Permits - Permit# 23SP-00067 - 4246 West Arm Drive - 7/19/2023k City of Spring Park Mechanical Residential
+ 4349 Warren Ave, Spring Park, MN 55384
PRIME 23SP-00067
Minneton
Phone:(952) 471-9051 Fax: (952) 471-9160
n La
For Inspections: (952) 442-7520
Data Issued: 07/19/2023 Property Owner: Judy O'Brian
Expiration Date: 01/15/2024 Mailing Address: 4232 West Arm Drive
Job Site Address: 4232 West Arm Drive, Spring Park, MN
55384
Spring Park, MN 55384
Category: Residential Miscellaneous Phone:
Permit Type: Mechanical (Residential)
Email:
Valuation:
Description of Work:
Install 4 bath fans, air exchanger, kitchen fan, 3 gas lines, humidifier
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 $ 270.00
Total Fees: $ 271.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
07/19/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
On Lake51tinnetonkg 4349 Warren Ave, Spring Park, RANI, 55384
POST THIS CARD IN A SAFE OONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE
ALfTFIORrn' AND THE BUILDING M APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE.
PERMIT NO.: 23SP-00067 PERMIT TYPE: Mechanical
(Residential) ISSUED DATE; 0711912023 EXPIRATION DATE: 5l2024
PROJECT ADDRESS: 4232 West Arm Drive, Spring Park, MN 55384 PARCEL NO.:
OWNER: Judy O'Brian CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Install 4 bath fans, air exchanger, kitchen fan, 3 gas lines, humidifier
OCCUPANTLOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Fire Approval:
PW Approval:
To request an inspection: (952) 442-7520
Date: Engineering
Approval:
Date: Other (
Date:
)= Date:
Page 1 of 1
CITY OF SPRING PARK PAGE 1
BUILDING PERMIT
4349 Warren Avenue
9551-0 = b�
Spring Park, MN 55384 ❑Handout Given
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given
Routed to MNSPECT
SITE ADDRESS:
'l) Was the home constructed before 19781 (YES o, continue with line 2, • O ❑ continue vu:[hf,Rri :rir i5+r [+1+r1 F'A=it.c.inn�
2) Will the work disturb ?6 sq ft of interior painted surfaces or ?20 sq ft of exterior painter Eurfeces. rYE 5 L au t#. 4. NO L. ling 3)
�1) Are there any windows being replaced? (YES ❑, go to line 4, NO o continue without c]tr, nit tlrl+y F F--A eouc•r.)
�l) Has this home been Certified Lead Free? (YES o, you MUST Attach Certification Infe-mia ii5n NO c cur-,,P.dete ,ine -4;
EPA Contractor Certification Number NAT - (applies tc' contractor aoly;
1>ROPERTYOWNER: i:� -c•� Address. ti
- Z(
State: Zjp: .��� � ..,.. G''�•` ....-
' I,ontacl Name: Phone.
IMNTRACTOR: I-fleoi Cl Address:
t;i : State: Zi : Phone: ED 7. IF Fax: "-
Contractor License No: Contact Name: Phone:=' .
l=mail:
ARCHITECT- Address:
lei : State: zip, Phone: Fa*-.
[:-mail: Contact Name: '' Phone:
'TYPE OF WORK ❑ New Construction Deck Foul _ Re-Rnur
_j Commercial esidential Ti Change of Use :j Retaining Wall -; Puvt h : F2e-Side
Ef. VALUATION OF WORK ❑ Finish Basement ❑ Demolition F once
o Remodel c Fire Sprinkler i-- Shed
Square feet: ❑ Addition L; Fire Alarm o Window/Door Replacement
❑ Garage-Attached/Detach ❑ Plumbing -provide detail on Page 2 # being replaced
Oetailed Description of Work: c Accesso Structure echanicat-provide detail on Page 2 ❑ Misc Other
e � ei. f h 1 �i ' Ci a t' arc ) y rvs : r. /fie ,✓L F'i r t
a _
fc✓ - r 1 �.' kr es� Ze � S iCJr.? ] 4' Cc .
Maretwe of IhIs application by the lagelpropeny owner lira Icynsad aloes. es ins domes represerditive, Is required and sutimrlaas the Zoning Ad Isilmlor ordesignes and Ore Buikting ORkial
; r designee to enter upon the property to parform needed Inspae0orre Entry may bewlNtout prior notice- I hataby adviowledga that I have read this application and state that all Yrramdbn Is true end
1;oaect to ths bast of my krgwlsdge. I Anther agree that all workpadomied vA 4m accordance with approved plans, specifications arid condimuu and to abide by all ordinances of the Munlcpallty
nd the laws d the State of Minnescla regarding etmpons iatwn pu[s M to this pxmll. I sores to pay all plan revhw floss even If I choose not to proceed with are worlr. Permll expses when work
s not commenced within 140 days fmm dole ofpemiti, ej Nwork to w panded abandoned. or not Inspected for 180 days. Work beyond the scope at this pmna, or work without a parm3 or Impaction.
e 'Alba subject to a panaly.
Noise Ordinance In Effect: MON Before 7 am. and after 10 p.m. WaskendslHoiidays before 7 a.m. and after 9 p.m.
SIGNATURE OF APPLICANT: DATE: Z !
PRINTED NAME; ,.�,.[ � �� � -� L � - � This IS the signature of: a Owner orbs etative
OCCUP. TYPE: CONST_ TYPE: CODE:
VALUATION: $ /y
Permit Fee: $ aft.s"O
Plan Review Fee: $
State Surcharge: $ •
Site Inspection Fee: $
S.E.C. Fee: $
Investigation Fee I Other Fee: $
Copy Charge ($.25 per 8.5 x11 page) $
ZA License Chock ($6) I Load Chock ($6) $
W SUB -TOTAL $
� Plumbing Fee (from Page 2) $
v Mechanical Fee from Page 2 $
IL Special Conditions/Required Setbacks:
a.
O
Building Approval By:
Printed Building Approval By.
City Approval By:
Paid 'e Date: -!J ,� �I/� Receipt No.
BLDG SPRINKLED Yes I No
WAC Charge: $
Sewer & Water Hook -Up: $
Sewer& Water Disconnect $
Water Meter. $
Muni SHWA Fee: $
SAC Escrow. 52.485
Other. $
TOTAL DUE: S
'NOTE: Commercial plans will be submitted to the Met Council Environmental Swe
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.
DATE:
❑ License Verification ❑ Lead Verificatlon - Checked
By:
DATE:
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
PAGE 2
❑ PLUMBING PERMIT
FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
Mechanical Contractor: 6L4 g J fir" 6n , Address: 9303 v�=.��� A✓e
C e,&4 State: 1-) Z i Phone: ," " W, Fax:
State Bond No: 416 c10 SWq
Contact Name:
Email: �l/o JContact
Phone: 76'� S`� lithe
Detailed Description of Work:
4 Q J LQ
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
Furnace Kitchen Fan Furnace
Air Conditioning System Bath Fan I' Fireplace
Air Exchanger Grill Unit Heater
Fireplace Water Heater
Unit Heater Grill
In Floor Heat I Dryer '
Gas Lou Stove
Off$e Use Only, ,
❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ Q7,0 .
ArAdditioNRemodel Gas Line Permit Fee: $
_
❑ New Construction State Surcharge: $
k
❑ Other Other. $
Total Mechanical Permit: 3 •
PLUMBING INFORMATION
Plumbing Contractor: Address:
City: State: Zip, Phone: Fax:
Plumbers License No:
IState Bond No:
Contact Name:
I Contact Phone:
Email:
Detailed Descriotion of Work,
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture):
PLUMBING FIXTURES
Quantft Quantity Quantity
Water Heater _ Shower Laundry Tub
❑ Gas ❑ Electric _ Dishwasher Rough4n 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
offlce use only:
❑ Replacement (one fixture only, no piping or vent changes)
Plumbing Permit Fee: $
❑ Addition/Remodel
State Surcharge $
❑ New Construction
Other: $
11 Other
Total Plumbing Permit: $
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
23SP-00067 1 Mechanical (Residential)
Payment Amount: $271.00
Transaction Method Payer
Check Flare Heating
Comments
Assessed Fee Items
Fee items being paid by this payment
Aij -
On Gakf gdinnetonkg
Receipt Number. 217
Cashier Reference Number
Jamie Hoffman 77074
July 19, 2023
Date Fee Item Account Code Assessed Amount Paid Balance Due
07/19/23 State Surcharge (Fixed) $1.00 $1.00 $0.00
07/19/23 Residential Mechanical Permit $270.00 $270.00 $0.00
rook $271.00 $271.00
Permit Info
Property Address Property Owner
4232 West Arm Drive Judy O'Brian
Spring Park, MN 55384
Description of Work
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address
4232 West Arm Drive
Spring Park, MN 55384
Install 4 bath fans, air exchanger, kitchen fan, 3 gas lines, humidifier
Valuation