Permits - Permit# 22SP-00037 - 4343 Shoreline Drive - 10/3/2022 City of Spring Park Mechanical (Residential)
4349 Warren Ave, Spring Park, MN 55384
RPRING PARK 22SP-00037
La a Winneton a (952)471-9051 (952)471-9160
For Inspections: (952) 442-7520
Date Issued: 10/03/2022 Property Owner: Gary Hughes
Expiration Date: 04/01/2023 Mailing Address: 4343 Shoreline Drive
Job Site Address: 4343 Shoreline Drive, Spring Park, MN
55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone:
Permit Type: Mechanical (Residential) Email:
Valuation:
Description of Work:
Replace furnace, a/c 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 Mechanical Permit $ 75.00
Total Fees: $ 76.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
10/03/2022
MUST BE POSTED ON JOB SITE
INSPECTION CARD
*jzzz City of Spring Park
SPRING PARK
OnGakfWinnetonkg 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-00037 PERMIT TYPE: (Residential) ISSUED DATE: 10/03/2022 EXPIRATION DATE: 04/01/2023
PROJECT ADDRESS: 4343 Shoreline Drive,Spring Park,MN 55384 PARCEL NO.:
OWNER: Gary Hughes CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Replace furnace,a/c and water softener
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: Engineering Date:
Approval:
PW Approval: Date: Other( ): Date:
To request an inspection:(952)442-7520
Paae 1 of 1
CITY OF SPRING PARK PAGE 1 13MLDING PERMIT
4349 Warren Avenue 05IS 10— 0003'7ja
Spring Park, MN 55384 ❑ Handout Given
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT
SITE ADDRESS: 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 z20 sq ft of exterior painted surfaces?(YES o go to line 4,NO o line 3)
_ 3)Are there any windows being replaced?(YES❑,go to line 4, NO c continue without completing EPA Section)
4)Has this home been Certified Lead Free?(YES c,you MUST Attach Certification Information,NO o complete line 5)
5)EPA Contractor Certification Number: NAT- (applies to contractor only)
• PROPERTY OWNER: Address:
Ci : fate.
Email-
CO ritact Name: Phon —
• CONTRACTOR: Aelld
Cit . State: Zi Phone:
Contractor License No;- Zlenm
C Phon
EmailIt
ARCHITECT: Address:
City, State: Zip: Phone: Fax:
Email: Contact Name: Phone:
TYPE OF WORK: o New Construction o Deck ❑Pool o Re-Roof
❑Commercial esidential ❑Change of Use ❑Retaining Wall ❑Porch ❑Re-Side
EST.VALUA I N f1F WORK n Finish Basement o Demolition ❑Fence
$ ❑Remodel ❑Fire Sprinkler ❑Shed
Square feet: ❑Addition ❑Fire Alarm ❑Window/Door Replacement
Garage-Attached/Detach Plumbing-provide detail on Page 2 #being replaced
Detailed Des ri tion Work: ❑Accesso Structure Mechanical-provide detail on Page 2 ❑Misc Other
Signature of this application by the legal property owner or a licensed contractor,as the owners representative,Is required and authorizes the Zoning Administrator or designee and the Building Official
or designee to enter upon the property to perform needed Inspectbns.Entry may be vAthout 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 work performed will be In accordance with approved plans,specifications and conditions and to abide by all ordinances of the Municipality
and the laws of the State of Minnesota regarding actions taken pursuant to this permit.I agree to pay all plan review,fees even If 1 choose not to proceed with the work.Permit expires when work
�r is not commenced within 1so days from data of permit.or If+jq Kwended,abandoned,or not inspected for 180 days.Work beyond the scope of this permi or work without a penny 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: 1 DATE: ✓
PRINTED NAME: 1 This is the signature of: ❑ Owner or ❑OwnZsrs e r r
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/Other Fee: $ '2016 SAC Escrow, 48F
J Copy Charge($.25 per 8.5 x11 page) $ Other: $
Z I-moncc Chock($5)/Lead Chock($5)$ TOTAL DUE: $
W SUB-TOTAL $
~/(�j. 'NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs
Plumbing Fee(from Page 2) $
W for SAC determination. Escrow payment will be required when permit is issued. If
Mechanical Fee from Page 2 $ ,v tt7 after Met Council review no SAC is determined,escrow will be refunded in full.
LL Special Conditions/Required Setbacks:
IL
Building Approval By: DATE:
Printed Building Approval By: ❑ License Verification ❑ Lead Verification-Checked By:
City Approval By: DATE:
Paid. [AA .M Date: IT) Receipt No. a o^1 By
CITY OF SPRING PARK IC MECHANICAL PERMIT
PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL • " •
Mechanical Contractor:rs.
C RYL Phone: x.
State Bon No: 7 Contact Name:
Emai
a e
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
uanti QuantityQuantity
Furnace Kitchen Fan Furnace
Air Conditioning System Bath Fan Fireplace
Air Exchanger Grill Unit Heater
Fireplace VI Water Heater
Unit Heater Grill
In Floor Heat Dryer
Gas Log Stove
Office Use Only. 1-s
Replacement(one fixture only, no piping or vent changes) Mechanical Permit Fee: $ /5•fl0
❑Addition/Remodel Gas Line Permit Fee: $ _
❑New Construction State Surcharge: $
❑Other_ Other. $ _
Total Mechanical Permit: $
PLUMBING INFORMATION
Plumbi Contractor:
Ci State Zi Phone:
Plumbers License No: 1 State Bond No:
Contact Na Contact Phone: -
Email: LC M
Detailed Description of Word. `
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture):
PLUMBING FIXTURES
Quantity Quantity uanti � //1 l/, j4 M
Water Heater Shower Laundry Tub V��(! C.UL.�(J�
❑ G s ❑ Electric Dishwasher Rough-In Future Fixture
zo
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:
Replacement(one fixture only, no piping or vent changes) Plumbing Permit Fee: $ 76.�7
❑Addition/Remodel State Surcharge $
❑ New Construction Other: $❑Other Total Plumbing Permit: $ �J6p0 _
Payment Confirmation
Payer Information:
Payment Made By: Jamie Rippel
Payment Made For: Gary Hughes
Email: office@applianceconnectionsinc.com
Permit Address: 4343 Shoreline Drive
Address: 4343 Shoreline Drive
Spring Park, MN 55379
Payment Description: Permits
Payment Date: 9/30/2022 10:04:31 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****3382 70428821 $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 PARK
22SP-00037 i Mechanical (Residential) On Lake Minnetonka
Receipt Number: 70
Payment Amount: $76.00 October 3,2022
Transaction Method Payer Cashier Reference Number
Credit Card Appliance Connections Jamie Hoffman 70428821
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
09/30/22 State Surcharge(Fixed) $1.00 $1.00 $0.00
09/30/22 Residential Mechanical 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
4343 Shoreline Drive Gary Hughes 4343 Shoreline Drive
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Replace furnace, a/c and water softener