Permits - Permit# 23SP-00060 - 4100 Spring Street - 7/19/2023City of Spring Park
Plumbing Commercial
4349 Warren Ave, Spring Park, MN 55384
Phone: (952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
23SP-00060
Date Issued:
07/19/2023
Property Owner: Robert Breitner
Expiration Date:
01/15/2024
Mailing Address: 4100 Spring St #204
Job Site Address:
4100 Spring St #204, Spring Park, MN
55384
Spring Park, MN 55384
Category:
Commercial Miscellaneous
Phone:
Permit Type:
Plumbing (Commercial)
Email:
Valuation:
$1,309.00
Description of Work:
Demo existing vanity, install new water lines, widespread faucet & vanity in bathroom
Subdivision:
Required Setbacks:
Parcel ID:
18-117-23-04-0070
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary Minnesota Rusco (952) 935-9669
State Surcharge
$ 0.65
Commercial Plumbing Permit
$ 82.0Q
Commercial Plumbing Plan Review
$ 53.30
Total Fees:
$135.95
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
07/19/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
r F X�6�� City of Spring Park
SPRUNG PARK
On Lake9dinnetonka 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 BYTHE APPROPRIATE
AUTHORITYANDTHE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BEAVAILABLE ON THE JOBeni
Plumbing
PERMIT NO.: 23SP-00060 PERMIT TYPE: (Commercial) ISSUED DATE: 07/19/2023 EXPIRATION DATE: 01/15/2024
18-117-23-
PROJECT ADDRESS: 4100 Spring St #204, Spring Park, MN 55384 PARCEL NO.: 44-0070
OWNER: Robert Breltner CONTRACTOR: Minnesota Rusco CONTRACTOR PHONE: (952) 935-9669
DESCRIPTION OF WORK: Demo existing vanity, install new water lines, widespread faucet & vanity in bathroom
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Underground Plumbing I I I I Plumbing Rough -in
Rain Leader Rough -In I I J I Plumbing Final
Fire Approval: Date: Engineering
Approval:
PW Approval: Date: Other
To request an inspection: (952) 442-7520
Date:
Date:
Pace 1 of 1
CITY OF SPRING PARK
PAGE 1
LD G PERMIT
4349 Warren Avenue
�
Spring Park, MN 55384
❑ Handout Given
Phone: 952-471-9051 Fax: 952-471-9160
El Lead Handout Given
Rotted to N T�
SITE ADDRESS: 4100 Spring St #204 Spring Park . MN 5.5 It
- DID:
I) Was the home rDnstructed before 197r3? (YES D., coll:inue Wittl line 2 NO 6 continue wittnout -�Urrn,.:etirg EPA Sec1•s,n1
:2) Will the work disturb >_i; sq ft of interior painted surfaces cr :'20 sq
ft of exterior painted surfaces? ;YES 71 go to line 4- NO r- ant• `+..
-3) Are there ar.,rw -lows bei�ig replaced? (YES o, go to 1=ne 4, NO c rondrues witl,ou! k:o'i1piwjnq EPA Sect -on)
d) Has this home beer. Certified Lead Frce? "YES a, you MUST Ana.--,,)
Certification information, No a 4cmpiefe tine 5`
:i) EPA Contractor Certification Number. NAT -
(applies to contractor only)
IPROPERTY OVIMER: Robert Breitner
Address 41 04 Spring St #2,74
it
i.;Spring Park State: Ti :55384
Emetl bobbreitner@gmail.00m
Contact Name:
Phone.552-201-0787
CONTRACTOR:MN Rusco
Addpess_5010 Hwy 169 N
"! New Hope State MN ZI -55428
Phone: 952-935-9669 Fax:
Contractor License No CR805613
Contact Name:Kelli Gugisberg Ff6nIdM-935-9669
1--mall: Kelli@minnesotarusco.00m
-..
ARCHITECT:
Address:
t" : State: zip,
Phone: Fax:
Email:
Contact Name. " "' Phone:
`TYPE OF WORK: - New Construction
w Deck r Pool - Re -Roof
n Commercial x= Residential = Change of Use
a Retaining Walt 7: Parch z Re -Side
EST. VALUATION OF WORK u, Finish Basement
-r Derriolihon --� Fence
,6 130900 m Remodel
_ Fire Sprinkler ❑ Shed
Square feet a Addition
ti Firs Alarm ; Window/Door Replacement
Garage-AttachedlDetach
oe Plumbin"rovde dotal on Face z # being replaced
09tailed Description of Work: .: Accesso Structure
- Mechanical -provide detail or- Page 2 ; Misc Other
Demo existing vanity, install new water lines, widespread faucet and van ty
■
s
'tgnature or" application bythe legal property owns- ae,#eensedcor"ctor. as the et mlb rapresarrt ilve, is mqukw and audhwtan the Zoning Abninlatratoror designs* and the Euii®ag of ei
<r designs to enter upon the property to perromm newSed Inspections. Entry may be V06-A prior notice. I hereby ack nowledga that I have read this application and state that al hformation Is two and
: onsct to the best of my knowledge. I rurt1wagree that al workperfmmed sib be, In ac cordance with approved plena, specihcatfmrs and conditions and to abide by ae ot%Qnances of the h4unitowly
nd the laws of the Steta of Minnesota m9arft actions twen puwuant to this permH. t et %to pay aR plan revlewfees arch If I choose not to precaed viten are wink Penoh expires when work
a i not cammencsd wlthtn 180 days from date of pem* or If wax in awpendw, abandoned. or not
brspected for 180 days.Work beyond the sc
°Pe of this Pormh or oak without a p•tmM or Inspection.
•
AN be subject to a P•nofY• �_ , '
Noise Ordinance fd,Effoft MIONDAY - FRIDAY Before 7 a.m. and after 10 p.m. WeelmndslHolidays before 7 a.m. arld after 8 p.m.
SIGNATURE OF APPLICANT:
DATE: VW3
PRINTED KAW! ellf Gugisberg
This Is the signature of: = Owner or ® Owner's Representative
I
OCCUP. TYPE: CONST. TYPE: CODE:
BLDG SPRINKLED Yes ! No
VALUATION: $
Permit Fee: $ tQ• 6n
WAC Charge: $
Plan Review Fee: $
Sewer & Water Hook -Up: $
State Surcharge: $
Sewer& Water Disconnect: $
Site Inspection Fee: $
Water Meter. $
S.E.G. Fee: $
Muni SEIWA Fee: $
Investigation Fee 1 Other Fee: $
SAC Escrow: 22.485
Copy Charge ($.25 per8.5 x11 page) $
Other. $
C
Lioonca Chock ($6) I Load Chock ($5) $
TOTAL DUE: $ •
to
SUB -TOTAL $ •
y
Plumbing Fee (from Page 2) $
*NOTE: Cornme►cfal plans will be submitted to the Met Council Environmental Svcs
v
Mechanical Fee from Page 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.
LL
Special Conditions/Required Setbacks:
D
Building Approval By.
DATE:
Printed Building Approval By:
❑ License Verification ❑ Lead Verification - Checked By:
City Approval By:/ZK
DATE: h ��
Paid: fa 10,45.i — Date: '`I 1 a3 Receipt No. f043 By: tAM tag
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL
Mechanical Contractor: Address:
City: State: Zi : Phone: Fax:
State Bond No:
Contact Name:
Email:
Contact Phone:
Detailed Descri Ion 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 GAS LINES
Quantity Quantity ua ti
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 LouStove
olrice'i/se Only:,
❑ Replacement (one fbaure only, no piping or vent changes) - Mechanical Permit Fee: $
❑ Addition/Remodel ° Gas Line Permit Fee: $
❑ New Construction State Surcharge. $ _
❑ Other _. Other $
Total Mechanical Permit: $
e?e
Plumbing Contractor MN Rusoo Address: Sato Hwy 169 N
C' New Hope StateMN - pp. 55428 `' Phone:952-935-9669 Fax:
Plumbers License No: PC805612
State Bond No:
Contact Name: Kell! Gugisberg - -7'
Contact Phone:952-935-9669
Email:Kelli@minnesotarusco.com
Detailed Deseri , n of Work: Demo existing vanity, install new water lines, widespread faucet and vanity in bathroom.
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture):
PLUMBING FIXTURES
Qum
S1laQtity Quantity
Water Heater Shower Laundry Tub
❑ 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
2 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: $
This Plan Must Be Maintained And
Accessible On The Construction Site
Read All Attached Materials!
Manufacturers' Installation
Instructions shall be available on the
Job site at the time of inspection
The approved plans and a copy of
the plan review letter from the MN
Dept. of Labor and Industry must be
on site at -the time of all inspections.
An inspection will NOT be conducted
if the required documents are not on
site at the time of the scheduled
inspection.
Must Post Address on
Construction
Site, Visible from the Road
IT IS THE RESPONSIBILITY OF THE
CONTRACTOR TO CALL GOPHER STATE
ONE CALL 651-4544002, OR 811 BEFORE
BEGINNING EXCAVATION
NO OCCUPANCY OR USE ALLOY ED
UNTIL FINAL INSPECTION AND APPROVAL
CALL BUILDING INSPECTOR 952 442-7520
PENALTY-NfAXD4M $750.00 FINE
EVERY PERSON PERFORMING WORK FOR
WHICH THE CODE IS APPLICABLE, SHALL
COMPLY WITH THE CODE.
SUBJECT TO CODE COMPLIANCE
DURING CONSTRUCTION
ADVANCE
REVIEWED FICIR MDE COMPLIANCE
Commercial PIumbing
SUMP COVERS MUST BE 30110 MATERIAL
AND SECURED.
471 0 40 SUBPART 4
ALL WATER SUPPLY PIPWG IN EXTERIOR WALLS
SHALL BE ADEQUATELY PROTECTED AGAINST
FREEZING BY INSULATION, HEAT, OR 80TH
ALL WATER FROM FOUNDATION DRAINS
OR SUMPS MUST BE PUMPED OR DRAINED
DIRECTLY TO THE EXTERIOR THROUGH
RIGID PLASTIC OR STEE"_ PIPING. NO
SUMP WATER IS ALLOWED TO BE PUUMPED
JNTO FLOOR DRAWS, SINKS OR ANY
OTHER ACCESS TO SANITARY SEINER.
CONTRACTOR SHALL VERIFY SANITARY
SEWER ELEVATION IN RELATION TO
THE LOWEST FLOOR ELEVATION PRIOR
TO CONSTRUCTION
MN .Rule 4715.0200 N
Plumbing shah be installed with due
regard to preservation of the strength
of structural members and prevention of
damage to the walls and other surfaces
through fixture usage.
!li N.Rule 4715.0300„Subp. 4
All pipes passing under or through
walls shall be protected from breakage.
All pipes passing through or in contact
with cinder, concrete, or other corrosive
material shall be protected against
external corrosion by protective coating,
wrapping, or other means that will
resist such corrosion.
FOR ALL INSPECTIONS:
►.CALL 24 HOURS IN
►GIVE PERMIT NUMBER
23SP-00n60
(952) 442-7520
l
SPRING PARK
On Lade 914innetonl§
City of Spring Park 4349 Warren Avenue, Spring Park, -MN 55384
Phone: (952) 471-9051 / Fax: (952) 471-9160 / Web: www.d.spning-park.'rian.us
July 11, 2023
Plans and Specifications: Robert Brenner
4100 Spring Street 204
Spring Park, MN 55384
Owner:
Project Designer: MN Rusco (Kell! Gugisberg)
5010 Hwy 169 N
Now Hope, MN 55428
Scope: The project consists of the installation of new drain, waste, vent, and water
piping for future bathroom and laundry, also fixture replacement. This building is served
by an existing municipal sewer and water system.
Approval: The plans for the project named above have been reviewed for substantial
compliance with the 2015 Minnesota State Plumbing Code and do not cover the Water
supply or sewage system to which this plumbing system-is'connected. The review is
limited to the design submitted; and assumes the information on which the design is
based is correct, and that necessary legal authority has been obtained to construct the
project. Approval is contingent upon satisfactory disposition of any requirements
included in this report.
Inspections: All plumbing installations must be tested and inspected in accordance with
the requirements of the Minnesota State Plumbing Code as specified in the Minnesota
Rules, parts 4714.103 .5 through 4714. 103. 8. The contractor/installer is responsible for
notifying the inspection department when ready to schedule an inspection. Call the
building Inspection department on (952) 442-7520 between the hours of 8,30 a.m.
and 4:30 p.m. Monday through Friday.
General Reouirements:
1. All plumbing shall be installed per MN Rules, part4714.0100
2. The plumbing system shall be tested in accordance with MN Rules, part 4714.
Section 609.4 and 712.0 and 1109.0
3. Asper MN Rules, part 4714. 609. 9. New or repaired potable water systems shall be
disinfected prior to use where required by the authority having authority.
4. Verify that the water distribution pipes are sized according to MN Rules, Chapter
4714, and Section's 610.7 through 610.12.
5. Equipment used for heating water or storing hot water shall be protected by
approved safety devices in accordance with MN Rules, Chapter 4714, Sections
504.4, 504.5 and 504.6.
6. Asper MN Rules, part 4714.312.9 Plastic and copper piping penetrating framing
members shall be protected by steel nailing plates. The steel plates shall extend
along the framing member not less than 1 % "beyond the outside diameter of the
pipe.
7. Asper MN Rules, part 4714.707. 5 each cleanout shall be installed so that it opens
to allow cleaning in the direction of flow of the soil or waste or at right angles thereto.
8. As per MN Rules, part 4714.707.4 each horizontal drain branch, including floor
drains branches, shall be provided with a clean out at its upper terminal.
9. All horizontal drainage pipe must be pitched at inch per foot, unless otherwise
approved by the administrative authority. Except for trap arms, all drains to urinals
must be 2 inches.
10. As per MN Rules, part 4714. 0810 solvent weld joints in PVC and CPVC must
Include use of a primer which is of a contrasting color to the pipe and cement.
11. Materials used for drain, waste and vent systems must comply with the MN Rules,
part 4714. 701. 1. As amended.
12. Verify water supply lines comply with MN Rules, part 4714.604. 1.
If you have any questions or concerns regarding this plan review, please direct them to
the Plumbing Inspector at 952-442-7520 / 888-446-1801.
Sincerely,
Dale Engelmann
Plumbing Plan Examiner
(952) 442-7520 —
Cc: Municipality Property file
Payment Confirmation
Payer Information;
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
Kelli Gugisberg
Kelli Gugisberg
kelli@min nesotarusco.com
4100 Spring St
5010 Hwy 169 N
New Hope, MN 55428
Permits
7/17/2023 8:42:21 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****8471 36856968 $135.95 $4.01 $139.96
(Permits)
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RECEIPT
City c f Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
SAUNG PARK
23SP-000601 Plumbing (Commercial) On Gab Winnetonkg
Receipt Number: 215
Payment Amount: $135.95
July 19, 2023
Transaction Method Payer
Cashier Reference Number
Credit Card Minnesota Rusco
Jamie Hoffman 36856968
Comments
Assessed Fee Items
Pee items being paid by this payment
Date Fee Item
Account Code Assessed Amount Paid
Balance Due
07/11/23 State Surcharge
$0.65 $0.65
$0.00
07/11/23 Commercial Plumbing Permit
$82.00 $82.00
$0.00
07/11/23 Commercial Plumbing Plan Review
$53.30 $53.30
$0.00
Totaft $135.95 $135.95
Previous Payments
$0.00
Remaining Balance Due
$0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4100 Spring St #204 Robert Breitner 4100 Spring St #204 $1,309.00
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Demo existing vanity, install new water lines, widespread faucet & vanity in bathroom