Permits - Permit# 23 SP-00072 - 2401 Interlachen Road - 7/27/2023City of Spring Park Mechanical Residential
4349 Warren Ave, Spring Park, MN 55384
le PRING PA
23SP-00072
n La a Minncton Phone:(952) 471-9051 Fax: (952) 471-9180
For Inspections: (952) 442-7520
Date Issued: 07/27/2023
Property Owner: Diane Leddy
Expiredon Date: 01/23/2024
Mailing Address: 2401 Intertachen Road
Job Site Address: 2401 Interlachen
Road, Spring Park,
MN 55384
Spring Park, MN 55384
Category: Residential
Miscellaneous Phone:
Permit Type: Mechanical
(Residential) Email:
Valuation:
Description of Work:
Install Daiken AC
Subdivision:
Required Setbacks:
Parcel
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items Amount
State Surcharge (Fixed) $1.00
Residential Mechanical Permit $ 75.00
Total Fees: $ 76.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
07/27/2023
MUST
BE POSTED ON JOB SITE
INSPECTION CARD
kr��
City Of Spring Park
SPRING PARK
On take-tinnetonkg 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THM NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SAD OFF By THE APPROPRIATE
AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BEAvAILABLE ON THE.IOBSITE.
PERMIT NO.: 23SP-00072 PERMIT TYPE: Mechanical
(Residential) ISSUED DATE: 07/27/2023 EXPIRATION DATE: 01/23/2024
PROJECTADDRESS. 2401 Interlachen Road, Spring Park, MN 55384 PARCEL NO.:
OWNER: Diane Leddy CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Install Dalkon AC
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Mechanical Rough -In Air/Hydrostatic Test
Reports IMechanical Final
Fire Approval:
PW Approval:
To request an Inspection: (952) 442-7520
Date: Engineering
Approval:
Date: Other ( ): Date:
Paw 1 of 1
CITY OF SPRING PARK
PAGE 1 BUILDING PERMIT
4349 Warren Avenue
d&St- QW-7
Spring Park, MN 55384
❑ Handout Given
Phone: 952-471-9051 Fax: 952-471-9160
❑ Lead Handout Given Routed to MNSPECT
SITE ADDRESS: 2407 IWEK:ACHEN ROAD
PID; 19-117-23-12-0040
1) VJas the horse coast.-=ed mfore 1978? (YES s6, continue with line 2, NO o continue without Cot>-plWing 'r TIA Srcrion
21 ti" : 2 :he or< disturb a3 sq f# of interior painted surfaces or �20 sq
ft of exterior painted surfaces'- (YES 1; c^ t_ ;. ,e 4, NO 9
2) Are Inure any windows bcin5 replaced? (YES ❑, go to line 4, NO d continue without C':mnP1d!.rig EP:•, Secllr •1 f
4) Has this horse been Ce':ifed Lead Free? (YES a, you MUST Attach
Certification lnfor,r;a+ion. NO r ;:car lzte One Y�
5_) EPA Contractor C er ification Number. NAT -
� � —Address:
(applies to contractor only)
•
PROPERTY OWNER: DIANE LEDDY
2401 I-NTERLACHEN ROAD
U SPRING PARK State: MN Zip: 55384
Email:
Contact Narne:
Phone: 763-350- 477
-CONTRACTOR:CENTERPOINT ENERGY
Addprss;6161 GOLDEN VALLEY RD
^,iNGOLDEN VALLEY StateMN ZI •55422
Phone:763-512-2765 Fax: •
Contractor License No: MB003503
Contact Name:JOANN ZINKEN Phoitta:763-512-2765
=mail: HSP-PermitsCoenterpointenergy.com
ARCHITECT•
Address:
State: zip.,
Phone:
•
I=mat:
Contact Name' `'70 ' ; Mons:
'rYPE OF WORK: n New Construction
.
z: fleck ❑ Pool '� * ::- '-' ❑ Re -Roof
_ Commercial X Residential Change of Use
_ Retaining Wall b Poreh Re -Side
EST. VALUATION OF VYORK T Finish Basement
a Demolition a Fence
.i 5400.00 Remodel
z Fire Sprinkl'ar .,:. ' o Shed
,square feet. z: Addition
_
z FireAlarm .: Windowrpoor Replacement
u Garage-AftachedlDetach
a Plumbing -provide detail on Page 2 X being replaced
I)#tailed Description of Work: Acces Structure
X Mechanical -prow de deran on Page., Misc Other
,%naakrs efthis eppilma2 n by the legal property owner era f eased ranrtractor, motto ownw%repraentadva, Is required and adwrhas the ZDnl Admtrdrtmicror � and
c r deagnes to enter upon ttre property to pamrm needed Inspet r a. Erdry may be W hbut prior nodce. I hereby admowiedpe that I have road this a n. slim Is true
a and
ppecatlon arrd state that ail tnforrrralbn la true and
corned to the best of my knowiadge. I further agree that all workprrknned will bar naaeordance with approved plans, apaeieeatlora and eoadillons and to abide by au ordinances of the Municipally
e no the laws of the Slate or Mlmosote regal ft scow s taken pu rWard toifus Permit' I agree Eo psy a8 plan r6~ 1eee even It i choose riot is proceed with the wOnk. Parmft expires when wok
n
I,, not commenced within 180 days from daw of permit, or irw7rk Is euispendsd, abandoned, or not snsp*nW Im 110 days. Work beyond the stops of this prmn, or work whham a permit or inspection.
vaibe sublectto a pensltyr.
Noise OrdlneFice,1 r,Effiect 110NDAY - FFVDAY Before 7 a.m. and after 10 pm. We ekends(Holidays before 7 a.m. and after 8 p.m.
!;KMTURE OF IC/41 ILII,
DATE. 07/26/2023
teRINTBD . JgAnn I en
This Is the signature of: = Owner or X Owner's Representative
OCCUP. TYPE: CONST. TYPE: CODE:
BLDG SPRINKLED Yes 1 No
VALUATION: $
Permit Fee: $ . �IJr' .�
WAC Charge: $
Plan Review Fee: $
State Surcharge:
Semr & Water Hook -Up: $
$
Sewer & Water Disconnect: $
Site Inspection Fee: $
Water Meter. $
S.E.C. Fee: $
Muni SEIWA Fee: $
Investigation Fee / Other Fee: $
'2016 SAC Escrow. 32.485
Copy Charge ($.25 per 8.5 x11 page) $
Other. $
C
Liccnnro Chook (66) / Lead Check ($5) $
TOTAL DUE: $
to
SUB TOTAL $ �.
_
Plumbing Fee (from Page 2) $
Commercial plans will be submitted to the Met Council Environmental Svcs
W
Mechanical Fee from Pa e 2 $
for SAC determination. Escrow payment will be required when permit is issued. If
U
after Met Council revlaw no SAC Is determined, escrow will be refunded in full.
LL
Special Conditions/Required Setbacks:
Building Approval By.
DATE:
Printed Building Approval By:
❑ License Verification ❑ Lead Verification - Checked By:
City Approval By:
DATE: F11 o7
Paid ,ft Date: Receipt No.1Og�a,3r7 By:
CITY OF SPRING PARK
PAGE 2
ianical Contractor:CENTERPOINT ENERGY
GOLDEN VALLEY State:MN Zio: 55422
etailed Descrli#ion of Work:
INSTALL/ REPLACE DAIKIN AIR CONDITIONER 1 1/2
13-SEER
i MECHANICAL PERMIT o =b7a
❑ PLUMBING PERMIT
FOR PERMIT ISSUANCE
PAGE 'I and PAGE 2 should be complete
s:6161 GOLDEN VALLEY RD
763-512-2765 Pow
Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count for each type 4fixture):
MECHANICAL FWTURES GAS LINES
antity guantlity-Quantity
Furnace Kitchen Fan Fumace
Air Conditioning System Bath Fan Fireplace
Air Exchanger Grill Unit Heater
Fireplace
Unit Heater
In Floor Heat
X Replacement (one fixture only, no piping or vent changes)
❑ Addition/Remodel
❑ New Construction
❑ Other
Contractor: . -
— Zib:
ription of Work:
Water Heater
Grill
�� �.Iv
Siays ,
Ce "We Ogly.�'
NfechanicaiPermit Fee: $
Gas line Permit Fee: $
State Surcharge: $ _
Other_ $
Total Mechanical Permit: S
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture):
uantfir
PLUMBING FIXTURES
Quantity
Water Heater
Shower
Quantity
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 Bits
Floor Drain
Lavatory Wash Basin
Bathtub
once Use only:
❑ Replacement (one fixture only, no piping or vent changes)
Plumbing Permit Fee: $
❑ Addition/Remodel
State Surcharge $ I .
❑ New Construction
Other: $
❑ Other
Total Plumbing Permit: $ I'A•
RECEIPT
City of Spdng Palk
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
23SP-00072 [ Mechanical (Residential)
Payment Amount:
Transaction Method
Credit Card
Comments
$76.00
Payer
Centerpoint Energy
rlr'�
SPRING PAR,Air
On Gakg Minnetonka
Receipt Number: 222
Cashier Reference Number
Jamie Hoffman 10869237
July 27, 2023
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
07/26/23 State Surcharge (Fixed) $1.00 $1.00 $0.00
07/26/23 Residential Mechanical Permit $75.00 $75.00 $0.00
TOM $76.00 $76.00
Permit Info
Property Address Property Owner
2401 Interlachen Road Diane Leddy
Spring Park, MN 55384
Description of Work
Install Daiken AC
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address Valuation
2401 Intedachen Road
Spring Park, MN 55384
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
JOANN L ZINKEN
CENTERPOINT ENERGY
HSP-
PE RM ITS@CENTERPOI NTEN ERGY.CO M
2401 INTERLACHEN RD
6161 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 65422
Permits
7/26/2023 10:35:52 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park MC ****9294 10869237 $76.00 $2.99 $78.99
(Permits)
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