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Permits - Permit# 23SP-00056 - 4100 Spring Street - 6/26/2023 City of Spring Park Mechanical (Residential) 4349 Warren Ave, Spring Park, MN 55384 WRING PARK 23SP-00056 Phone:(952)471-9051 Fax:(952)471-9160 n Lae Yinnetorr is For Inspections: (952) 442-7520 Date Issued: 06/26/2023 Property Owner: Peg England Expiration Date: 12/23/2023 Mailing Address: 4100 Spring Street Job Site Address: 4100 Spring Street, Spring Park, MN 55384 Spring Park, MN 55384 Category: Residential Miscellaneous Phone: (612)618-4792 Permit Type: Mechanical(Residential) Email: Valuation: Description of Work: Replace A/C unit 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 06/26/2023 MUST BE POSTED ON JOB SITE INSPECTION CARD 4A City of Spring Park SPRING PARK OnGakf3finnetonka 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-00056 PERMIT TYPE: (Residential) ISSUED DATE: 06/26/2023 EXPIRATION DATE: 12/23/2023 PROJECTADDRESS: 4100 Spring Street,Spring Park,MN 55384 PARCEL NO.: OWNER: Peg England CONTRACTOR: CONTRACTOR PHONE: DESCRIPTION OF WORK: Replace A/C unit 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 BUILDING PERMIT 4349 Warren Avenue a3SP-C=56 Spring Park, MN 55384 ❑ Handout Given Routed to MNSPECT Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given SITE ADDRESS:"//V r 0PID: 1)Was the home constructed be f re 1978? S o,continue with line 2,NO❑continue without completing EPA Section) 2)Will the work disturb Z6 sq ft of interior pain ed surfaces or>_20 sq ft of exterior painted surfaces?(YES o go to line 4,NO❑line 3) _ 3)Are there any windows being replaced?(YES::i,go to line 4,NO 71 continue without completing EPA Section) 4)Has this home been Certified Lead Free?(YES r-,you MUST Attach Certification Information,NO o complete line 5) 5)EPA Contractor Ceditkation Num NAT-1 1 (applies to contractor only PRO ERTY OWNER: Addres . t : Emai r Conta t Nam Phon . • CONTRACTOR: Address. City: State: Zip: Phone: Fax: Contractor License No: Contact Name: Phone: Email: ARCHITECT: Address: City: State: Zip: Phone: FlIII Email: Contact Name . one: TYPE OF WORK: _New Construction =Deck ❑Pool ❑Re-Roof Commercial Residential =Change of Use Retaining Wall o Porch ❑Re-Side EST.VALUATION OF WORK =Finish Basement D Demolition ❑Fence $ Remodel Fire Sprinkler ❑Shed Square feet. o Addition ❑Fire Alarm ❑Window/Door Replacement ro Garage-Attached/Detach ❑Plumbing-provide detail on Page 2 #being replaced Detailed Description of Work: jc Accessory 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 inspections Entry may be mahout prior notice.i hereby acknowledge that I have read:his application and state that all information is true and correct to the best of my knowledge.I further agree that alp 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 o1 Minnesota regard m actions taker 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 ,r Is not commenced within 180 days from date of permtt.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: PRINTED NAME: This is the signature of: Owner or c Owner's Representative OCCUP.TYPE: CONST.TYPE CODE: BLDG SPRINKLED Yes/No VALUATION.$ 1r� Permit Fee: $ { • WAC Charge: $ Plan Review Fee: $ Sewer&Water Hook-Up: $ State Surcharge: $ • V Sewer&Water Disconnect: $ Site Inspection Fee: $ Water Meter. $ S.E.C.Fee: $ Muni SE/WA Fee: $ Investigation Fee/Other Fee: $ •2016 SAC Escrow: $2-485 >- Copy Charge($.25 per 8.5 x11 page)$ Other. $ JOt ZO License Check($5)/Lead Chock($5) $ TOTAL DUE: $ • w SUB-TOTAL $ • to *NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs Plumbing Fee(from Page 2) $ for SAC determination. Escrow payment will be required when permit is issued. If vMechanical Fee from Page 2 $ after Met Council review no SAC is determined,escrow will be refunded in full. IL Special Conditions/Required Setbacks: LL O Building Approval By: DATE: Printed Building Apaval Pty ❑ License Verification❑ Lead Verificati nia.-jhecked By: City Approval By DATE: Paid: Date: 199 Receipt No' By: A N 6?FCI �, y�a ��do 1 CITY OF SPRING PARK A<ECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL INFORMATION Mech cal Contr tor: 0 Address. Cit Stat J Phone: x State Bo d No: ontact Name: Email: ntact Phone: Detailed Desc6GAon of Work: Indicate type of project,fixtures,and Gas Lines you will be installing or replacing (include count for e h typ fixture): MECHANICAL FIXTURES GAS LIN Quantity Quantity Quantity Furnace Kitchen Fan Furnace Air Conditioning System Bath Fan Fireplace Air Exchanger Grill Unit Heater Fireplace Water Unit Heater Grill ' In Floor Heat Dryerj:'.. 00( Gas Log Stove Office Use only, ❑Replacement(one fixture only,no piping or vent changes) Mechanical Permit Fee: $ 71 Addition/Remodel Gas Line Permit Fee: $ o New Construction �� State Surcharge: $ ❑Other _ Other. $ " Total Mechanical Permit: $ PLUMBING INFORMAT10N Plumbing Contractor: Address: City: State: Z"�. Phone: Fax: Plumbers License No: State 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 Quantity Quantity Water Heater Shower Laundry Tub Gas :1 Electric Dishwasher Rough-In Future Fixture 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: $ ❑Addition/Remodel State Surcharge $ ❑New Construction Other: $ ❑Other Total Plumbing Permit: $ RECEIPT City of Spring Park 14011 4349 Warren Ave, Spring Park, MN 55384 (952)471-9051 SPRING PARK 23SP-00056 I Mechanical (Residential) On Lake Winnetonka Receipt Number: 194 Payment Amount: $76.00 June 26,2023 Transaction Method Payer Cashier Reference Number Check Precision Heating&Cooling Jamie Hoffman 15064 Comments Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Code Assessed Amount Paid Balance Due 06/26/23 State Surcharge(Fixed) $1.00 $1.00 $0.00 06/26/23 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 4100 Spring Street Peg England 4100 Spring Street Spring Park, MN 55384 Spring Park, MN 55384 Description of Work Replace A/C unit INVOICE I Jun 26, 2023 �- City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952)471-9051 23SP-00056 i Mechanical (Residential) SPRING PARK On Lake.Minnetonka Fee Item Account Code Assessed OutstandingDate Balance State Surcharge(Fixed) 06/26/2023 $1.00 Residential Mechanical Permit 06/26/2023 $75.00 Total Balance Due $76.00 Permit Info Applicaton Date: 6/26/2023 Property Address Property Owner Property Owner Address Valuation 4100 Spring Street, Spring Peg England 4100 Spring Street, Spring Park, MN 55384 Park, MN 55384 Description of Work Replace A/C unit