Permits - Permit# 23SP-00094 - 2429 Black Lake Road - 10/26/2023City of Spring Park
Plumbing Residential
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
23SP-00094
Data Issued: 10/26/2023
Property Owner: William Bartalotto
Expiration Date: 04/23/2024
Mailing Address: 2429 Black Lake Road
Job Site Address: 2429 Black Lake Road, Spring Park,
MN 55384
Spring Park, MN 55384
Category: Residential Miscellaneous
Phone:
Permit Type: Plumbing (Residential)
Email:
Valuation:
Description of Work:
Replace shut-off valves before and after the water meter
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary Hero Home Service LLC (651) 300-5842
State Surcharge (Fixed)
$1.00
Residential Plumbing Permit
$ 75.00
Total Fees:
$ 76.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
10/26/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Paris
P 9
SPRIM PORK
On take 51innetonkp 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN ASAFE CONSPICUOUS LOCATION. PLEASE Do NOT REMOVE THIS NOTICE UNTIL ALL REW RED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE
AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE
Plumbing
APPLICATION NO.: 23SP4)0094 TYPE: (Residential) ISSUED DATE: 10/26/2023 EXPIRATION DATE 04/23/2024
PROJECT ADDRESS: 2429 Black Lake Road, Spring Park, MN 55384 PARCEL NO.:
OWNER: William Bartalotto CONTRACTOR: Hero Home Service LLC CONTRACTOR PHONE (651) 300-5842
DESCRIPTION OF WORK, Replace shutoff valves before and after the water meter
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Underground Plumbing Plumbing Rough -In
Plumbino Final
Fire Approval:
PW Approval:
To request an Inspection: (VQ 442-7520
Date: Engineering
Approval:
Date: Other (
Date:
Date:
Page 1 of 1
CITY OF SPRING PARK 4349 Warren Avenue PAGE 1 BUILDING PERMIT
Spring Park, MN 65384 ❑ Handout Given
Phone: 952-471-9451 Fax: 952-471-9166 ❑ Lead Handout Given Routed to MNSPECT
fIITEADDRESS: 2429 Black Lake Road
pIQ: _ _
I Was the home constructed before 7978? (YES zj continue with Ilne 2 NO r, continue without nompledng EPA Section)Will the work disturb a6 s—T �-
2) q ft of mtenor painted surfaces or z20 sq tt of exterior painted surfaces; (YE$ - go to line 4, NO i.. brie 3i
3) Are there any windows being replaced? (YES L-,, go to line 4, NO continue without completing EPA Section)
ill Has this home been Certified Lead Free? (YES you MUST Attach Certification Information NO 1-1 complete line 5)
51 EPA Contractor Certiftcabon Number NAT , (applies to contractor only,,
IROPERTY OWNER, Willlam Bart0l0tt0
OF V40RK:
EST VALUATION OF WORK
s 1;Xt4 a
,3quare feet
Detailed Description of
s
C-0
o New Construction
L' Change of Use
tj Finish Basen-*nt
ra Remodel
Addition
r. Garage-Altachedoetesh
= Deck z Pool
Retairttng Wall t.: Porch
_: fJemotl�tcm
Firm Sprinkler
F1r®A term
&4%mbingwrw,de demA an Psoe 2
Mechanical-proviiig fetal on pagi
u Re -Roof
❑ Re -Side
Fence
a Shed �-
❑ Windo%wDoor Reoiacement
# twinq mrdacec
s rhee to error q =the property to pertcrm na"dad kh P&tbna. Entry may be tftwA prior octl e. I hmlby that deslg�ae and the i9lrlshg sand
:oeact to the beat of m plans,
sPileft at 1 have reed trla application and alms That all of t hetbn N true and
y tuwwMdga• t ttelhar aQrae that d workphlrMrmed we �.m accordance wkh prproved pions, speckkedorp erhd eondkiws and to abkle by sl ordyreno» of the Menlepaay
and ire laws of tie Stets of f �$DM R09 014 nctlons taken pumant to # a permit, 1 SWW to pay ap plan reviewsaas wwh B 1 rhoasr not to proceed with ma work. pwnft ahphn when Work
e not commencedwttisti 1Bt permit orris* is i nkpanded abendonad. or not inspected for 180 day". Work
Mk be srb)eet to a panaky. .._ . beyond the scope of tlYa pamtt, or work wkhout a Penn a inspeesm.
Noise Ordinance 162110ct: MONI7AY - FRIDAY Before 7 a.m. and after 10 pin. WealoandslHolidays before 7 a.in. and after B p.m.
SI `LMATlioN nl: ADMrnwanr.
PRINTED 1:
ALUATION: $_ Zy (A-41g
0ermit Fee: $ w
Plan R"w Fee: $
State Surcharge: $
Site Insp4cfion Fee: $
S.E.C. Fee: $
Investigation Fee 1 Other Fee: $
Copy Charge ($25 per 8.5xi4 page) $
Lloonco Chock (S5) l Load Chock %6) $
508 TOTAL $ •
Plumbing Fee (from Page 2) $
Building Approval By:
Printed Building Ap n
City Approval By:
Date:
Receipt No.
DATE
This Is the signature of: D Owner of k2fters Re esentstive
BLDG SPRINKLED Yes 1 No
WAC Charge: $
Sewer & Water Hook -Up: $
Sewer & Water Disconnect: $
Water Meter. $
Muni SEANA Fee: $
'2016 SAC Escrow. $2.485
Other. $
TOTAL DUE: $ .00
*NOTE: Commweial plans will be submHted to the Met comes Environmental Sues
ror SAC dots ilnat►on. Eserow payment will he required when permit is Imued. N
offer Met CeuneM review no SAC Is dsterminad- aaerer<. -we h. ..r..r_. - ....
DATE:
❑ License Verification ❑ Lead Verification -
DATE: la 4,,
By:
CITY OF $PRING PARK
PAGE 2
of
❑ MECHANICAL PERMIT
l;"rLUMBING PERMIT
FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
Indicate type of project, fiitures, and Gas Lines you will be installingreplacing
MECHANICAL FIXTURES GAS
or p g (include count for each type of fixture)_
mik OAS LINES
L gMantity
Furnace Kitchen Fan Furnace
—Air Conditioning Systerrj Bath Fan Fireplace
Air Exchanger Grill Unit Heater
Fireplace
Unit Heater
In Floor Heat I
❑ Replacement (one fixture only, no piping or vent changes)
❑ AdditforuRemodal
❑ New Construction
❑ Other
Plumbing Contractor:
C' S
Plumbers License No: PIG.
Contact Name: S All 4. •
Email: cx
Detailed Description of Work
I, w..-a . C o
Water Heater
Grill
Dryer
Use only
Mechanical Permit Fee: $
Gas Line Permit Fee: $
State Surcharge: $
Other. $
Total Mechanical Permit; $
SIRS) 00
e �aa 4
►'�k�l- V
l,,o�
be v
t✓
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture):
PLUMBING FIXTURES
Quantity
Quantity
Water Heater
Shower
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 Bib
Floor Drain
Lavatory (Wash Basin)
Bathtub
I I � i
es
❑ Replacement (one fixture only, no piping or vent chap Wks use
9 ) Plumbing Permit Fee: $
❑ Addition/Remodel State Surcharge $
❑ New Construction Other. $
❑ Other Total Plumbing Permit: $
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
Joseph Vo
Joseph Vo
sholland@calihero.com
2429 Black Lake Road
10800 Hampshire Ave S # 120
Bloomington, MN 55438
Permits
10/18/2023 7:13:27 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****7592 26905071 $76.00 $2.99 $78.99
(Permits)
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RECEIPT
City Of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
23SP-=94 I Plumbing (Residential)
Payment Amount $76.00
SPRING PARK
On Gab Minnetonka
Receipt Number: 244
October 26, 2023
Transect%n Metlrad Payer
Cashier
Reference Number
Credit Card Hero Home Services
Jamie Hoffman
26905071
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item
Account Code
Assessed Amount Paid
Balance Due
10/17/23 State Surcharge (Fixed)
$1.00 $1.00
$0.00
10/17/23 Residential Plumbing Permit
$75.00 $75.00
$0.00
Tom:
$76.00 $76.00
Previous Payments
$0.00
Remaining Balance Due
$0.00
Application Ingo
Property Address Property Owner Property Owner Address Valuation
2429 Black Lake Road William Bartalotto 2429 Black Lake Road
Spring Paris, MN 55384 Spring Park, MN 55384
Description of Work
Replace shut-off valves before and after the water meter