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Permits - 2447 Interlachen Road - 10/5/2022r W to W U W lL CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue Spring Park, MN 55384 ❑ Handout Given Phone: 952-471=9051 Faxe 952-471=9160 ❑ Lead Handout Given Routed to MNSPECT :SITE ADDRESS: 2400 Inierlachen Rd #113A (Unit10A Bayview Condo #476) PID:_19-117-23-12-0177 1) Was the home constructed before 1978? (YES ❑X, continue with line 2, NO d continue without completing EPA Section) !) Will the work disturb >_6 sq ft of interior painted surfaces or nO sq ft of exterior painted surfaces? (YES ❑ go to line 4, NO ❑)(line3) ) Are there any windows being replaced2 (YES ❑, go to line 4, NO X❑ 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 - _ z% 44 joo< ADDL (applies to contractor only) RTY OWNER: Refer to additonal photos and dots (Pa{i A&B) Contact Name: CONTRACTOR: City: State: Contractor License No: Email: ARCHITECT: City: State: Email: TYPE OF WORK: Commercial Residential EST. VALUATION OF WORK e Detailed Description of Work: � New Canstruetiolt Change of Use Finish Basement a Remodel Addition D Garage,4ttached/Detach � AccessoryStructure Other = Plumbinn + rainfM wa ads mtpmarf ner@yahoo.com Phone Est ztrr�z�s Phone: � Deck � Pool Retaining Wall r. Porch Gemoldlon !! Fire Sprink!ar Fire Alarm u, lUmhing-provWe detail on Page 2 Mechanical provide detail on Page 2 tnd fixture replacement confirmation by In I c, Re -Roof r. Re -Side r Fence Shed Window/Door Replacement # being replaced owns ©tnp doct (Parts A and B)also attaches+ and are part of this appllcaUon by ownerloccupant. 3fgnalure oithk appllcetbn by the legal properly owner a a Ik ensed �aE actor, as ttx, amen s represerdative1 is reqand authorizes the Zoning Adminbtretaror destgnee and the Gt ;k1;rg Mia r designee to enter upon the propertyto perform needed Inspections. Entry maybe VAOLi prior notice, I hereby acknowledge that I have read this apprcation and state that all Intornatton is true and ronect to the best of rry knov..edge. I further agree that at work �arrormea wil he to accordance with approved plans, specm Gallons and conditions and to abide by al ordinances of the MunlcpaSy nd the laws of the State of Minnesota regrn9ng actions taken purtaant to due permit. ) agree to pay all plan revfewfees even If 1 choose not to proceed with the work. Permit expires whorl work r not commenced Winn 180 days from drts of pemtr or t wak Is xwapanded, abandoned, or not Inspected for 180 days. Work beyond the scope or this permit, or work without a permit or Inspecdon. ;All be subject to a penalty. Noise Ordinance In Effect: fAONDAY - FRIDAY..Aptora 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and attar a p.m. SIGNATURE OF APPLICANT•: No 6�� _ DATE: 08/03/2022 PwNTEO NAME: „ am m rker This is the signature of: Mr:er. or Owner's Representative OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes / No VALUATION: Permit Fee: $ Plan Review Fee: $ State Surcharge: $ Site Inspection Fee: $ S.E.C. Fee: $ Investigation Fee / Other Fee: $ Copy Charge ($25 per 8.5 x11 page) $ License Check ($5) I Lead Check ($5) $ SUBmTOTAL $ Plumbing Fee (from Page 2) $ Mechanical Fee (from Page 2) $ Setbacks: Building Approval By: R Q P � Printed Building Approval By: City Approval By: WAG Charge: $ Sewer &Water Hook -Up: $ — Sewer & Water Disconnect: $ _ Water Meter $ Muni SE/WA Fee: $ :iaSAC Escrow. ,$zm Other. $ TOTAL DUE: $ Commorcial plans will he submitted to the Met Council Environmental Svcs for SAC determination. Escrow payment will be required when permit is issued. If aHer Met Council review no SAC Is detormined, escrow will be refunded in full, License Verification ❑Lead Verification - Ghecked DATE: Paid: Date: Receipt No. By: CITY OF SPRING PARK ❑ MECHANICAL PERMIT PAGE 2 Contractor: Bond No: led Description of Work: XPLUMBING PERMIT r-um PERMIT IS.SIIANCP PAGE 1 and PAGE 2 should be complete Na 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 uanti Furnace Kitchen Fan Furnace Air Conditioning System Bath Fan Fireplace Air Exchanger Fireplace Unit Heater In Floor Heat Gas Loa Grill Replacement (one focture only, no piping or vent changes} Addition/Remodel - New Construction - Other \F' I: PLUMBIN Unit Heater Water Heater Grill Dryer Dlfue Use Onfy Mechanical Permit Fee: $ Gas Line Permit Fee: $ State Surcharge: $ Other: $ Total Mechanical Permit: $ of Work: Review and confirm replacement initiated from emergency replacement all within condo unit 10A. I Also confirm adjacent kitchen counter storage area that was used as a 'dry closet' 2018-present. Inspection input required due to Landlord likely not being able to authorize work (see attached Part A' anddocs. 1 Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES uanti guantity Quantity Water Heater Shower Laundry Tub Gas ❑ Electric Dishwasher Rough -In Future Fixture Water Softener Clothes Washer Sump Lawn Sprinkler System Ice Maker Line X Water Piping System Water Closet (Toilet) Hose Bib Floor Drain Lavatory (Wash Basin) Bathtub Q Replacement (one fixture only, no piping or vent changes) ❑ Addition/Remodel ❑ New Construction ?9 Other pending inspection, no expansion of plumbing expected. Office Use Only: Plumbing Permit Fee: $ State Surcharge $ Other: $ Total Plumbing Permit: $