Permits - Permit# 23SP-00032 - 4317 Channel Road - 4/21/2023 ''" City of Spring Park Mechanical (Residential)
4349 Warren Ave, Spring Park, MN 55384
PRING PARK 23SP-00032
Phone:(952)471-9051 Fax:(952)471-9160
bt La e SNittneton ka
For Inspections: (952)442-7520
Date Issued: 04/21/2023 Property Owner: Berry
Expiration Date: 10/18/2023 Mailing Address: 4317 Channel Road
Job Site Address: 4317 Channel Road, Spring Park, MN
55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone:
Permit Type: Mechanical (Residential) Email:
Valuation:
Description of Work:
Replace Boiler
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
04/21/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
i r, City of Spring Park
SPRING PARK
On Lake 94innetonka 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.: 23SP-00032 PERMIT TYPE: (Residential) ISSUED DATE: 04/21/2023 EXPIRATION DATE: 10/18/2023
PROJECT ADDRESS: 4317 Channel Road,Spring Park,MN 55384 PARCEL NO.:
OWNER: Berry CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Replace Boiler
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Mechanical Rough-In I I lAir/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
- -- BUILDING PERMIT
II OF SPRING PARK PAGE 1 a�
4349 Warren Avenue ❑ Handout Given
Spring Park, MN 55384 Routed toMNSPECT
Phone: 952-471-9051 Fax: 952-471-9160 ❑Lead Handout Given —
SITE ADDRESS:
C�Gn ±C� PID:
1)Was the home constructed before 1978?(YES o,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 o go to line 4,NO dfine 3)
3)Are there any windows being replaced?(YES o,go to line 4,NO p-lilbntinue without completing EPA Section)
—_-- ,; ;;;„;L;„�;,C��fied Lead Free?(YES o,you MUST Attach Certification Information,NO o complete line 5)
(applies to contractor only)
5)EPA Contractor Certification Number. NAT-
• PROPERTY OWNER: Address.
;IIIIIState:fit Zi : Email:Jiie!il ^ C
• Lo
CON T k A1.-i vr•. Address:
Cit
State: Zi Phone: Fax:
Contractor License N
Contact Name: Phone:(pVa-,.AA
Email: C4 cr
ARCHITECT: Address:
City:
State: Zip: Phone: Fax:
Contact Name: Phone:
• Email:TYPE OF WORK: -New Construction Deck Pool =Re-Roof
0.. ci.-
-�--- -- - Fence
I ulun udaonrcn, ❑Lh'IIIVIIIIVII
$ n nD Remodel = Fire Sprinkler -Shed
Square feet'
a Addition Fire Alarm a Window/Door Replacement
c Garage-Attached/Detach ❑Plumbing-provide detail on Page 2 #being replaced
Detailed Description of Work: ❑Accessory Structure echanical-provide detail on Page 2 Misc Other
•
Signature Or tit a iC atpn by the legal property owner or a licensed contractor,as the owner's representative.is required and authorizes the Zoning Administrator or designee and the Buibing K a
Sgn
Si designee a to enter upon the property to perform nestled inspections Entry may to without prior notice.I hereby acknowledge that I have read this application and state that all nformetbn is true and
correct to the best of my knowledge.I fcmher agree that all work performed will be in accordance with approved plans.specifications and Conditions and to abide by ai ordinances of the Municipality
and the laws of the Stale of Minnesota regarding actions taken pursuant to this permit.I agree to pay all plan review fees even it I choose not to proceed with the work.permit expires when work
.• Y not commented within 180 days from Cate of permit.or H work is suspended.abandoned.or not Inspected for 180 days.Work beyond the scope or this permit.or work without a peame or inspection.
NOw•L,r wnarK.e IN, •... ....._
DATE: `� a
SIGNATURE OF APPLICANT:
\S This is the signature of: - Owner o -Dwner's Representative
PRINTED NAME:
OCCUP TYPE: C NST.TYPE: CODE BLDG SPRINKLED Yes/No
VALUATION:$
Permit Fee. $ %•00 WAC Charge: $
Plan Review Fee: $ Sewer&Water Hook-Up: S
State Surcharge: S W ur. Sewer&Water Disconnect: $
Site Inspection Fee: $ Water Meter. $
S.E-C.Fee: $ Muni SE/WA Fee: $
Investigation Fee/Other Fee: $
2016 SAC Escrow: S2485
Copy Charge($.25 per 8.5 x11 page) $ Other: $
TOTAL DUE:
Z Licestico Chock(SE)I Lcad Chock($5)$—
O SUB TOTAL $ • Commercial plans will be submitted to the Met council Environmental Svcs
M —. - - ^-- for SAC determination• Escrow payment will be required when permit Is Issued. if
e 2 $ after Met council review no SAC is determined,esuow will be retarded in full.
LL Special Conditions/Required Setbacks:
IL
O DATE:
Building Approval By:
Lj
Prinied'cuiivirry hN r...,.•�,•
DATE:
City Approval By: By.
Paid: Date: Receipt No.
CITY OF SPRING PARK XMECANICALH PERMIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
Mechanical Contractor: S Address:
City: State: i Phone: — O Fax:
State Bond No: Contact Names 0. ►5_
Email: Contact Phone:
Detailed Descri ti n of Work:
31, project,fixtures,and Gas Lines you will be installing or replacing (include count for each type of fixture):
MECHANICAL FIXTURES GAS LINES
Quantity 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
Offke Use Only:
replacement(one fixture only,no piping or vent changes) Mechanical Permit Fee: $
❑Addition/Remodel Gas Line Permit Fee: $
New Construction State Surcharge: $ 3 �"
Other._ _ Other. $
Total Mechanical Permit: $ Ll I _
Plum7nCn—
State: Address:
C zip: Phone: Fax:
PlumState Bond No:
Contact Name: 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
Quantity uanti Quantity
Water Heater Shower Laundry Tub
Gas c Electric Dishwasher Rough4n 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: $
o Other Total Plumbing Permit: $
Payment Confirmation
Payer Information:
Payment Made By: eric gertzen
Payment Made For: logan companies
Email: info@logancompanies.com
Permit Address: 4317 channel rd spring park
Address: 13950 radium street nw
sweet 200 ramsey, MN 55303
Payment Description: Permits
Payment Date: 4/21/2023 10:48:53 AM
Payment Payment Confirmation Convenience
Business Name Method Account Number Amount Fee Total
City of Spring Park AMEX ****1024 65798278 $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
23SP-00032 I Mechanical (Residential) On Lake Minnetonka
Receipt Number: 172
Payment Amount: $76.00 April21,2023
Transaction Method Payer Cashier Reference Number
Credit Card Logan Companies Jamie Hoffman 65798278
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
04/19/23 State Surcharge(Fixed) $1.00 $1.00 $0.00
04/19/23 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
4317 Channel Road Berry 4317 Channel Road
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Replace Boiler