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Permits - Permit# 23SP-00071 - 4232 West Arm Drive - 7/27/2023City of Spring Park Plumbing Residential 4349 Warren Ave, Spring Park, MN 55384 IO�� a 23SP-00071 La eWinneto a Phone:(952) 471-9051 Fax: (952) 471-9160 For Inspections: (952) 442-7520 Date Issued: 07/27/2023 Property Owner: Judith O'Brian Expiration Date: 01/23/2024 Mailing Address: 4232 West Arm Drive Job Site Address: 4232 West Arm Drive, Spring Park, MN 55384 Category. Residential Spring Park, MN 55384 Miscellaneous Phone: Permit Type: Plumbing (Residential) Email: Valuation: Description of Work: New fixtures, new water heater, move master bath, laundry Subdivision: Required Setbacks: Parcel ID: Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount State Surcharge (Fixed) $1.00 Residential Plumbing Permit $ 150.00 Total Fees: $151.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 07/27/2023 MUST BE POSTED ON JOB SITE *kua INSPECTION CARD City of Spring Paris SPRING PARK On Lake Minnetonka 4349 Warren Ave, Spring Park, Aakl 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 ApAROVED PLANS MUST BEAVAILABLE ON THE JOBSITE. PERMIT NO.: 23SP-00071 PERMIT TYPE: Plumbing (Residential) ISSUED DATE: 07/27/2023 PROJECT ADDRESS: 4232 West Arm Drive, Spring Park, MN 55384 OWNER: Judith O'Brian CONTRACTOR: DESCRIPTION OF WORK: New fixtures, new water heater, move master bath, laundry EXPIRATION DATE: 01/23/2024 PARCEL NO.: CONTRACTOR PHONE: CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Underground Plumbing Plumbing Rough -In Plumbing Final Fire Approval: Date: Engineering Date: Approval: PW Approval: Date: Other ( ): Date: To request an inspection: (952) 442-7520 Paoe 1 of 1 CITY 4F SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue Spring Park, MN 55384 ❑ Handout Given Phone: 952.471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT 51TE ADDRESS: L Lije l / l FZY1^ t IL PID: I1) V,'as the hor�re vo structe+f before 1873? :YES F.-% r:crfmue 4011h lint: 2, NO r' cantinuc, wAthwvl unir,pleting EPA. ;I) Will the work distort: a6 Sq q of interic., painted stufaces of 20 sq ft of e%tletlOf Fainted s;rrtacec? (YES:-, qc; !o lint: A. NO line 3) ;.I) Are there arty wrr+dsws velnq rep aced?'YES gs tc lire A NO , for ".in,�e withoul ccmplr tFrp ;F1� Section'; i4) Has this home been Certified Lead Free IYES L, you LIUST Attach Ce!tificatz.r. Irlfa natlt;t . NO r-,..^.rtipletN I+re 4) '`i) EPA Contractor Certification Number: NAT - (applies to contractor only) PROPERTY OVOER• Address:-- t: f-A k9F Ce V rvr t -11 A G Address: PO Stata:mhl Zia Phone: 1 D� erase No: G S- gS-5- I Contact Name: �10-41 `/ Co W, ARCHITECT: ,City: State: Email: TYPE OF WORK: _ Commercial residential E5T. VALUATION OF VMRK -s L©DSO Squam feet: I tailed Des Option of Mirk: t kTv fu"5 bM Uontact Name: L New Construction ❑ Deck - Pool :i Change of Use c Retaining Wall r Porch r- Finish Basement m Delttollban eeRernodel z, Fire Sprinkler Addition v FingAlarm z Garage-Attached0etach %&Vjumbing-Provide decal on page 2 McesM Structure n Mechanical -provide detail on page 2 V .0 t- (�L Re -Roo' r: Re -Side Fence ❑ Shed _ WindowlDoar Replacement # being replaced lA:-- / -- - Ugnature of this app8caft by the legal property oamw or a licensed eorifti ewr, as the owner'spn,s rserriatlw, la required and wthorkss the Zonlrgl Adminbbftr or design" and the Building ot'Mle ;r designee to eater upon the proparly 10 pertbrm needed Inepaclgms. Entry may be wllhotd prior notice. I hereby acknowledge that I have read this applcalan and state that all iniormatbn is"end =Direct to the bast of my knowledge. I further agree that al work perfornrrM approved plans, specmeatlons and eondltiens and to abide by ar ordinances ofthe Municipally and the laws of the Stet" of Mlinnesota regarding aclons taken pursuant to this permli. I agree to pay all plan review fe"a swan It I chooee nat to proceed with the wait. Permit erglres when work 1; not canmenced within 180 days from data of parritt, Or tt nark is suspended, abandoned, or not Inspocnd for 180 days. work beyond the scope Of this pamh, or work wilhout a oerml or Inspecllan. 411 bb subJscd to a penally. Noise Ordinance Irk Effect MO Y - FRIDAY Before 7 a.m, and after 10 P.M. WaskendslHolidays before 7 a.m. and aflar a p.m. .,;IGNATVRE OF APPLICANT: DATE: 4/-2 3 MUNTED NAIVE: Lvev-n$t-aekt, This is the signature of: _ Owner or -_ Owner S Representative OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes 1 No VALUATION: $ Permit Fee: $ Plan Review Fee: $ State Surcharge: $ Site Inspection Fee: $ S.E.C. Fee: $ Investigation Fee / Other Fee: $ �i Copy Charge ($.25 per 8.5 xt t page) $ G Liconoa. Chock ($5)1 Load Chock %6) $ H SUB TOTAL $ :3 Plumbing Fee (from Page 2) $ w Mechanical Fee from Page 2 $ a � Special Conditions/Required Setbacks: O Building Approval By: Printed Building Approval By: City Approval By: WAC Charge: $ Sewer & Water Hook -Up: $ Sewer & Water Disconnect $ Water Meter $ Muni SENVA Fee: $ SAC Escrow: ,$2.485 Other. $ TOTAL DUE: $ Commerdal plans will be submitted to the Met Council Envlrorunentel Svcs for $AC determination. Escrow payment will be required when permit Is Issued. M after Met Council review no SAC Is determined, escrow will be refunded In full. DATE: ❑ License Verification ❑ Lead Verification - Checked DATE: (V Date: ''I 1 a 9 /9-.t3 Receipt No. r) By: CITY OF SPRING PARK ❑ MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete —MECHANICAL INPORMATION Mechanical Contractor- Address: City: State: Zip: Phone: Fax: State Bond No: Contact Name: Email: 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 of fixture): MECHANICAL FUTURES GAS LINES Quarttlty Quantity Quantity 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 oRae Use Only., ❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ ❑ AddfiontRemodel Gas Line Permit Fee: $ ❑ New Construction State Surcharge: $ ❑ Other Other. $ el�� Total Mechanical Permit: $ PLUMBING INFORMATJON Plumbing Contractor: L FtACE Pt✓uVvlgJ ` ddress: 0 9^ 0 City: W P•-U-M State: N za-55at7 Phone (a D Fax: Plumbers License No: Pc & 5 S 1,9tate Bond No: Contact Name: c, Contact Phone: le t Q5 5 Email: r I t, , (-&V\ Detailed Descri of Work: L ell-J F7 je-7`lr/I. S /V�4i r V�V Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES Oupritity Q - Shower Quantity Water Heater undry Tub Gas ❑ Electric 7 Dishwasher Rough -In Future Fixture Water Softener Clothes Washer Sump Lawn Sprinkler System Ice Maker Line Water Piping System Water Closet (Toilet) Hose Sib Floor Drain Lavatory Wash Basin Bathtub ❑ Replacement (one fixture only, no piping or vent changes) Offfce Use Only: Plumbing Permit Fee: $ (� ?"ddition/Remodel State Surcharge $ ❑ New Construction Other: $ ❑ Other Total Plumbing Permit: $ RECEIPT City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952) 471-9051 23SP-00071 I Plumbing (Residential) Payment Amount: Transaction Method Check Comments $151.00 Payer Lake Country Plumbing --) 7�jg i t f=r,4 SPRING PARK On Lake Winnetonko Receipt Number: 223 Cashier Refemnce Number Jamie Hoffman 7262 July 27, 2023 Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Cade Assessed Amount Paid Balance Due 07/24/23 State Surcharge (Fixed) $1.00 $1.00 $0.00 07/24/23 Residential Plumbing Permit $150.00 $150.00 $0.00 Toro,. $151.00 $151.00 Permit Info Property Address Property Owner 4232 West Arm Drive Judith O'Brian Spring Park, MN 55384 Description of Work New fixtures, new water heater, move master bath, laundry Previous Payments $0.00 Remaining Balance Due $0.00 Property Owner Address Valuation 4232 West Arm Drive Spring Park, MN 55384