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Permits - Permit# 23SP-00095 - 4100 Spring Street - 11/8/2023City of Spring Park Mechanical Replacement - 4349 Warren Ave, Spring Park, MN 55384 177 "'` J �'�RMW PA Phone: 952 471-9051 Fax: 952 471-9160 For Inspeccdons: (952) "2-7520 23SP-00095 Date Issued: 11/08/2023 Property Owner: Linda S Adams Expiration Date: 05/06/2024 Mailing Address: 4100 Spring St #307 Job Site Address: 4100 Spring St #307, Spring Park, MN 55387 Spring Park, MN 55384 Category: Residential Miscellaneous Phone: (952) 472-7699 Permit Type: Mechanical Replacement - Single Email: Appliance (Residential) Valuation: Description of Work: Furnace Subdivision. Required Setbacks: Parcel ID: 18-117-23-44-0086 Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount Primary Ray N Welter Heating (952) 451-9690 State Surcharge (Fixed) $1.00 Residential Mech.IPlg. Replacement Permit $ 50.00 Total Fees: $ 51.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 11/08/2023 MUST BE POSTED ON JOB SITE 41, INSPECTION CARD City of Spring Park P 9 SPRING PARK Ott LakSMinnetonkp 4349 Warren Ave, Spring Park, MN 55384 POST THIS CARD IN A SAFE WISIM CUOUS LOCATION. PLEASE DO NOT REMOVE 7M8 NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BYTE APPROPRIATE AUniORRYAND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSrrE. Mechanical APPLICATION NO: 23SP-00095 TYPE: Replacement - ISSUED DATE: 11/08/2023 EXPIRATION DATE: 05/06/2024 Single Appliance (Residential) PRO.IECT ADDRESS: 4100 S rin St #307, Spring Park, MN 55387 18-1086 P 9 P g PARCEL NO.: 440086 OWNER: Linda S Adams CONTRACTOR: Ray N Welter Heating CONTRACTOR PRONE: (952) 451-9690 DESCRIPTION OF WORK: Furnace CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Mechanical Final Fire Approval: PW Approval: To request an Inspection: (952) 442-7520 Date: Engineering Approval: Date: Date: Other ( ): Date: Page 1 of 1 CITY OF SPRING PARK 4349 Warren Avenue Spring Park, MN 66384 Phone: 962-471-9061 Fax: 952-47IM60 PAGE 1 ❑ Handout Given ❑ Lead Handout Given BUILDING PERMIT Routed to MNSPECT SITE ADDRESS: L410 Q '5I h —% k'+ 3 0 pID- 11 Was the home constructed before 1978? (YES in, continue with line 2, NO'econtinue without completing EPA Section) 2) IIVill the work disturb ;t8 sq it of interior painted surfaces or 40 sq ft of exterior painted surfaces? (YES a go to line 4, NO u line a) ;i) Are there any windows being replaced? (YES q, go to line 4, NO ,<continue without completing EPA Section) Al) Has this home been Certified Lead Free? (YES o, you MUST Attach Certification Information; NO ❑ complete line 5) 5) EPA Contractor Certification Number NAT - (applies to contractor only) IrWN r RML rLr%; IF 11 ,City. MA91 '�-' -,... State: J -Contractor License No: =mail f_aV! lz ARCHI CT: .�i y: State: Email: TYPE OF WORK�:/� o Commercial BEidential� EST. vALuATiON OF WORK .6 Square feet: Detailed Description of Work: a New Construction ❑ Deck ❑Pool ..V 4 rev . ❑ Re -Roof Change of :;se o Relamilimi War: b Pomh ❑ Re -Side a Finish Basement r- Fence a Remodel 'u Fir i r itW. „r; s+eC _ o Addl►ion : ' ❑,Alarrn `' © Window/Door Replacement Garage-Attach_edlDe h: "A' � # being replaced o tare hanical-provida detail on Page 2 ❑ Misc.Other tslnatura of this aPPlksaon by tine legal prapeny oxarer aF•j "fan+adroeiMlictar. am 1:110l0aft nopmentothm. Is regwred and a thoftm the ZoningAdminfatMW wdesignes and the suae4rg orlkic r destgnae to enter upon area properly to perform needed lrr�tlons Entry may Ly Ibut Prior notice. I hereby adwaaledga that I have mad this eppileatkn and state that ell hka.rsitsn is hue am ormct to the bast or my knowledge. i tirRher agree chat al wattO"Ormed gi`lrt aecoMenes 01 tr roved lens. a ePP p pee;Eeatiorrs and eondabns and to adds by all ordinances of the MuntclpalNy nd ftw laws of the Slete of Minnesota ragPN ftA0om taken p¢Aiient to`this pwmlt I @gnat to pay art Plan rerdawfeaa ever it I choasa not to prseaed with the work. Pennti &Mims when work not ccrnmenced Within 180 days from dos h)' M: 3rodt, 'e ended. abandoned, or not Inspected for 1110 days. work beyond the scope of M1e permit. Or wok wilharrt a pemrk or 3napeetlon. IA be subtactto a penMy. Noise 0rdinan.*,'*- .EffedA0NDAY - FRIDAY Before 7 am, and after 10 pm. WeskendafHolidays before 7 a.m. and after 8 p.m. NGNATURE OF AP . `t _�—� _:LATE: rRINTE� w This is the signeture at:-'\-Vrar or - Gmrners Represertenve )CCUP- TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes I No IALUATION_ $ Permit Fee: $�+_ro _ Plan Review Fee: $- State Surcharge: $ ' Site Inspection Fee. $ S.E.C. Fee: $ Investigation Fee f Other Fee: $ Copy Charge ($.25 per 8.5 x11 page) $ C Ueense Chock ($5) ! Load Chock ($5) $ w SUB -TOTAL $ Plumbing -Fee (from Page 2) $ Mechanical Fee from Page 2 $ Special Conditions/Required Setbacks: U. WAC Charge. $ Sewer & Water Hook -Up: $ Selmer & Water Disconnect: $ Water Meter. $ Muni SENVA Fee: $ ?SAC Escrow. $2-485 Other. $ TOTAL DUE: $ •VOTE: Cthmmtrrcial plans will be submit4ad to the filet CoPWI Environmerdal Seca for SAC datsrmination. Escrow paymelrt will be required when pererR is IssYed. If after Met council reviser no SAG Is determined, escrow will be rafurlded In full. Building Approval By: DATE: Printed Building Approval By O License Verification ❑ Lead Verification - Checked By: City Approval By: DATE: 1% g Paid: 5Liv"► Date: /91j Receipt No.& ;%b6A3t..Py: eNRVk4-lz.a - .,v.- CITY OF SPRING PARK ❑ MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete AWGJJAWAL INFORMATION Mechanical Contractor. v ddress: City: State: Zi : 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 4,fixture): MECHANICAL FIXTURES GAS UAgS< . Quanft QuantityQuantity Furnace _ _ Kitchen Fan Furnace Air Conditioning System Bath Fan Fireplace _ ^_ Air Exchanger Grill Unit Heater Fireplace Water Heater" Unit Heater _ _ Grill 2, In Floor Heat Gas Log3lxi '" oNke we on*. lacement (one fixture only, no piping or vent changes) f. 1i11echanical -Permit Fee: $ a Addition/Remodel Gas Line Permit Fee: $ e ❑ New Construction State Surcharge: $ ❑ Other Other. $ Total Mechanical Permit: $ PLUMBINGiNFORMATION Plumbing Contractor: Address: CRT, Slate: zip. r , Phone: Fax: Plumbers License No: State Bond No: Contact Name:I Contact Phone: Email: Detailed Description of Wb*: Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES Quantity Quantity guantlty Water Heater Shower Laundry Tub 11 Gas 0 Electric Dishwasher Roughdn Future Fixture Water Softener Clothes Washer Sump Lawn Sprinkler System Ice Maker Line Water Piping System Water Closet (Toilet) Hose Sib Floor Drain Lavatory ash Basin Bathtub OlRee Use Only: ❑ Replacement (one fixture only, no piping or vent changes) Plumbing Pennit 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: Ray Welter Ray Welter jeannie@welterheating.00m 4100 Spring Street #307 4637 Chicago Ave Minneapolis, MN 55407 Permits 10/27/2023 11:29:48 AM Business Name Payment Payment Confirmation Amount Convenience Total Method Account Number Fee City of Spring Park MC ****2537 62306326 $51.00 $2.25 $53.25 (Permits) This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. 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City of Spring Park ,�- 4349 Warren Ave, Spring Park, MN 55384 (952)471-9051 SPRING PARK 23SP-000951 Mechanical Replacement - Single Appliance (Residential) On Gakf Winnetonka Receipt Number: 248 Payment Amount: $51.00 November 8, 2023 Transaction Method Payer Cashier Reference Number Credit Card Welter Heating Jamie Hoffman 62306326 Comments Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Conde Assessed Amount Paid Balance Due 10/25/23 State Surcharge (Fixed) $1.00 $1.00 $0.00 10/25/23 Residential Mech./Pig. Replacement Permit $50.00 $50.00 $0.00 Tooiak.• $51.00 $51.00 Previous Payments $0.00 Remaining Balance Due $0.00 Application Infix Property Address Property Owner Property Owner Address Valuation 4100 Spring St #307 Linda S Adams 4100 Spring St #307 Spring Park, MN 55387 Spring Park, MN 55384 Description of Work Furnace