers License No: State Bond No:
Contact Name: I 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 uantiQuantity
_ Water Heater __Shower Laundry Tub
Gas 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:
Li Replacement(one fixture only, no piping or vent changes) Plumbing Permit Fee: $
❑Addition/Remodel State Surcharge $
❑ New Construction Other: $
❑Other Total Plumbing Permit: $
INVOICE I Jul 12, 2022 �.y^
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384 Ai
(952)471-9051 SPRING PARK
22SP-00013 I Mechanical (Residential)
On Lake Winnetonka
Account Assessed Outstanding
Fee Item Code Date Balance
Residential Mechanical Permit 07/07/2022 $0.00
State Surcharge(Fixed) 07/07/2022 $0.00
Total Balance Due $0.00
Permit Info
Applicaton Date: 7/7/2022
Property Address Property Owner Property Owner Address Valuation
4100 Spring Street#301, Precision Heating & Cooling 4100 Spring Street#301,
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Replace Furnace&AC
PRECISION HEATING & COOLING, INC. 14766
Vendor: CITY OF SPRING PARK
Acct#: 300247 Customer#: Check Date: 07/08/2022
Invoice Date Note Inv Amt Discount Amount
PERMIT ADJUST 4100 SPROM8/2022 CITY OF SPRING PARK $50.00 $.00 $50.00
Check Amount: $50.00
CAMERICANA 14750
PRECISION HEATING &COOLING, INC. COMMUNITY BANK 14750
3650 CHESTNUT ST N STE 101C 75-196/919
CHASKA,MN 55318
(952)556-0187 ro
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06/27/2022 $102.00
One Hundred Two Dollars And 00 Cents DATE AMOUNT
PAY U)
TO THE
ORDER CITY OF SPRING PARK M9 L L
OF 4349 WARREN AVENUE 4 Z�/
SPRING PARK MN 55384 F( I iq
UTHORIZ SIGNATU E
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Product SSLT162 USE WITH 91500 ENVELOPE Deluxe Corporation 1-800-328-0304 or www.deluxe.com/shop PRINTED IN U.S.A. A
CAMERICANA 14766
PRECISION HEATING &COOLING, INC. COMMUNITY BANK 14766
3650 CHESTNUT ST N STE 101C
CHASKA,MN 55318 75-196/919
(952)556-0187 x
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07/08/2022 $50 00 z
Fifty Dollars And 00 Cents DA AMOUNT
PAY
TO THE
ORDER ILill
CITY OF SPRING PARK
OF 4349 WARREN AVENUE " C�
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SPRING PARK MN 55384 '}
- . +Y - � cam. � AUTHORI SIGNATURE
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