Permits - Permit# 22SP-00046 - 3914 Del Otero Avenue - 10/31/2022 City of Spring Park Plumbing (Residential)
4349 Warren Ave, Spring Park, MN 55384
PRING PARK a 22SP-00046
hi La e 9Winneton (952)471-9051 (952)471-9160
For Inspections: (952) 442-7520
Date Issued: 10/31/2022 Property Owner: William Lee
Expiration Date: 04/29/2023 Mailing Address: 3914 DelOtero Ave.
Job Site Address: 3914 DelOtero Ave., Spring Park, MN
55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone: (612)599-9268
Permit Type: Plumbing (Residential) Email:
Valuation:
Description of Work:
Replace gas water heater
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
State Surcharge(Fixed) $ 1.00
Residential Plumbing Permit $75.00
Total Fees: $76.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
10/31/2022
MUST BE POSTED ON JOB SITE
"r INSPECTION CARD
City of Spring Park
SPRING PARK
Ott Lakf31innetml�,p 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-00046 PERMIT TYPE: (Residential) ISSUED DATE: 10/31/2022 EXPIRATION DATE: 04/29/2023
PROJECT ADDRESS: 3914 DelOtero Ave.,Spring Park,MN 55384 PARCEL NO.:
OWNER: William Lee CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Replace gas water heater
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Underground Plumbing Plumbing Rough-In
Plumbing 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 BUILDING PERMIT
4349 Warren Avenue a�Sl�— nDi��
Spring Park, MN 55384 ❑ Handout Given
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT
SITE ADDRESS: 1I I—,i f �7'1 q�yU
1)Was the home constructed before 1978? PID'
(YES❑,continue with line 2,NO❑continue without completing EPA Section)
2)Will the work disturb z6 sq ft of interior painted surfaces or>20 sq ft of exterior painted surfaces?(YES❑go to line 4,NO o line 3)
3)Are there any windows being replaced?(YES❑,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 o complete line 5)
5)EPA Contractor Certification Number. NAT-
OPERTY OWNE
(applies to contractor only)
• PR :
Address / Nk
Ci tate
Zi : Email:
Contact Name*- Phone:
,
• •—
CONTRACTOR: t 1 e ( ns, nc.
Cit : State: Zi : Shako
Contractor License No: Fax:
Email: me. Phone:
ARCHITECT:
Address:
Ci : State: Zi
• Email., Phone: Fax:
TYPE OF WORK: Contact Name: Phone:
❑New Construction ❑Deck o Pool n Commercial Residential o Chan o Re-Roof
EST. A U ION OF WORK �of Use ❑Retaining Wall o Porch
❑Finish Basement ❑Re-Side
❑Demolition ❑Fence
❑Remodel o Fire Sprinkler
Square feet: LiAddition n Shed
❑Fire Alarm ❑Window/Door Replacement
o Garage-Attached/Detach Plumbing-provide detail on Page 2 #being replaced_
" tailed Description of ork: ❑Accessoty Structure ❑Mechanical-provide detail on Page 2
•
g ❑Misc Other
Signature of this application by the legal property owner or a licensed contractor,as the owners representative,Is requ red and author zes the Zoning gdminWtrator or designee and the Building official
or designee to enter upon the property to perform needed inspections.Entry may be without prior notice.I hereby acknowledge that I have read this applcation 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 I choose not to proceed with the work.Permit expires when work
rr Is not commenced within 1e0 daysfrom date of permit.or If work is suspended,abandoned.or not ins ected for 180 days.Work beyond the scope of this ennit.or work without a
p p p y
• will be subject to a penalty. Yo p p
permit or inspection,
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: r
- DATE. ' r
PRINTED NAME: This is the signature of: ❑Owner or ❑Owner's Representative
OCCUP.TYPE: CONST.TYP CODE:
VA LUATION:$ BLDG SPRINKLED Yes/No
Permit Fee. $ 7 '
Plan Review Fee: $�— WAC Charge: $
State Surcharge: $ I, Sewer&Water Hook-Up: $
Site Inspection Fee: $
Sewer&Water Disconnect: $
S.E.C.Fee: $ Water Meter: $
Investigation Fee/Other Fee: $ Muni SE/WA Fee: $
Co Charge $25 *2016 SAC Escrow: $,24$�
PY 9 ( per 8.5 x11 page) $
z Lioencc Check($5)/Lead Check($5) $ Other $
O TOTAL DUE: $ ,VD—
Plumbing
w SUB-TOTAL $��,
rn
Fee(from Page 2)$ `NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs
twiQenhanical Fee(from Pa e 2 $ for SAC determination. Escrow payment will be required when permit is issued. If
after Met Council review no SAC is determined,escrow will be refunded in full.
u.LL
itions/Required Setbacks:
O
val By:g Appr viol By: DATE:
O License Verification❑ Lead Verification-Chjy:
B . DATE:
.� Date: f Receipt No.
N�.l� � BY:
• '
• V
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
FPLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
Mechanical Contractor:
Address:
City: State:State Bond No: Zip:
Phone: Fax:
Email:
Contact Phone:ontact Name-
Detailed 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
uanti uanti GAS LINES
Furnace Kitchen Fan Fumace
uanti
Air Conditioning System Bath Fan
Air Exchanger Grill Fireplace
Fireplace Unit Heater
Unit Heater Z Water Heater
In Floor Heat Grill
Gas Log Dryer
Stove
y.
Replacement(one fixture only, no piping or vent changes) Offae Use
El Addition/Remodel ) M Meechanical Permit Fee: $
❑New Construction Gas Line Permit Fee: $
❑Other State Surcharge: $
Other. $
Total Mechanical Permit: $
Plumbin Contractor: '
C.
State Zi :. Phone:
Plumbers License No:
Contact Name:
State Bond No.
� Contact 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
ua ti Qty uanti
Water Heater uanti
Shower Laundry Tub
Gas ❑Electric Dishwasher Rough-In Future Fixture
Water Softener Clothes Washer
Lawn Sprinkler System Ice Maker Sump
Line Water Piping System
Water Closet(Toilet) Hose Bib
LavatoryWash Basin Floor Drain
Bathtub
Replacement(one fixture only, no g Office Use only:
y piping or vent changes)
Addition/Remodel Plumbing Permit Fee: $❑
❑ New Construction State Surcharge $
❑Other Other: $
Total Plumbing Permit: $
Payment Confirmation
Payer Information:
Payment Made By: Jamie Rippel
Payment Made For: JAMIE Rippel
Email: Office@applianceconnectionsinc.com
Permit Address: 3914 del otero ave
Address: 12850 LOUISVILLE RD
Shakopee, MN 55379
Payment Description: Permits
Payment Date: 10/28/2022 12:09:44 PM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****3382 40029916 $76.00 $2.99 $78.99
(Permits)
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RECEIPT
City of Spring Park �^
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
22SP-00046 I Plumbing (Residential) On Gale Minnetonka
Receipt Number: 75
Payment Amount: $76.00 October 31, 2022
Transaction Method Payer Cashier Reference Number
Credit Card Appliance Connections Jamie Hoffman 40029916
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
10/28/22 State Surcharge (Fixed) $1.00 $1.00 $0.00
10/28/22 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
3914 DelOtero Ave. William Lee 3914 DelOtero Ave.
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Replace gas water heater