Permits - Permit# 22SP-00029 - 4100 Spring Street - 9/20/2022 14- City of Spring Park Plumbing (Commercial)
4349 Warren Ave, Spring Park, MN 55384
PARK22SP-00029
PRING PAR
)n Lae Iwinneton a (952)471-9051 (952)471-9160
For Inspections: (952)442-7520
Date Issued: 09/20/2022 Property Owner: DEB ROZEBOOM
Expiration Date: 03/19/2023 Mailing Address: 4100 SPRING ST
Job Site Address: 4100 SPRING ST UNIT 410, SPRING UNIT 410
PARK, MN 55384 SPRING PARK, MN
Category: Commercial Miscellaneous Phone:
Permit Type: Plumbing (Commercial) Email:
Valuation: $1,000.00
Description of Work:
shower replacement
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary MAD CITY HOME IMPROVEMENT LLC State Surcharge $0.50
Commercial Plumbing Permit $75.00
Commercial Plumbing Plan Review $48.75
Total Fees: $ 124.25
NOTICE
Signature of Applicant/Date Building Department Signature/Date
09/20/2022
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
OnLa6Winnetonka 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-00029 PERMIT TYPE: (Commercial) ISSUED DATE: 09/20/2022 EXPIRATION DATE: 03/19/2023
PROJECT ADDRESS: 4100 SPRING ST UNIT 410,SPRING PARK,MN 55384 PARCEL NO.:
MAD CITY HOME IMPROVEMENT
OWNER: DEB ROZEBOOM CONTRACTOR: LLC CONTRACTOR PHONE:
DESCRIPTION OF WORK: shower replacement
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Plumbing Rough-In Plumbing Final 771
Fire Approval: Date: Engineering Date:
Approval:
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 � t �i9
Spring Park, MN 55384 ❑Handout Given
Phone: 952-471-9051 Fax: 952-471-9160 El Load Handout Given Routed to INSPECT
SITE ADDRESS: \ f1 St U �� PID:
1)Was the home constructed before 19 8?(YES o,continue with line 2,NOXcontinue without completing EPA Section)
2)Will the work disturb a6 sq ft of interior painted surfaces or z20 sq ft of exterior painted surfaces?(YES o go to line 4,NO c line 3)
_ 3)Are there any windows being replaced?(YES o,go to line 4,NO o continue without completing EPA Section)
4)Has this home been Certified Lead Free?(YES o,you MUST Attach Certification Information,NO a complete line 5)
S)EPA Contractor Certification Number: NAT- (applies to contractor only)
• PROPERTY OWNER:
@.b ole,b<)om Address: 'L\\()
city: State: r : 'S 3 Email: N 1 J
Contact Name: Deb R o 2 e b ootrl Phone: r'`5 L 8o1 - 3l'$3
♦ CONTRACTOR: tAod C% i % Address: 6 FO.irvieW Poop_
city. R vi State: tim ziw. 55111 Phone: 60 y 4S Fax' �! q
Contractor License No: tC-1-7 16012- Contact Name: Phone: M ' 603'474
Errol: 'AS -A%A w ►(\cA0w9- COT n
ARCHITECT: Address
State: Zip: Phone: Fax:
Email. Contact Name: Phone-
TYPE OF WORK: o New Construction a Deck v Pool o Re-Roof
i Commercial ,Residential o Change of Use ❑Retaining Wall n Porch o Re-Side
EST.VALUATION OF WORK o Finish Basement ❑Demobon in Fence
$ �A 4 �� 1 rorRemodel ❑Fire Sprinkler o Shed
Square feet: a Addition o Fire'Alarm ❑Window/Door Replacement
o Garage-Attached/Detach wPiumbing-provide detad on Page 2 #being replaced
� Detailed Description of Work: lo Accessory,Stnlctu _ o Mechanical-provide delall on Page? k t Misc Other
Drink swilcatbn by the legal prop"borne►are keroed tont ctor,as the ownrs npreeentsda Is required and nOwrirss lieZoningAdrololsbator or design"
ftial
"rat to enter upon the property to pwbrm needed Iepactbns.Entry rosy be without prior noecs.I herebya and n, bn Is tri Oand
correct to the best of my knowledge.I further ekrnkvledg•110 I rid c read and to @bi and all or Met a s of the
i btn end
agree that al wont psAarmad VAN be h accordance worn approved pores.apectlktllone arid conditions and b ebrda by al orahartcea of the Mkarkpaay
and the Isws of tie SMte of Minnesota regents action taken pursuant to this parrot.I agree to pay sit plan rwlsw tees wen If 1 droose not to proceed WHIN the work.Ponnit eq�lras when work
rr Is not cenmenced wthh 180 days horn date of pSKA or H work is suspended abandoned.or not Inspected for 180 days work beyorW the scope of this permit.of work wWOA a pennt or Inspection.
♦ be vA*t to a pamty
Noise Ordinance In Effect:MONDAY-FRIDAY Before 7 a.m.and after 10 p.m,Weekenda/Holidays before 7 a.m.and after p.m.
SIGNATURE OF APPLICANT• Ci DATE:_SI,Z2 1 l 22
PRINTEQ NAME: OL Veg ek - 1� is is the s nature of: o Owner or o Owner's Representative
OCCUP.TYPE: CONST TYPE: CODE: BLDG SPRINKLED Yes/No
VALUATION:;
Permit Fee $_rl s•� WAC Charge: $
Plan Review Fee $ Sewer&Water Hook-Up: $
State Surcharge: $ O 0 Sewer&Water Disconnect: $
Site Inspection Fee: $ Water Meter. $
S.E.C.Fee: $ Muni SEfWA Fee: $
Investigation Fee/Other Fee: $ '2016 SAC Escrow.$2,48
a Copy Charge($.25 per B 5 x 11 Page)$ Other. ;
G Liconco Chock(0)/Load Chock(66)S TOTAL DUE: S
ul H SUB-TOTAL ; 'NOTE commercial plans will be sub"tued to the Met Council Environmental Svcs
D Plumbing Fee(from Page 2)$ I<9 4 for SAC determination. Escrow payment will be required when permit is Issued. H
W Mechanical Fee from Page 2 $ after Met Council review no SAC is dsterrnlned.escrow wMl be refunded in full-
U
Special Conditions/Required Setbacks:
Building Approval By. DATE:
Printed Building Approv I By: I I License Verification❑ Lead Verification-Checked By:
City Approval By: DATE:
Paid:0 1 .a Date: q 15 Receipt No. I 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: Z : Phone: Fax:
State Bond No: 1contact 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
!u3ltftIL 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
Ofte Use Only:
❑Replacement(one fixture only,no piping or vent changes) Mechanical Permit Fee: $
❑Addition/Remodel Gas Line Permit Fee: $
❑New Construction State Surcharge: $
❑Other Other. $
Total Mechanical Permit: S
Plumbing Contractor: M C1 4 Address: 262 �c�1t^vleli,� N ��yUi�e,
City: te: N z : CaVJ8 Phone: Fax: N R
Plumbers License No: P 7 2 State Bond No: 1
Contact Name: t Contact Phone: 603 • 4"?L{
Email: e_r'f" tS IF C.1 . Co
Detaiied Description of Work:
1 C' t)hov.ler- 0 3 a
vt
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture):
PLUMBING FIXTURES
Quantity Quantity
Water Heater Shower Laundry Tub
n Gas a 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: DID
X'Replacement(one fixture only,no piping or vent changes) Plumbing Permit Fee: $
❑Addition/Remodel State Surcharge $
❑New Construction PIM PCB(&f,'_-)Other: $ `7 S
❑Other Total Plumbing Permit: $
Commercial Plumbing
This Plan Must Be Maintained And
Accessible On The Construction Site
i�
Read AttaChed Materials!
installation SUMP COVERS MUST BE SOLID MATERIAL
Manufacturers' Install AND SECURED.
instructions shall be available on the 4715.0340 SUBPART 4
Job site at the time of Inspection ALL WATER SUPPLY PIPING IN EXTERIOR WALLS
. SHALL BE ADEQUATELYBSLTIUN,HEAT, BTH AGAINST
The approved plans and a copy of FREEZING
the plan review letter from the MN
ATER FROM FOUNDATION DRAINS
Dept. of Labor and Industry must be OR ALL UMPS MUST BE PUMPED OR DRAINED
on site at-the time of all inspections. DIRECTLY TO THE EXTERIOR THROUGH
RIGID PLASTIC OR STEEL PIPING. NO
An inspection will NOT be conducted SUMPITO FLOORpRAINSESINKS OR ANY BE PUMPED
if the required documents are not on OTHER ACCESS TO SANITARY SEINER.
site at the time of the scheduled
inspection. CONTRACTOR SHALL VERIFY SANITARY
SEWER ELEVATION IN RELATION TO
st Address on THE LOWEST FLOOR ELEVATION PRIOR
Must PO TO CONSTRUCTION.
Construction
Site,Visible from the Road M
Plumbing shall be installed with due
IT IS THE RESPONSIBILITY OF THE regard to preservation of the strength
CONTRACTOR TO CALL GOPHER STATE of structural members and prevention of
ONE CALL 651-454-0002, OR 811 BEFORE damage to the walls and other surfaces
BEGINNING EXCAVATION through fixture usage.
NO OCCUPANCY OR USE ALLOWED NIN Rule 4715 0300 Subp. 4
UNTIL FINAL INSPECTION AND APPROVAL All pipes passing under or through
CALL BUILDING INSPECTOR 952-442-7520 walls shall be protected from breakage.
PENALTY- XIMtIM$750•00 FINE All pipes passing through or in contact
NG WORK FOR with cinder, concrete, or other corrosive
EVERY PERSON PERFORMING material shall be protected against
WHICH THE CODE IS APPLICABLE, SHALL external corrosion by protective coating,
COMPLY WITH THE CODE. wrapping, or other means that will
resist such corrosion.
FOR ALL INSPECTIONS:
SUBJECT TO CODE COMPLIANCE j..CALL 24 HOURS IN
DURING CONSTRUCTION
ADVANCE ),-GIVE PERMIT NUMBER
22SP-00029
REVIEWED Fcpar:ODE COMPLIANCE 442-7520
52)
SPRING PARK
On akv Minnetonko
September12, 2022
Plans and Specifications: Apartment
4100 Spring Street
Unit410
Spring Park, MN
Owner:
Project Designer: Mad City Window& Baths
2621 Fairview Ave.
Roseville, MN 55113
Scope: The project consists of the installation of new drain, waste, vent, and water
piping for a bathroom including fixture replacement, this building is served by an existing
municipal sewer and water system.
Approval: The plans for the project named above have been reviewed for substantial
compliance with the 2015 Minnesota State Plumbing Code and do not cover the water
supply or sewage system to which this plumbing system is connected. The review is
limited to the design submitted; and assumes the information on which the design is
based is correct,and that necessary legal authority has been obtained to construct the
project.Approval is contingent upon satisfactory disposition of any requirements
included in this report.
Inspections: All plumbing installations must be tested and inspected in accordance with
the requirements of the Minnesota State Plumbing Code as specified in the Minnesota
Rules, parts 4714.103 .5 through 4714. 103. 8. It is the responsibility of the
contractor/installer to notify the inspection department when ready to schedule an
inspection. Call the building inspection department on (952) 442-7520 between the
hours of 8:30 a.m. and 4:30 p.m. Monday through Friday.
General Requirements:
1. All plumbing shall be installed per MN Rules, part 4714.0100
2. The plumbing system shall be tested in accordance with MN Rules, part 4714.
Section 609.4 and 712.0 and 1109.0
3. As per MN Rules, part 4714. 609. 9. New or repaired potable water systems shall be
disinfected prior to use where required by the authority having authority.
4. Verify that the water distribution pipes are sized according to MN Rules, Chapter
4714, and Section's 610.7 through 610.12.
5. Equipment used for heating water or storing hot water shall be protected by
approved safety devices in accordance with M N Rules, Chapter 4714, Sections
504.4, 504.5 and 504.6.
Cite of Spring Park 4349 Warren Arenue,Spring Paik,MN 55394
Phone:(952)471-9051/F2x(952)4771-9160/Web:n-,xn_cispring-parkmn_ud
6. As per MN Rules, part 4714.312.9 Plastic and copper piping penetrating framing
members shall be protected by steel nailing plates. The steel plates shall extend
along the framing member not less than 1 '/2"beyond the outside diameter of the
pipe.
7. As per MN Rules, part 4714. 707. 5 each cleanout shall be installed so that it opens
to allow cleaning in the direction of flow of the soil or waste or at right angles thereto.
8. As per MN Rules, part 4714.707.4 each horizontal drain branch, including floor
drains branches, shall be provided with a clean out at its upper terminal.
9. All horizontal drainage pipe must be pitched at'/4 inch per foot, unless otherwise
approved by the administrative authority. Except for trap arms, all drains to urinals
must be 2 inches.
10. As per MN Rules, part 4714.section603.5.7 all threaded hose connections must be
provided with an approved safety device.
11. As per MN Rules, part 4714. 0810 solvent weld joints in PVC and CPVC must
include use of a primer which is of a contrasting color to the pipe and cement.
12. Materials used for drain, waste and vent systems must comply with the MN Rules,
part 4714. 701. 1. As amended.
13. Verify water supply lines comply with MN Rules, part 4714. 604. 1.
If you have any questions or concerns regarding this plan review, please direct them to
the Plumbing Inspector atn952-442-7520 /888-446-1801.
Sincerely, z) 0.Xa- ylllu�
Dale Engelmann
Plumbing Plan Examiner
(952) 442-7520
Cc: Municipality Property file
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Bathtub & Shower Measure Form
Customer name: p
Address: y100 -5Fy- gS UNIT ��0 5p&-jaIglZe Inspector. �..•s,G•
Job#- !)PQMOSM N Date:
.......... ...........................Q................... ............... :�•-
�, DON'T FORGET THE PICTURES!
v
.................................................... •••
r--- 5q Top
NA
3t� �3tt�
ion
TV Middle rV
o.C ;door
t fa �p Bottom
For length specify finishing measure to(for example,drywall or tile):
CEILING FANLIGHT SIZE:— Window if present). Drain location: Tech notes:
SKIRT HEIGHT: 1 tv1 l�- LENGTH: t] CENTER C1 Stud to stud
TUB WIDTH:_ WIDTH. LEFT Drywall to drywall
.drywall to front DEPTH: ❑ RIGHT ❑ Tile to tile
❑existing surround to front
E
Bath Labor Measure Assessment Form
Job Name:9N m N m Installer Name:
Address;y Dt) �- ID
City; ih Install Date
Item Description •
Demo-fiberglass shell,shower board,drywall system/backer Each
Demo-Cast tub,tile walls,lath and plaster,concrete wall system/backer Each
Bust concretelrestructure Joists-need plea&need mngr approval Each
Build and Install valve/drain/water shutoffs Each
Install tub/shower pan/barrier free/whirlpool Each
Install walk In tub-Alexis Each
Wall prep indudes all drywall/ply/Insulation Each
Install neo angle wall system Each
Install 3 wall system smooth , Each
Install 3 wall system tile/impressions Each
Install tall 3 wall system with herringbone smoot or the Each
Install ceiling panel or extra wail Each
Install comer shelf/surface self/caddle/foot ped Each
Install bench/comer/folding/formed corner seat/win kit Each
Install grab bar a. Each
Install shower rod Each
Install 5tandard/s-curve Each
Install�Q34weda^^[-inc�ludac tnhn�r,oanal �`` Each
Install Swing door W/Wine&return panel or neo angle Each
Install Cayman door Each
Install shower head and all cover trims Each
Install Kauai/slide bar hand held and all cover trims Each
R&R toHet or vanity to Install tub/shower Each
Remove or build wall/remove or build drop soffit Each
R&R door and trlmwork to bring unit Into room Each
Remove old and Install new vent fan/light and connect Each
Trip charge 25.50 from shop Each
Trip charge 50-75 from shop Each
Trip charge 75r from shop I Each
d I
There will be no write Ins allowed.All prices listed are non negotiable Total Invoice:
Any work not authorized with management and photos will not be paid to of
This invoice will be paid only on complete and collected Jobs
invoices must be submitted daily sur Signature of�Prolnspertlon
Invoices may not be submitted for final payment until a
certificate of completion has been signed by the customer Subcontractor Signature of Completion
Manager's Authorization
Payment Confirmation
Payer Information:
Payment Made By: CORY HENKE
Payment Made For: CORY HENKE
Email: PERMITS@MADCITYWINDOWS.COM
Permit Address: 4100 SPRING ST UNIT 410
Address: 5020 VOGES RD
MADISON, WI 53718
Payment Description: Permits
Payment Date: 9/15/2022 9:40:32 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park MC ****9019 11485881 $124.25 $3.67 $127.92
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
22SP-00029 1 Plumbing (Commercial) On Gale Minnetonka
Receipt Number:65
Payment Amount: $124.25 September 20,2022
Transaction Method Payer Cashier Reference Number
Credit Card Mad City Windows Jamie Hoffman 11485881
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
09/13/22 State Surcharge $0.50 $0.50 $0.00
09/13/22 Commercial Plumbing Permit $75.00 $75.00 $0.00
09/13/22 Commercial Plumbing Plan Review $48.75 $48.75 $0.00
Totals. $124.25 $124.25
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4100 SPRING ST UNIT 410 DEB ROZEBOOM 4100 SPRING ST UNIT 410 $1,000.00
SPRING PARK, MN 55384 SPRING PARK, MN
Description of Work
shower replacement