Permits - Permit# 23SP-00064 - 4428 West Arm Road - 7/11/2023 City of Spring Park Mechanical (Residential)
4349 Warren Ave, Spring Park, MN 55384
PRING PARK 23SP-00064
Phone:(952)471-9051 Fax:(952)471-9160
)n Lake Yinneton a
For Inspections: (952)442-7520
Date Issued: 07/11/2023 Property Owner: Edward Tripet
Expiration Date: 01/07/2024 Mailing Address: 4428 West Arm Road
Job Site Address: 4428 West Arm Road, Spring Park, MN
55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone: (612) 910-7731
Permit Type: Mechanical (Residential) Email:
Valuation:
Description of Work:
Replace furnace and AC
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary Centerpoint Energy (763) 512-2765 State Surcharge(Fixed) $ 1.00
Residential Mechanical Permit $ 75.00
Total Fees: $ 76.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
07/11/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
*kz:z City of Spring Park
SPRING PARK
OnGake9bfinnetankg 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-00064 PERMIT TYPE: (Residential) ISSUED DATE: 07/11/2023 EXPIRATION DATE: 01/07/2024
PROJECT ADDRESS: 4428 West Arm Road,Spring Park,MN 55384 PARCEL NO.:
OWNER: Edward Tripet CONTRACTOR: Centerpoint Energy CONTRACTOR PHONE: (763)512-2765
DESCRIPTION OF WORK: Replace furnace and AC
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 a3.SiP-YJ LJV fc��-
Spring Park, MN 55384 El Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given
SITE ADDRESS:4428 W ARM RD PID: 18-117-23-34-0044
1)Was the home constructed before 1978?(YES❑,continue with line 2,NO❑continue without completing EPA Section)
2)Will the work disturb 2:6 sq ft of interior painted surfaces or 2:20 sq ft of exterior painted surfaces?(YES o go to line 4, NO❑line 3)
3)Are there any windows being replaced?(YES o,go to line 4,NO o 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- (applies to contractor only)
• PROPERTY OWNER: EDWARD TRIPET Address:4428 W ARM RD
City:SPRING PARK State:MN Zip: 55384 Email:
Contact Name: EDWARD TRIPET Phone: 612-910-7731
CONTRACTOR:CENTERPOINT ENERGY Address:6161 GOLDEN VALLEY RD
CityGOLDEN VALLEY StateMN Zi :55422 Phone: 763-512-2765 Fax:
Contractor License No:MB003503 Contact Name:JOANN ZINKEN Phone:763-512-2765
Email:HSP-Permits@centerpointenergy.com
ARCHITECT: Address:
City: State: Zip: Phone: Fax:
• Email: Contact Name: Phone:
TYPE OF WORK: ❑New Construction ❑Deck ❑Pool ❑Re-Roof
❑Commercial X Residential ❑Change of Use ❑Retaining Wall ❑Porch ❑Re-Side
EST.VALUATION OF WORK ❑Finish Basement ❑Demolition ❑Fence
$ 10,700 ❑Remodel ❑Fire Sprinkler ❑Shed
Square feet: ❑Addition ❑Fire Alarm ❑Window/Door Replacement
❑Garage-Attached/Detach ❑Plumbing-provide detail on Page 2 #being replaced_
Detailed Description of Work: ❑Accessory Structure X Mechanical-provide detail on Page 2 ❑Misc Other
•
Signature of this application 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 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 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 tees even If I choose not to proceed with the work.Permit expires when work
rs Is not commenced within 180 days from date of permit,or If 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: 7/7/23
PRINTED NAME: JOANN ZAKEN This is the signature of: ❑ Owner or ❑Owner's Representative
OCCUP.TYPE: CONST.TYPE: CODE: BLDG SPRINKLED Yes 1 No
VALUATION:$
Permit Fee: $ 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: $ *2016 SAC Escrow: $2.485
>_ Copy Charge($.25 per 8.5 x11 page) $ Other. $
OLicorice Check($6)/Lead Chock($6) $ TOTAL DUE: $
W SUB-TOTAL $
co *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 $ 115.M after Met Council review no SAC is determined,escrow will be refunded In full.
v
LL Special Conditions/Required Setbacks:
W
O
Building Approval By: DATE:
Printed Building Approval By: ❑ License Verification❑ Lead Verification-Checked By:
City Approval By: ALI-ttlDATE: 7 I I a 013
Paid: Date: rl 111 O'er Receipt No.b8 I 'T H rj 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:CENTERPOINT ENERGY Address:6161 GOLDEN VALLEY RD
City: GOLDEN VALLEY State:MN Zip: 55422 Phone:763-512-2765 Fax:
State Bond No:MB003503 lContact Name:JOANN ZINKEN
Email:HSP-Permits center ointener .com I Contact Phone: 763-512-2765
Detailed Description of Work: INSTALUREPLACE DAIKIN FURNACE AND AIR CONDITIONER
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 Quantity
1 Furnace Kitchen Fan Furnace
1 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.jet Replacement(one fixture only,no piping or vent changes) Mechanical Permit Fee: $ 75.DID
❑Addition/Remodel Gas Line Permit Fee: $
❑New Construction State Surcharge: $ L
❑Other Other: $
Total Mechanical Permit: $
PLUMBING INFORMATION
Plumbing Contractor: Address:
City: State: Zip: 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
E Gas ❑ 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: $
Payment Confirmation
Payer Information:
Payment Made By: JOANN L ZINKEN
Payment Made For: CENTERPOINT ENERGY
HSP-
Email: PERMITS@CENTERPOINTENERGY.COM
Permit Address: 4428 WARM RD
Address: 6161 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Payment Description: Permits
Payment Date: 7/11/2023 7:52:54 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park MC ****9294 68141945 $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
23SP-00064 I Mechanical (Residential) On Lake Winnetonkg
Receipt Number:209
Payment Amount: $76.00 July 11,2023
Transaction Method Payer Cashier Reference Number
Credit Card Centerpoint Energy Jamie Hoffman 68141945
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
07/10/23 State Surcharge(Fixed) $1.00 $1.00 $0.00
07/10/23 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
4428 West Arm Road Edward Tripet 4428 West Arm Road
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Replace furnace and AC