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Permits - Permit# 23SP-00067 - 4232 West Arm Drive - 7/19/2023 City of Spring Park Mechanical (Residential) L j 4349 Warren Ave,Spring Park,MN 553M IVG PARK 23SP-00067 n Lake-tinnato Phone:(952)471-9051 Fax:(952)471-9160 For Inspecdons: (952)442-7524 Date Issued: 07/19/2023 Property Owner Judy O'Brian Expiration Date: 01/15/2024 Mailing Address: 4232 West Arm Drive Job Sloe Address: 4232 West Arm Drive,Spring Park, MN 55384 Spring Park, MN 55W CONKI ry: 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: Contrackm a: Fee Items Amount State Surcharge(Fixed) $ 1 00 Residential Mechanical Permit $270 00 Total Fees: $271.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 07/19/2023 MUST BE POSTED ON JOB SITE AdL�', INSPECTION CARD City of Spring Park onzeaw511atrrcta* 4349 Warren Ave,Spring Park,MN 55384 P08T THE CAM N A SUM 0ON04000M LOCATr0Ml PLENK DO NOT REMOVE TM 100110E UNTL ALL REOLWM RM§430 M ARE MADEAND$KM OFF OY T}E APPROPRIATE AUnWM AND THE EUILDEia EIMPROVED FOR 000tEMNLY.aTMD®APPF"M PIPM MUST W AVALAa1E ON THE J08ff E. PERMIT NO.: 23SP-00067 PERMIT TYPE: Residential) 98SUEDDATE: 07/1912023 EXPIRATION DATE: 01115,2024 PROJECTADDRESS: 4232 West Arm Drive,SpMV Park,MN 55384 PARCEL NO.: OWNER: Judy O'Brien CONTRACTOR: CONTRACTOR PHONE: DESCRIPTION OF WORK: Install 4 bath fans,air exchanger,kitchen fan,3 gas lines,humiCNfier CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Mechanical Rough-In Alr Erostatic Test Reports 116lechanical Final Flre Approval: Date: Engineering Date: Approval: PW Approval: Date: Other( }: Date: To request an inspeWore(952)442-7520 Paae 1 of 1 a :A8 �Q 'oNidl000Nrj�%J*Pl`f4 :ale(3 •' -Pled u � 31Va :AEI IenojddV f4!0 :AS Pa)1o840-uOOWUPeA PeOl ❑UG98 9MA esueo{l o Ad IBAQ!ddd WIPIPS Paluud :31Vd IS IenojddV BulPlinB O :s*regl�pajlnbe2i/wWtPuoO la!�S 3 IRIj V I P•Pu^1•+•q wM•om••'p u'uigp N 9Y8 au W N�noS Mow jatla s Z Wid W04 as j ImIUe40sn m A 'Pons%al puu•d u"m p•gnbu•q MAL*t tAW aom•3 %mRpupum4 MM j% C *-'AG1419 11OUN9 t•e an a p aa!RMM wjqd 1•wmum*;-noK. 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S93800V311S ueiupinoptpsHpeal� 096 UV-Z96 :XBj MG-UV'Z96 :auo4d 103dSMN a4 Pglno2l uaAlO lnopuBH ❑ VSSSS NW ')IABd RulidS enuend ueUJeM 6q£� 1IWMgd ONla fins 6 30dd NbVd ONIadS JO AIIO CITY OF SPRING PARK ❑ MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE I and PAGE 2 should be cornplate MECHANICAL INFORMATION Mechanical Contractor: J i4A, 4 Address 303 Apsc,04, 4✓e. 0< / r Stet --)v zlow ;3 Phone: '3 �Y' —!/b'fC,Fax: State Bond No: 00b 00 s-qJ 1 Contact Name: , S Email <i o /use a ;I ' ,C 0 Contact Phone: Detailed Description of Work: Indicate type of project,fixtures,and Gas Lines you will be installing or replacing(include count for each type d fixture): IifECHANWAL FWTURES GAS L#N3 QuantityQuantity Quilintity Furnace Kitchen Fen Furnace Air Conditioning System Bath Fan Fireplace Air Exchanger Grill Unit Heater Fireplace Water Heater Unit Heater Grill In Floor Heat I Dryer ' Gas L Tr stave ORice Use Or�rp:, c Replacement(one fixture only,no piping or vent changes) Mechanical Permit Fee: S ??O . OAdditioNRemodel Gas Line Permit Fee: S o New Construction State Surcharge: $ ❑Other Other. $ Total Mechanical Permit:s PLUMBING INFORMATION Plumbing Contractor: Address: C' State: Plumbers License No: IState Bond No: Contact Phone: Email Deftil•d Description of Work: Indicate type of project and fixtures you will be installing or replacing(include count for each type of fixture): PLUMBING FLYTURES QuantRX Quantity Quantity Water Heater Shower Laundry Tub ❑Gas ❑Electric Dishwasher Rough4n Future Fixture Water Softener Clothes Washer Sump Lawn Sprinkler system lee Maker Line Water Piping System Water Closet(Toilet) hose Bib Floor Drain Lavatory ash Basin Bathtub Office use only. ❑ Replacement(one fixture only,no piping or vent changes) Plumbing Permit Fee: $ ❑Addition/Remodel State Surcharge$ ❑ New Construction Other: $ o Other Total Plumbing Permlt: $ RECEIPT City of Spring Park 4349 Warren Ave,Spring Park, MN 55384 (952)471-9051 SPRING PARK 23SP-00067 I Mechanical(Residentlao On Laif JKinnetonkg Receipt Number:217 Payment Amount: $271.00 July 19,2023 Tiansacdon Method Payer Cashier Reteience Number Check Flare Heating Jamie Hoffman 77074 Comments Assessed Fee Items Fee items being paid by this payment Date Fee/tem 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 S270.00 $270.00 $0.00 Toil $271.00 $271.00 Previous Paymwrds $0.00 Remaining Balance Due $0.00 Permit Info Property Address Property Owner Property Owner Address Vakodon 4232 West Arm Drive Judy O'Brian 4232 West Arm Drive Spring Park, MN 55384 Spring Park, MN 55384 Description of Work Install 4 bath fans,air exchanger, kitchen fan,3 gas lines,humidifier