Permits - Permit# 23SP-00082 - 4232 West Arm Drive - 1/5/2024--JL— ) '*—
City of Spring Park
Mechanical (Residential)
4349 Warren Ave, Spring Park MN 55384
P 9
tRING PARK23SP-00082
�linneta a
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
Date Issued: 01/05/2024
Property Owner: Judith O'Brian Trust
Expiration Date: 07/03/2024
Mailing Address: 4232 West Arm Drive
Job Site Address: 4232 West Arm Dr, Spring Park,
55384
Spring Park, MN 55384
Category: Residential
Miscellaneous
Phone:
Permit Type: Mechanical
(Residential)
Email:
Valuatlon:
Description of Work:
install fireplace
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items Amount
Primary HEARTH & HOME TECHNOLOGIES (651) State Surcharge (Fixed) $ 1.00
638-3321
Residential Mechanical Permit $ 75.00
Total Fees: $ 76.00
NOTICE
Signature of Applicent/Date
Building Department Signature/Date
01/05/2024
MUST
BE POSTED ON JOB SITE
44 x INSPECTION CARD
City of Spring Park
SPRING PARK
OnLa651linnetonkg 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UUM ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE
AU'rNORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BEAVAILABLE ON THE JOBSITE.
APPLICATION NO.: 23SP-00082 TYPE: Mechanical
(Residential) ISSUED DATE: 01/05/2024 EXPIRATION DATE: 07/03/2024
PROJECTADDRESS: 4232 West Arm Dr, Spring Park, MN 55384 PARCEL NO.:
OWNER: Judith O'Brian Trust CONTRACTOR: HEARTH & HOME TECHNOLOGIES CONTRACTOR PHONE: (651) 638-3321
DESCRIPTION OF WORK: install fireplace
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Mechanical Rough -In Air/Hydrostatic Test
Reports Mechanical Final
Fire Approval: Date: Engineering
Approval: Date:
PW Approval: Date: Other ( ): Date:
To request an inspection: (952) 442-7520
Page 1 of 1
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CITY OF SPRING PARK
4349 Warren Avenue
Spring Park, MN 55384
Phone: 952-471-9051 Fax; 932-471-9160
PAGE 1 � BUILDING PERMIT
Q handout Given
Routed to MNSPECT
❑ Lead Handout Ghren
irrE ADDRESS: pp:
1) Was the horns cony ruc before 1978? (YES ci, continue with One 2, NO o bontEnus without completing EPA8sdion)
0 Will the wort disturb ko aq ft of Interior painted surfaces or k2o eq ff of exterlorpatnfed surfaces? (YES o go to line 4, NO u line 3)
0 Are fflere any windows being mplaced7 (YES o, go to line 4. NO n continue wiltnut oomple ing EPA Sedan)
Q Has this home hq®n Certified Lead Free? (YES d, `you MUST AHach CertMoaton Infremstlon, NO o complete Ilse 5)
0 EPA •.Gontran4or QtHAcatlon Number: NAT •. "to CormadtJor'ongf)
No:
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Y - F 7 Un. and atypr IQ p.ls. WeeknnderhoEfta before 7 &ML and after a p.m.
Pttr* Fee: $ r75•�
Plan Review Fee: .$ t—
State S>uraharge: 3 �t�" (a.
Site lnspedlon Fee $
S.E.C. Fec $
Invedgatlon Fee 1 Other Fee_ $
Copy Charge ($.25 per 8.5 x11 page) $
lfaomso Chock %6) r load Choalk ($B) $
SUB -TOTAL $
Plumbing Fee (firm Page 2) $
Mechanical Fee from Pa e 2 $
;pedal CondldonsfiUmired Setbacks:
of: Q
BLDG
WAC Chwga: $
Swam & VAter Hookup: S
Savor & WAr Disconnect $
MlflfeferMeter. $
uni 9FJWA Fee: $
*2016 SAC Esftw_ 12ABS
Otter.
TOTAL DUE: $
•N07E S'an>narlad plow will be snmrdttW to the Met Coundl Emrirarmnenlel Svcs
for aV dntuarloallom ausvw payment will he required Winn permit Is bsllnd. R
anrr NMt Carndl rwlaw no SAC Is debrrnhed, escrow will be refunded 5r full.
Building Approval By: DATE:
Printed BulkBng Approve! By, ❑ License Verification ❑ Lead Verification - Checked %r
CltyApproval BY• DATE 1 S I �.�.
Paid: Date: Receipt No. 'X�]bb I i Io S BY 4ICQA O
IN
CITY OF SPRING PARK
PAGE 1
BUILDING PERMIT
4349 Warren Avenue
Spring park, MN 55384
11 Handout Given
Phone: 952-471-9051 Fax; 952-471-91 B0
Ladd Handout Ghmn
d to n+a+�sP�cr
yam❑
SITE ADVRESS-
Pa:
1) Was the home constructed before 1978? (YE$ a, continue with line 2, No o.bontinue without completing EPA $ecion)
a) Will the work disWyb M sq ft of Interior painted. surfaces or k20 sq ft of exterior painted surfaces? (YES o go to line 4, NO o Ins 3)
°) Are there any windows being Mplaeed7 (YES o, gd.tt tine 4, NO o continue without completing EPA Section)
4) Has this home boon Certified Lead Free? (YE$ o, ym MUST Attach Certification Information, NO o complete fine 5)
01 EPA -Cdnhactor'd6Mficadon Numbov HAT+.
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Phone: 5I" FBhc
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Email:
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Address: `
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Phone:
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Contact Na • " one:
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o Change pf use
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DATE:
F'filflliT); r
:_ i , sigrr?aRuie of: o Ooittt fo? 114101111ho0p.
I.00CUP.
COLT. TYPE: OODE:
BLDG SPRINKLED Ye 's I No
VALUATIAN:
,
fi permit Fee: $
WAC Charge: f
Plan Review Fee. ;S
Gwmw & V V&r Hook -Up: $
State Surcharge: S
Saw & INaier Disoonneat $ _
Site Inspeotlon Fee: $
J Water Maur. $
S-E.C. Fee: S
Muni 9FJWA Fee: $.
Inveatgation Fee IOther Fee_ $
*2016 SAC Esctow: $2"
Copy Charge ($25 per8.5 x11 page) $
Other. $.
O
'Llwoo Chock (46) I load chock (49) $
'TOTAL DUE! S -
SUB -TOTAL $
Plumbing Fed (front Page 2) $
'NQM'CWWMn981Pl8too will ne auueluad rolt*Met Couaen annrreonantd $m
for wkdddarnlnaeom Eaerow, prgrmentwill he required when penrdt Is kswd. a
u
Mechanical Fee tfrorn P e 2 $
after Council redraw no SAC Is dekrmlmd, eacron trip be refunded In full.
Spacial Conditlontr/Ra uired Setbacks:
O
Buildng Approval By:
DATE:
Printed Building Approval BY
0 Licenso VerHicafron 0 Lead Verification - Checked By_
CltyApprGval By:
DATE:
Paid: Date: Receipt No.
By: 11
pl-
Payment Confirmation
Payer information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description
Payment Date:
CHRISTA WEGWART
Hearth Home Technologies
roseville_builder ops@hnicorp.com
4232 W Arm Dr, Spring Park, NIN 55384
4232 W Arm Dr
Spring Park, MN 55113
Permits
12/19/2023 11:08:16 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park MC ****4616 75661165 $76.00 $5.24 $81.24
(Permits)
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