Permits - Permit# 22SP-00025 - 3812 Sunset Drive - 8/17/2022 City of Spring Park Plumbing (Residential)
4349 Warren Ave, Spring Park, MN 55384
PRING PARK a 22SP-00025
)n La 9Ninnetona (952)471-9051 (952)471-9160
For Inspections: (952)442-7520
Date Issued: 08/17/2022 Property Owner: GREGORY M & MITZI D BENNIS
Expiration Date: 02/13/2023 Mailing Address: 3812 SUNSET DR
Job Site Address: 3812 SUNSET DRIVE, SPRING PARK,
MN 55384 SPRING PARK, MN 55384
Category: Residential Miscellaneous Phone:
Permit Type: Plumbing (Residential) Email:
Valuation:
Description of Work:
Install a 2ft CIPP sewer lining patch per city specs and requirements-no ROW
Subdivision: Required Setbacks:
Parcel ID: 1711723320001
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary Ouverson Sewer&Water(612) 751-6888 State Surcharge(Fixed) $ 1.00
Residential Plumbing Permit $75.00
Total Fees: $76.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
08/17/2022
MUST BE POSTED ON JOB SITE
"r INSPECTION CARD
City of Spring Park
SPRING PARK
On Lake 94innetonka 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-00025 PERMIT TYPE: (Residential) ISSUED DATE: 08/17/2022 EXPIRATION DATE: 02/13/2023
1711723320
PROJECT ADDRESS: 3812 SUNSET DRIVE,SPRING PARK,MN 55384 PARCEL NO.: 001
OWNER: GREGORY M&MITZI D BENNIS CONTRACTOR: Ouverson Sewer&Water CONTRACTOR PHONE: (612)751-6888
DESCRIPTION OF WORK: Install a 2ft CIPP sewer lining patch per city specs and requirements-no ROW
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Plumbing 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 a S
Spring Park, MN 55384 ❑ Handout Given
Phone: 952-4714-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT
SITE ADDRESS: •.J J t�( {� F �. PID:
1)Was the home constructed before 1978?(YES E,continue with line 2,NO a continue without completing EPA Section)
2)Will the work disturb z6 sq ft of interior painted surfaces or 2:20 sq ft of exterior painted surfaces?(YES n go to line 4,NO line 3)
3)Are there any windows being replaced?(YES c,go to line 4,NO'ycontinue without completing EPA Section)
4)Has this home been Certified Lead Free?(YES L7,you MUST Attach Certification Information,NO-i complete line 5)
5)EPA Contractor Certification Number. NAT- (applies to contractor only)
• PROPERTY OWNER: ► Address:
city., (,i t C State: zip-: Email:
Contact klame:0 Phone:
• CONTRACTOR: Ly vp, 4rcy- it Ly Address:
City: A(t StetAN zip: Phone: I - Fax:
Contractor License No: g Contact Name: kL/ Phone: A_—_IT
Email: O t lrl(.-Q. j nz YYl ( Y vy?-1
ARCHITECT: Address:
City: State: Zip: Phone: Fax:
• Email: Contact Name: Phone:
TYPE OF WORK: ❑New Construction ❑Deck ❑Pool n Re-Roof
in Commercial esidential ❑Change of Use c Retaining Wall ❑Porch ❑Re-Side
EST.VALUA710N OF WORK ❑Finish Basement ❑Dernolition :i Fence
$ ��(C� ❑Remodel c Fire Sprinkler ❑Shed
Square feet: ❑Addition o Fire Alarm ❑Window/Door Replacement
❑Garage-Attached/Detach ❑Plumbing-provide detail on page 2 #being replaced
Detailed Description of Work: ❑Accesso Structure r1 Mechanical-provide detail on Page z
o 11 d( a C—f ( 9 ❑Misc Other
Y- I ti
L L�irf mm 0 - s
Signature cluthis appiieaaon by ins legal property owner or a licensed contractor as the owners representative.Is required and authorizes the Zoning Adminkitrator or designee and the Building official
or designee to enter upon the property to perform needed Inspections.Entry may be wahout prior notice I hereby acknowledge that I have road this application end state that all nformerbn le true and
correct to the oast of my knowledge.I turtterr agree that el work performed will be in accordance with approved plans speclLcattors and conditions and to abide by el ordinances of the Municipality
and the laws of the state of Minnesota regarding actions taken pursuant to this perk 1 agree to pay all plan review fees even It I choose not to proceed with are work.Permit expires when work
as s not commenced within 180 days from data of permit.,or it w is suspended abandoned,or not Inspected for 18o days work beyond the scope of this permit.or work without a par
• will be subject to a penatty. it a inspection,
Noise Ordinance In Effect: ON DAY Y Before 7 a.m.and after 10 P.M.Weekends/Holidaya before 7 a.m.and ilifter 8 .m.
SIGNATURE OF APPLICANT DATE: S c�
PRINTED NAME: ( Q t"S This is the signature of: Owner or c Owner's Representative
OCCUR TYPE: CONST.TYPE: CODE: BLDG SPRINKLED Yes/No
VALUATION:$
Permit Fee: $ 7S. WAC Charge: $
Plan Review Fee: $ Sewer&Water Hook-Up: $
State Surcharge: $ Sewer&Water Disconnect: $
Site Inspection Fee: $ Water Meter $
S.E.C.Fee: $ Muni SENVA Fee: $
Investigation Fee/Other Fee: $ 2016 SAC Escrow. E2 48.5
} Copy Charge($.25 per 8.5 x 11 page)$ Other. $
ZO Liccncc Check($5)1 Load Chock($5)$ TOTAL DUE: $
W SUB-TOTAL $ a �� -
N Plumbing Fee(from Page 2) $ 'NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs
for SAC determination. Escrow payment will be required when
W Mechanical Fee from Page 2 $ permit is Issued. n
U after Met Council review no SAC Is determined,escrow will be refunded in full.
LL Special Conditions/Required Setbacks:
O
Building Approval By: DATE:
Printed Building Approval By: ❑ License Verification❑ Lead Verification-Checked By:
City Approval By: DATE:
Paid: 06 Date: eceipt No.
p 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. Address:
City: State: Zip: 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 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
Fireplace Water Heater
Unit Heater Grill
In Floor Heat Dryer
Gas Log Stove
Offke Use Only:
Replacement(one fixture only,no piping or vent changes) Mechanical Permit Fee: $
n Addition/Remodel Gas Line Permit Fee: $
u New Construction State Surcharge: $_
L Other _— — Other. $
Total Mechanical Permit: $
PLUMBING INFORMATION
Plumbing Contractor: Address-
City: State: zip: Phone: Fax:
Plumbers License No: IState Bond No:
Contact Name: lContact 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
n Gas ri 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: $
o Addition/Remodel State Surcharge $
❑ New Construction Other: $
E Other Total Plumbing Permit: $
--77
.�. MUCA Pit-ef;yer Training CerEficat,,�
i 11�Z ivi, riC r��
to has completed the Pipe Laying Training
- rtofHeafth /'C ��r
hrou the
Cwd lftwb� 613 P.iir:r n5ota Utility G �-Io
Associat on
+r �ryr� o•r-„-i ice. , tinh is a Certified Pipe Layer having compl�-fc:•,
! t t,H Idgoli R Ow 318. the required course work in pipe laying anj
,1 t:-u?. .-0 W,. A1i`inP-ota Phimbing Cade
LICENSE/CERTIFICATE/REGISTRATION DETAIL -- - — —
RESTRICTED
Class Type: PM MBER Number: MR086668
Application 122288 Status: ISSUED
No:
Expire Date: 12/31/2022 Effect 3/13/2021
Date:
Orig Date: 10/15/2009 Print 3/15/2021
Date:
Enforcement NO CE [View
Action: Status: details]
Workplace N/A
Experience:
Name: OUVERSON,TROY J
Address: 1806 HILLSIDE LN
BUFFALO,MN 55313
Phone: 612-751-6888
1L3V
1 MINNFtiOTAOFPARTI.IFNTOF RESTRICTED PLUMBING CONTRACTOR
LABOR& INDUSTRY
a.
Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road N St.Paul,MN 55155
Website: www.dli.mn.aoviccld.aso Email: dli.licenseastate.mn.us Phone: 651.284.5034
This is to certify that the certificate holder is licensed as a RESTRICTED PLUMBING CONTRACTOR in the state of Minnesota and is in
compliance with Minnesota Statutes 326B.46,and may perform or offer to building and water service installation work in all areas of the
state;and perform plumbing work in all areas of the state during the license pefiod,except cities and towns with a population of more
than 5,000 according to the most recent census;provided the responsible individual is at all times a RESTRICTED MASTER PLUMBER and the
certificate holder maintains compliance with the required bond,general liability insurance,and workers'compensation laws.
License : RESTRICTED PLUMBING CONTRACTOR L
Lic Number : PR644100 OUVERSON SEWER&WATER INC I
Effective Date : 01/01/2022 PO BOX 247 L
Expiration Date : 12/31/2023 LORETTO, MN 55357 c
T
VERIFY UP-TO-DATE STATUS, BOND,AND INSURANCE INFO AT www.dli.mn.gov/ccld/LicVerify.asp (ENTER NUMBER).
Jamie Hoffman
From: Kellie Hoen <khoen@ci.orono.mn.us>
Sent: Tuesday, August 16, 2022 1:34 PM
To: Jamie Hoffman
Subject: FW: Sp. Park. sewer repair permit
Attachments: springparkapp.pdf; License Bond 2022.pdf
This should be fine.They should provide a pre and post video of the repairs for Scott to review when they want it
inspected.
Thank you,
Kellie Hoen
Public Works and Parks Administrative Assistant
City of Orono
2700 Kelley Parkway I Orono I MN 155356(physical address)
PO Box 66 1 Crystal Bay I MN 1 55323-0066 (mailing address)
W 952.249.4686
® khoen@ci.orono.mn.usl -1� www.ci.orono.mn.us
From: D1 Goman
Sent: Monday,August 15, 2022 5:07 PM
To:Scott Oberaigner<SOberaigner@ci.orono.mn.us>; Kellie Hoen<khoen@ci.orono.mn.us>
Subject:Sp. Park. sewer repair permit
Review and advise
D.J. Goman
Public Works Superintendent
2700 Kelley Parkway I Orono, MN 55356
(952) 249-4661
--- dgomanAci.orono.mn.us
http://www.ci.orono.mn.us
04 Please consider the environment and print only
if necessary.
From:Jamie Hoffman [mailto:ikhoffman@ci.spring-park.mn.us]
Sent: Monday,August 15, 2022 5:03 PM
To: DJ Goman
Subject: FW: sewer repair permit
Hey there—are you OK with this?
1
.i^ Jamie Hoffman
City Clerk
City of Spring Park
SPRING PARK 4349 Warren Ave
on lA('.Vrnna0ff41 Spring Park, MN 55384
952.999.7491 (Direct)
952.471.9051 (City Hall)
jkhoffman[�ci.spring-park.mn.us
www.d.sprine-park.mn.us
City Hall Hours are Monday—Thursday, 7:30am—5:00pm, Friday 7:30am - 11:30am
From: Kelli Ouverson<KOuverson@LINEMYSEWER.COM>
Sent: Monday,August 15,2022 4:55 PM
To:Jamie Hoffman<]khoffmanCcDci.spring-park.mn.us>
Subject:sewer repair permit
Hi there,
Attached is a sewer repair permit app(along with our license)needed for this Thursday.
Please advise if you need anything further from me.
Thank you so much! I know you are busy.
*Home of the Free because of the Brave*
VERSON
SEINIER 6 WATER
Kelli Ouverson
Office Manager
PO BOX 247
Loretto,Minnesota 55357
www.lineniysewer.com
612-751-6888
2
Payment Confirmation
Payer Information:
Payment Made By: KELLI OUVERSON
Payment Made For: KELLI OUVERSON
Email: kelli@linemysewer.com
Permit Address: 3812 SUNSET DR SPRING PARK MN 55384
Address: PO BOX 247
LORETTO, MN 55357
Payment Description: Permits
Payment Date: 8/17/2022 8:35:45 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park AMEX ****2046 85481026 $76.00 $5.24 $81.24
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARAnIff
22SP-00025 i Plumbing (Residential) On Lake 9finnetonka
Receipt Number: 50
Payment Amount: $76.00 August 17,2022
Transaction Method Payer Cashier Reference Number
Credit Card Ouverson Sewer and Water Jamie Hoffman 85481026
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
08/16/22 State Surcharge(Fixed) $1.00 $1.00 $0.00
08/16/22 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
3812 SUNSET DRIVE GREGORY M & MITZI D 3812 SUNSET DR
SPRING PARK, MN 55384 BENNIS SPRING PARK, MN 55384
Description of Work
Install a 2ft CIPP sewer lining patch per city specs and requirements-no ROW