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Permits - Permit# 23SP-00088 - 4712 West Arm Road - 10/2/2023City of Spring Park Mechanical (Residential 4349 Warren Ave, Spring Park, MN 55384 ,, I„ 1WAI k Phone:(952) 471-9051 Fax: (952) 471-9160 For Inspections: (952) 442 7520 23SP-00088 Date Issued: 10/02/2023 Property Owner: Mark Melby Expiration Dais: 03/30/2024 Mailing Address: 4712 West Arm Road Job Site Address: 4712 West Arm Road, Spring Park, MN 55384 Caiagwy. Residential Miscellaneous Spring Park, MN 55384 Phone: Permit Type: Mechanical (Residential) Email: Valuation: Description of Work: Install new furnace and AC Subdivision: Required Setbacks: Parcel ID: Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contra: Fee Items Amount Primary Residential Heating and Air Conditioning Inc (612) 724-2018 State Surcharge (Fixed) Residential Mechanical Permit $1.00 $ 75.00 Total Fees: $ 76.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 10/02/2023 MUST BE POSTED ON JOB SITE INSPECTION CARD City Of Spring Park SPRING PARK On Lake 3tinnetonka 4349 Warren Ave, Spring Park, MN 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 11LR}IORITYAND THE BUILDING 18 APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSnE. inn Mechanical APPLICATION NO.: 23SP-00088 TYPE: (Residential) ISSUED DATE: 10/02/2023 EXPIRATION DATE: 03/30/2024 PROJECT ADDRESS: 4712 West Arm Road, Spring Park, MN 55384 PARCEL NO.: Residential Heating and Air OWNER: Mark Melby CONTRACTOR: Conditioning Inc CONTRACTOR PHONE: (612) 724-2018 DESCRIPTION OF WORK. Install new furnace and AC CONSTRUCTION TYPE: OCCUPANT LOAD. DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS 4echanical Rough -In Air/Hydrostatic Test leports Mechanical Final Fire Approval: PW Approval: To request an inspection: (952) 442-7520 Date: Engineering Date: Approval: Date: Other ( ): Date: Page 1 of 1 CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue QN-10-:O(��C. Spring Park, MN 55384 ❑ Handout Given 11, Eiotdlad to MNSPE'CT Phone: 952-4719051 Fax: 952471 9160 ❑ Load Handout Given BITE ADDRESS- �1 _ -12. (,i ] Q ,J �C r �l � U �� J - -- MD.�- 1) Was the home oonstructed before 19767 (YES rt, continue vAlh line 2. NO (i continue withoilt completing Ek..S�don) :t) Will the work disturb t6 aq it of interior painted surfaces or Z20 sq ft of exterior painted stlrfac$s? IYES t l go to fine 4, NO o Iine 3) 3) Are there any windows being replaced? (YES Li, go to line 4. NO i i continue without c:omrilafing EPA Section .h) Has this hone been Certified Lead Free? (YES u, you MUST Attach Certification Information, NO r � complet One 5) IF) EPA Contractor Certification Number: NAT • (applies to comtr'actoronly) f State: �:.�lntact fVanne . t+�,ONTRACTOR• i ODrilrector Lkertse No: !-mail: WtCHITECT: Email: / 'TYPE OF VKM: - t'.on mer ial j&SKIent+al EST. VALUATION QF WORK 5 Square beef: Detailed Demon of Work: - Now Consmwtiaan Change of Use Fetish Basement n Remodel Addition Gardge,AtfachedfDefach 5!A� Ljck-llm n0}ur% L- z r c Fax: 1 Z 7Z4 .Ann e-xne: ,A .: Deck r Pool a Retaining Wag a Porch o Demolition Fire Sprinldar :; Ire Alarm a Plumbin"rowode don: on page 2 tv Mechanic�ida deTap an Papa 2 © Re -hoot Re -Side c Fence - Shed WndowDoor I3e*ceq *n! # being replaced ; kw�xlpcftft 1 ieei'onpterYpNprc�peItYoanwa.r:enadsoittricmr..em.opner.m,wawueuw.hnq�isaanawllaAa.lh.ZaNng�a�rx�uemrordnlp�na.naor auiiftingcxseai r deaiRraata emir upon yr pnprtyro Prrom minded t+upacalnt Emy may baal0mm prof hike. I rrareby salabakadpi lost i can rM do appfeauin rq a1w that ar efbrmalm r true irtl =rrtG town bur army Inbalid➢a I ambaragrea llpr ar WTWWamndwlt Den accoedance WN aPPMW PYnt, eparJrealiara trod WHOM and m abidt by al a Iirarreat arft y I= I" i0m ef*W llraMaf Witratra ragiralg.icacai lapin PUMA" In bdi PMM I agnato FW4N 01*n F4~ft t evn If I ailmoae rbtlb P CM with to area. PWKK I wtwl wait end commenced rndfn In drys none dilagrPamlt, of r=* la ftmQgnded abaraWM, Of nor kWPft E oar 183 days wart beyond to uqa croft panrd\ ar park WWW a Pmnt cr bt7paetlan. r Ea aualta ro a P W1W. Maitre Ordinanasln.Effect MONiDAY - FRIDAY Before 7 a. altar 10 pin. WeekendalFloli fte before 7 a.m. and after 4 pm. IATURE OF APPLICANT: PRINTED HAM: `r ue DATE q -. ! `1- Z 3 This is the signature at - Owner or r' Owner's Representative GCC�F. Tom: CONST. TYPE: CODE: BLDG SPRINKLED Yes I No VALUATION:! Pemtti Fee: 6 r7• qt> WAC Charge: S Plan Review Fee: S Sewer & Water Hook -Up: S State Surcharge: S Sewer & Water Disconnect: $ Site inspection Fee: S Water Meter: S S.E.C. Foe: S Mufti SENVA Fee: i investigation Fee I Other Fee: S 62015 SAC Escrow. 22 495 Copt' Charge ($ 25 per 8.5 xl f papa) S Other. S Uaoorwe Chock (%6) r load Check ($6) $ TOTAL DUE: $ SUB -TOTALS • Plumbing Fee (from Pape 21 $ 'NOTE: Caar rrarcJal pgfna will be auOrrrKNd 1a Ura MM Courrau t:aYlratndla{dN Svcs a Mechanical Foe from Page 2 $ _ _ door M� comctt�t rave a tsdetarmtad, eiornw vtn be rNwlaed m not, Special Conditions/Required Setbacks: Building Approval By: DATE: Printed Building Approval By: ❑ License Verification ❑ Lead Verification - Checked By: City Approval By:dft DATE: lulzpa Paid: aV Date: q � Receipt No. By: 0 CITY OF SPRING PARK PAGE 2 "NECHANICAL PERMIT ❑ PLUMBING PERMIT FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be compete 11rc Indicate type of project, fixtures, and Gas Lines you will be installing or he replacing (include countfor each MECRANICAL Flquan7fTllRES typfcdure): tity GAS un[ �Fumace Kitchen Fan Quantlhl umace Air Conditioning System Bath Fan Fireplace�� Air Exchanger Grit Fireplace Unit Heater Unit Heater Water Her Grill In Floor Heat '76i2eplacement tone fudure only, no piping or vent changes) ❑ Addition/Remodel 0 New Construction ❑ Other $' llNechanical rmil.Fee: $ V"•Op Gas Line Permit Fee: $ State Surcharge: $ Other. $ Total Mechanical Permit $ • Pv Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLLWBING F0frURES MIX Quantity Q nw Water Heater Shower Laundry Tub Gas ❑ Electric Dishwasher Rough -in Future Fixture Water Softener Clothes Washer Sump Lawn Sprinkler System lea Maker Line Water Piping System Water Closet (Toilet) Hose Bib Floor Drain ❑ Replacement (one fixture only, no piping or vent changes) ❑ Addition/Remodel ❑ New Construction 13 Other moo*. - Plumbing Permit Fee: $ State Surcharge $ Other: $ Total Plumbing Permit: $ Payment Confirmation Payer Information: Payment Made By: Payment Made For: Email: Permit Address: Address: Payment Description Payment Date: Business Name City of Spring Park (Permits) Dean Kolner Dean Kolner anne@resheatandair.com 4712 W Arm Road 7454 Washington Ave south Eden, MN 55391 Permits 9/28/2023 9:28:50 AM Payment Payment Confirmation Amount Convenience Method Account Number Fee VISA ****5281 95555406 $76.00 $5.24 Total $81.24 This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. 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RECEIPT City of Spring Paris 4349 Warren Ave, Spring Park, MN 55384 (952) 471-9051 23SP-MB81 Mechanical (Residential) Payment Amount Transaction McMod Credit Card Comments $76.00 Payer Residential Heating Assessed Fee Items Fee items being paid by this payment ow - A AiA L:�-) SPRING PARK On LakF Mnneto* Receipt Number. 240 October 2, 2023 Cashier ReMrance Number Jamie Hoffman 95555406 Date Fee Item Account Code Assessed Amount Paid Balance Due 09/18/23 State Surcharge (Fixed) $1.00 $1.00 $0.00 09/18/23 Residential Mechanical Permit $75.00 $75.00 $0.00 Application Info Property Address Property Owner 4712 West Ann Road Mark Melby Spring Park, MN 55384 Description of Work Install new fumace and AC TOM& $76.00 $76.00 Previous Payments Remaining Balance Due Property Owner Address Valuation 4712 West Arm Road Spring Park, MN 55384 $0.00 $0.00