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Permits - Permit# 22SP-00027 - 4434 West Arm Road - 8/23/2022 City of Spring Park Mechanical (Residential) 4349 Warren Ave, Spring Park, MN 55384 PRlNG PARK 22sP-0002� )n La e Yinneton a (952)471-9051 (952)471-9160 For Inspections: (952) 442-7520 Date Issued: 08/23/2022 Property Owner: Dale Klein Expiration Date: 02/19/2023 Mailing Address: 4434 West Arm Road Job Site Address: 4434 West Arm Road, Spring Park, MN 55384 Spring Park, MN 55384 Category: Residential Miscellaneous Phone: Permit Type: Mechanical (Residential) Email: Valuation: Description of Work: Install replacement garage heater Subdivision: Required Setbacks: Parcel ID: Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount Residential Mech./Plg. Replacement Permit $50.00 State Surcharge (Fixed) $ 1.00 Total Fees: $51.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 08/23/2022 MUST BE POSTED ON JOB SITE INSPECTION CARD City of Spring Park SPRING PARK On Lake91finnetonkg 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-00027 PERMIT TYPE: (Residential) ISSUED DATE: 08/23/2022 EXPIRATION DATE: 02/19/2023 PROJECT ADDRESS: 4434 West Arm Road,Spring Park,MN 55384 PARCEL NO.: OWNER: Dale Klein CONTRACTOR: CONTRACTOR PHONE: DESCRIPTION OF WORK: Install replacement garage heater 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 RECEIVED AUG 22 CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue MV0—06007 Spring Park, MN 55384 ❑ Handout Given Routed to MNSPECT Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given SITE ADDRESS: ` I J ` n ✓� �L Inc PID: 1)Was the home constructed before 1978?(YES continue with line 2, NO ❑ 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 a go to line 4, NQ--tine 3) _ 3)Are there any windows being replaced?(YES L,go to line 4, NOv�kCbntinue without completing EPA Section) 4)Has this home been Certified Lead Free?(YES u,you MUST Attach Certification Information, NO u complete line 5) 5)EPA Contractor Certification Number: NAT- (applies to contractor only) • PROPERTY OWNER: nC Address: �t? Cit : S 1-41 PCtr State: Zip: 95 5S4 Email: © J< PT -T,. 60 Contact Name: Phone: CONTRACTOR: Q,[L s N yy Address: Cit : n'1: 2 t t tC� State: Zi : S 5�6 Phone:IJ S z 2 ax: Contractor License No: Q 0 U V (� Contact Name: Email h ARCHITECT: Address: City: State: Zip: Phone: Fax: • Email Contact Name. Phone TYPE OF WORK: E3 New Construction Deck Pool Re-Roof c Commercial - Residential ❑Change of Use Retaining Wall Porch Re-Side EST.VALUATION OF WORK c Finish Basement i Demolition Fence $ E;Remodel Fire Sprinkler Shed Square feet: ❑Addition Fire Alarm D Window/Door Replacement ❑Garage-Attached/Detach ,Plumbing-provide detail on Page 2 #being replaced r� Detailed Descri tion of Work: ❑Accessory Structure echanical-provide detail on Page 2 ❑Misc Other l,' V` ^ G 1+ b c CL S , Ji Sgnature of this app icaton,by the legal property owner or ensed actor as I `sr's representative,,s required and authorizes the Zoning Administrator or designee and the Building official �, or designee to enter upon the property to perform needed in/, tans.Entry may out prior notice.l hereby acknowledge that l have read this application and state that all infonnatbn Is true and correct to the best of my knowledge.I further agree that all wo rformed, accordance with approved plans.specifications and conditions and to abide by all ordinances of the Municipality and the Taws of the State of Minnesota regarding#q ons taken ant to its permit.I agree to pay all plan review fees even if I choose not to proceed with the work.Permit expires when work .1is not Commenced within 180 days from date of pe / 14 , fended.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 Ordinance In Effect:MONDAY-FRIDAY Before 7 a.m.and after 10 p.m.Weekends/Holidays before 7 a.m.and after 8 p.m. SIGNATURE OF APPLICANT: DATE: PRINTED NAME: This is the signature of: 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 i Other Fee: $ SAC Escrow: $2 485 J Copy Charge(S.25 per 8.5 x11 page) $ Other: $ 0 Licence,Chcck($5)/Lcad Chcck($5) $ TOTAL DUE: $ ,d w SUB-TOTAL $ I N 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 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 O Building Approval By: DATE: Printed Building Approval By: ❑ License Verification ❑ Lead Verification-Cheliked By: City Approval By, DATE: Paid: 61.v!J Date: (7 O Receipt No.c) q 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: ffi) i A 14 Address: &SO , City: n F Stater Zi Phone: 't S�-"t4-7 Fax: State Bond No: (� �(G Contact Name: Email: r; d ( r C° d el Oli► ; 4-2 ,&o Contact Phone: 72 - -466.5 Detailed Description of Work: IoL,C.'e_ t ' g ; r Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count for e type fixture): MECHANICAL FIXTURES GAS LINES Quantity Quantity Quantiby 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 se /// .. Replacement(one fixture only, no piping or vent changes) ��. chanicall'ermit Fee: $ Addition/Remodel Gas Line Permit Fee: $ New Construction State Surcharge: $ Other kvOther: $ Total Mechanical Permit: $ iNFORMATION Plumbing Contractor: �,,;;,,,,._,,_ Address: City: te. z ,! ,, oi Phone: Fax: /�; Plumbers License No: % IState Bond No: Contact Name: Contact Phone: Email: Detailed Desch t of WcStc: 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 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: $ RECEIPT City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952)471-9051 SPRING PARK 22SP-00027 I Mechanical (Residential) On Lake 911innetonka Receipt Number: 52 Payment Amount: $51.00 August 23, 2022 Transaction Method Payer Cashier Reference Number Check Abel Heating&Cooling Jamie Hoffman 26193 Comments Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Code Assessed Amount Paid Balance Due 08/23/22 Residential Mech./Plg. Replacement Permit $50.00 $50.00 $0.00 08/23/22 State Surcharge(Fixed) $1.00 $1.00 $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 4434 West Arm Road Dale Klein 4434 West Arm Road Spring Park, MN 55384 Spring Park, MN 55384 Description of Work Install replacement garage heater