Permits - Permit# 23SP-00034 - 3810 Northern Avenue - 4/25/2023 City of Spring Park Plumbing Connection
(Mod/Moved/Mfad)
4349 Warren Ave, Spring Park, MN 55384
P00PRING PARK 23SP-00034
Phone:(952)471-9051 Fax:(952)471-9160
hi Lake Yinneton a
For Inspections: (952) 442-7520
Date Issued: 04/25/2023 Property Owner: Roger Buehl
Expiration Date: 10/22/2023 Mailing Address: 3810 Northern Avenue
Job Site Address: 3810 Northern Avenue, Spring Park,
MN 55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone: (763)244-5217
Permit Type: Plumbing Connection Email:
(Mod/Moved/Mfgd)
Valuation:
Description of Work:
Repair sewer line and clean
Subdivision: Required Setbacks:
Parcel ID:
Filing: I L
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
State Surcharge(Fixed) $ 1.00
Plumbing Connection (Mod/Moved/Mfgd) $50.00
Total Fees: $51.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
04/25/2023
MUST BE POSTED ON JOB SITE
a
INSPECTION CARD
41 City of Spring Park
SPRING PARK
On Lake9Ninnefonkg 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.: 23SP-00034 PERMIT TYPE: Connection ISSUED DATE: 04/25/2023 EXPIRATION DATE: 10/22/2023
(Mod/Moved/Mfgd)
PROJECT ADDRESS: 3810 Northern Avenue,Spring Park,MN 55384 PARCEL NO.:
OWNER: Roger Buehl CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Repair sewer line and clean
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
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 00
Spring Park, MN 55384 ❑ Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given
SITE ADDRESS:3810 Northern Ave Spring PArk, MN 55384 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❑go to line 4,NO Id line 3)
_ 3)Are there any windows being replaced?(YES❑,go to line 4,NO 0 continue without completing EPA Section)
4)Has this home been Certified Lead Free?(YES❑,you MUST Attach Certification Information,NO❑complete line 5)
3)EPA Contractor Certification Number. NAT- (applies to contractor only)
• PROPERTY OWNER: Roger Buehl Address: 3810 Northern Ave
city: Spring Park State: MN Zip: 5384 Email: littlerepper6@gmail.com
r Contact Name: Roger Buehl Phone: 763-244-5217
• CONTRACTOR: Hero PHC Address: 10900 Hampshire Ave S#120
City: Bloomington State: MN Zip: 55438 Phone: 651-300-5842 Fax:
Contractor License No: PC648531 Contact Name: Sally Holland Phone: 763-244-5217
Email: sholland@callhero.com
ARCHITECT: Address:
City: State: Zip: Phone: Fax:
• Email: Contact Name: Phone:
TYPE OF WORK: ❑New Construction ❑Deck ❑Pool o Re-Roof
❑Commercial esidential ❑Change of Use ❑Retaining Wall ❑Porch ❑Re-Side
EST.VALUATION OF WORK ❑Finish Basement ❑Demolition ❑Fence
$ 9,085 ❑Remodel ❑Fire Sprinkler ❑Shed
Square feet: ❑Addition ❑Fire Alarm ❑Window/Door Replacement
❑Garage-Attached/Detach ❑Plumbing-provide detail on Page 2 #being replaced
rr Detailed Description of Work: ❑Accessory Structure ❑Mechanical-provide detail on Page 2 Visc Other
Sewer spot repair in the front yard near foundation and jet the line to clean,repair to be made with schedule 40 PVC
•
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 Offklal
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 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 I choose not to proceed with the work.Permit expires when work
u is not commenced within 180 days from date of permit,or It work is suspended abandoned,or not inspected for 180 days.Work beyond the scope of this permit.or work without a permit 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: DATE: 4/18/23
PRINTED INIANU This is the signature of: ❑ Owner or ❑Owner's Representative
OCCUP. CONST.TYPE: CODE: BLDG SPRINKLED Yes/No
VALUATION: ,085
Permit Fee: $ 1%._to 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: $ SAC Escrow: $2.485
Copy Charge($.25 per 8.5 x11 page) $ Other: $
Z License Check($5)/Lead Chock($5) $ TOTAL DUE: $
O SUB-TOTAL $
w •
U) NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs
D Plumbing Fee(from Page 2) $ for SAC determination. Escrow payment will be required when permit is issued. If
w Mechanical Fee from Page 2 $ after Met Council review no SAC is determined,escrow will be refunded in full.
U
U: Special Conditions/Required Setbacks:
LL
0
Building Approval By: DATE:
Printed Building Ap o al ❑ License Verification ❑ Lead Verification-Jhecked By:
City Approval By: DATE: 7
Paid: ,lb Date: Li IA Receipt No.qt?f By: r-.
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: zip: Phone: Fax:
State Bond No: Contact Name.
Email: Contact Phone:
Detailed Description of Work:
Indicate type of project, fixtures,and Gas Lines you will be installing or replacing (include count fore ty 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
Office Use Only:
❑Replacement(one fixture only, no piping or vent changes) Mechanical Permit Fee: $
❑Addition/Remodel Gas Line Permit Fee: $
o New Construction State Surcharge: $
❑Other Other. $
Total Mechanical Permit: $
PLUMBING iNFORMATION
Plumbing Contractor: Address:
Cit : State: zip: Phone: Fax:
Plumbers License No: State Bond No:
Contact Name: I 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 Quantity Quantity
Water Heater Shower Laundry Tub
c Gas ❑ Electric Dishwasher Rough-In 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: $
❑Other Total Plumbing Permit: $
Payment Confirmation
Payer Information:
Payment Made By: Joseph Vo
Payment Made For: Joseph Vo
Email: sholland@callhero.com
Permit Address: 3810 Northern Ave
Address: 10900 Hampshire Ave S# 120
Bloomington, MN 55438
Payment Description: Permits
Payment Date: 4/24/2023 9:19:43 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****7592 41711175 $51.00 $2.25 $53.25
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
23SP-00034 I Plumbing Connection (Mod/Moved/Mfgd) On Lake Minnetonka
Receipt Number: 177
Payment Amount: $51.00 April 25,2023
Transaction Method Payer Cashier Reference Number
Credit Card Call Hero Jamie Hoffman 41711175
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 Plumbing Connection (Mod/Moved/Mfgd) $50.00 $50.00 $0.00
Totals.. $51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
3810 Northern Avenue Roger Buehl 3810 Northern Avenue
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Repair sewer line and clean