Permits - Permit# 23SP-00086 - 4232 West Arm Drive - 9/22/20230!"
PARK
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) "2-7520
Mechanical (Residential)
23SP-00086
Date Issued: 09/22/2023
Property Owner: Judith O'Brien
Expiration Date: 03/20/2024
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 fireplace
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Actual Setbacks:
Lot:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary HEARTH & HOME TECHNOLOGIES (651)
638-3321
State Surcharge (Fixed)
Residential Mechanical Permit
$1.00
$ 75.00
Total Fees:
$ 76.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
09/22/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
OnLafgWinneumn z 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALLREQUIRED INSPECTIONS ARE MADE MID SIGNED OFF SY THE APPROPRIATE
AUTHORrrY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOSSITE.
Mechanical
APPLICATION NO.: 23SP-00086 TYPE: (Residential) ISSUED DATE: 09/22/2023 EXPIRATION DATE: 03/2O/2024
PROJECT ADDRESS: 4232 West Arm Drive, Spring Park, MN 55384 PARCEL NO.:
OWNER: Judith O'Brien CONTRACTOR: HEARTH & HOME TECHNOLOGIES CONTRACTOR PHONE: (651) 63&3321
DESCRIPTION OF WORK: Install fireplace
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
techanical Rough -In Air/Hydrostatic Test
leports Mechanical Final
Fire Approval:
PW Approval:
To request an inspedEon: (952) 442-7520
Date: Engineering
Approval:
Date: Other (
Date:
Date:
Page 1 Df 1
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CITY OF 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 xnf1 VWF11v-2
NTE ADDRESS PID:
} Was the home constructed before 1978? (YES n, continue v&h line 2. NO o continue without Completing EPA Section)
Will the work disturb M aq ft of interior pointed surfaces ork20 sq a at emarlor painted surfaces? (YES o go to line 4, NO o tine 3)
Are two any windows being replaced? (YES o, go to line 4. NO a continue without completing EPA Sectlon)
Has this home been Cabled lead Free? (YES in, you MUST Attach CaMcation Informallon, NO o complete fine 5)
) EPA Contractor GorGfication Number. NAT- (apptlnto contractoronth
[h(PeoFhllroRl(: 4 Iue 0dribauaftn o Rei`Jr a Pool �`� d Renoof
Cort a aeidehf`til d $� of Use p .. Fu p R"*I
EST-V,AL T)DW Ot=:WORK in Finish Basement T3 Fence
L �T Q� ` r o Remodel F , prof a Shed
1lhtirr#ie : gAdd*n ti lariri oWlndQWDoorRefterr*rft
unibin"rovide-derat on P.sisa # being repl$ced
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arnd tolhe lwwi d my gwwprge, l bather �alllat m wr7ana wyh approsppd piae�, specaeopam atl callddlat= eed,� egfda Fry sa wenerpee ornu +�h.rlclne!b
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dl be arbT6ctto i pwlNgc
Atotee Ordtne life Y . FWDAY end after 10 Va. vlreekendslHoediya before 7 a.m. and sitar 8 p.m.
CODE:
Permit Fee: $ m-qu
Plan Review Fee:
State surcharge. -
Site Inspection Fee: $
S.E.C. Fee: $
Investigation Fee 1 Other Fee: $
Copy Charge ($25 per 8.5 x91 page) $
Llconeo Chock (W) r Load Chock (0) $
SU&TOTAL $ -
Plumbing Fee (from Page 2) $
Building Approval By:
Pltnled BuildingAp=l BT
City Approval By
Paid: [& . 0"7 Date: I g 1 Receipt
Of! o
yes
WACChargw $
Sewer & Water FrooWp. $
ftymr& Wa* Disoonnhcf: `Z
Water Meter. $
Muni SEIWA Fee: $
*2016 8AC Esciovr. &2,4$q
Other. $
TOTAL DUE: S
•NOM- Commmchd Pbmvmill beeubmh%d logo II®at Courlall exalrmunanrai Svcs
for SAC defaradnegion. Fiaow payment will be required when pam8t Is kinuad. If
EW Met Councll rarhaw no 3AC Is daisftn , aserbw will bit refunded In full -
DATE:
❑ License Verification q Lead Verification - Checked
DATE:y
, w4tjta_ By. .,
I
CITY OF SPRING PARK ❑ MECHANICAL PERIIIIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE t and PAGF_ 2 should be complete
4&Ghaiallcal Contractor
C' : State: Phr -
State Bond No:
1gontact Name: 1
Petalled pest Ion Work:
indicate type of projerpt, fixtures, and Gas Linea you will be stalling or replacing (include.aount for e d . �,_
Y ul. Sd P � typ facture):
MECHANW,4L PDrTURES GAS L!t �� f
Furnace Kitchen Fan Fumace '
Air Condrd9ningSystem Bath Fan Fireplace ;
A1rFxcheriger • Grill . Unit Heater
Fireplace Water
Unit Heater Grill 0
n Floor Heats
5',
Gas Loa 5• ,:.
o Replacement one fixture only, no
( y piping or want changes) tr4'kr,;VdhanIcaZFermft
e ~r.
Fee; $ _ 1�
rgm onlReodel
r „ "�
SII Y� Gas Line Parrott Fee: $
❑ New Construction ,ref'
State Surcharge: $
❑ Other .
�r s- �
�a Other. $
a
7ofal Mectranlal P'arrrli#: $00
PIUFWIAN contiLtctor•
`!
Address:
C'
te•.*�'* =
Phone. Fax:
Plumbers License No: I
StMe Bond No:
Contact Natne: Pi
contact Phone;
Email:
r
bwled Descri of Ali
4
Indicate type of project and fixtures you will be. Installing or replacing (include count for each type of fixture):
PLi1111+ ING FWTUR1cS
Cluanifty
Quantity
Quantity
Water Heater
Shower
Laundry Tub
❑ Gas ❑ Electric
- Dishwasher
Rough4n Future Fixture
Water Softener
Clothes We
Sump
Lawn Sprinkler system
Ice Maker Line
{Hater Piping System
Water Closet (Toilet)
Hose Bib
Floor Draln
Lavato ash Basin
Bathtub
ordos use only.
❑ Replacement (onetbdure only, no piping or vent changes)
Plumbing Permit Fee; S_
❑ Addifion/Remodel
State Surcharge $
❑ Now Constniction
Other: $_,
❑ Other
Total Plumbing Permit: $ _
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55394
(952) 471-9051
23SP-00086 I Mechanical (Residential)
Payment Amount:
Transaction Method
Credit Card
Comments
$76.00
Payer
Fireside Hearth and Home
Assessed Fee Items
Fee items being paid by this payment
v
On Lake Minnetonka
Receipt Number: 237
September 22, 2023
Cashier Reference Number
Jamie Hoffme 15464183
Date Fee Item Account Code Assessed Amount Paid Balance Dune
09/14/23 State Surcharge (Fixed) $1.00 $1.00 $0.00
09/14/23 Residential Mechanical Permit $75.00 $75.00 $0.00
Application Info
Property Address
4232 West Arm Drive
Spring Park, MN 55384
Description of Work
Install fireplace
Property Owner
Judith O'Brien
Totals; $76.00 $76.00
PreWous Payments
Remaining Balance Due
Property Owner Address
4232 West Arm Drive
Spring Park, MN 55384
Valuation
$0.00
$0.00