Permits - Permit# 24SP-00012 - 4100 Spring Street - 3/12/2024'i
A L^ ;� '� City of Spring Park PlumbingResidential
4349 Warren Ave, Spring Park, MN 55384
PRANG PARK 24SP-00012
n G 9liinrrcdo a Phone:(952) 471-9051 Fax: (952) 471-9160
For inspections: (952) 442-7520
Date Issued: 03/12/2024 Property Owner: DAVID NEEDHAM & ROBYN NEEDHAM
Expiration Date: 09//08/2024 Mailing Address: 4100 SPRING ST #312
Job Site Address: 4100 SPRING STREET UNIT 312,
SPRING PARK, MN 55384
SPRING PARK, MN 55384
Category. Residential Miscellaneous Phone: (612) 369-3649
Permit Type: Plumbing (Residential) Email: dave@bergersoncasweli.com
Valuation:
Description of Work:
Direct replacement of existing shower wet space, wail surround and plumbing fixtures.
Subdivision: Required Setbacks:
Parcel ID: 1811723440091
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary Minnesota Rusco (952) 935-9669 State Surcharge (Fixed) $1.00
Residential Plumbing Permit $ 75.00
Total Fees: $ 76.00
NOTICE
Signature of ApplicantfDate Building Department Signature/Date
03/14/2024
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
OnLake 9l4innetonk# 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
AUTHORrrYAND THE BUILDING E APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOWM.
Plumbing
APPLICATION NO.: 24SP-00012 TYPE: (Residential) ISSUED DATE: 03/12/2024 EXPIRATION DATE: 09/08/2024
PROJECTADDRESS: 4100 SPRING STREET UNIT 312, SPRING PARK, MN 55384 PARCEL NO1911723440
.: 091
DAVID NEEDHAM & ROBYN
OWNER: NEEDHAM CONTRACTOR: Minnesota Rusco CONTRACTOR PHONE; (952) 935-9669
DESCRIPTION OF WORK: Direct replacement of existing shower wet space, wall surround and plumbing fixtures.
CONSTRUCTION TYPE:
OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Underground Plumbing IPlumbing Rough -In
Plumbing Final
Fire Approval:
PW Approval:
To request an inspection: (952) 442-7520
Date: Engineering
Approval:
Date: Other (
Date:
Date:
Page 1 of 1
CITY OF SPRING PARK PAGE 1
BUILDING PERMIT
4349 Warren Avenue
Spring Park, MN 55384 ❑ Handout Given
Phone: 952-471-9051 Fax: 952-471-99 60 ❑Lead Handout Given
Routed to MNSPECT
SITE ADDRESS., 4100 Spring St Unit #312 Spring Park, MN 55384
1) Was the home constructed before 1978? (YES o, continue with line 2, NO lit continue without ranlpietng EPA aecticr,i
1) Will the work disturb �!6 sq ft of interior painted surfaces or a20 sq ft of exterior paintoo i YES ,3 go to line d. NO -1 !Irw, 3,1
�) Are there any windows being replaced? (YES Q, go to line 4, NO c continue without completing EPA Section.;,
4.) Has this home been Certified Lead Free? (YES ❑, you MUST Attach Certification Information. NO, complete line r
5) EPA Contractor Certification Number: NAT - japplies to contractor only)
-� W
•
PROPERTY OWNERPavid Needham Address:4100 Spr;nq St unit #312
C;i $pring Park StateMN Zi : 55384 Email: dave@bergersoncasweli.mrr,
{'
Contact Narne: phone.612-369-3649
CONTRACTOR:MN Rusco Address5010 Hwy 169 N
,, i : New Hope State:MN zip: 55428 Phone: 952-935-9669 Fax:
:ontractor License No: PC805612 Contact Name:Kelli Gugisberg Phone:952-935-9669
I=nlail:kelli@minnesotarusm.com
,4RCHITECT: Address:
+" : State: Mix. Phone: Fax:
*
Email: Contact Name: Phone:
TYPE OF WORK: c New Construction - Deck - Pool ❑ Re -Roof
=_ Commercial x Residential w Change of Use RetainingWall Porch = Re -Side
EST. VALUATION OF WORK =. Finish Basement _.i Demolition - Fence
6 1766.00 L3 Remodel Fire Sprinkler n Shed
.Squars feet LL. Addition _ Fire Alarm _. Window/Door Replacement
Garage-AttachedlDoach x. Plumbing-crovide decal oe Page 2 # being replaced
°+
Detailed Description of (Mork: Accessory Structure Mechanical -icy -me aeud on Dage : t, Misc Other
Direct replacement of Existing shower wet space: wall surround and plumbing fixtures.
,Ignakn al thb appkalbn by CM Isgai property wmer r a ilesnwd eonbadot. as the awnds repruentatYw, Is required and eutlroreaes the Zonlhp AdrinNtrotor or don" and the Euldno orkFM
err deslgnse to enter upon the property to perform needed inowthrca. Entry may be without prior rake. I hereby acknowlsop met I have read this appricatlon and state, that all Urlbrrr awn b true and
correct to the beat of my knowtarge. I further agree that all. work performed will be in accordance with approved plane, speclNcaaons oW condllors and to abide by all ordhances of the Municpallly
and the lam of the State, or Minnesota regardny actions taken pursuant to this prmiL I norm to pay all plan reviewtLes aver If I choose not is proceed vft lire work. Permit erpkas when work
.
kn not cenmencetl within 160 days from deft oT p411111. or It work is suspwdM abarrdoneo. or not Impacted for tor: days. work beyond the scope oT fhb parma, or work without a papa or iropectlen.
+
lair subpctta a penally.
Noise Ordinance in Effect: MONDAY - FRIDAY Before 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m.
- 311/24
`SIGNATURE_.OF APPLICANT:_!l� DATE•
7 _ _
iMNTED NAME: Ke#r Gugisberg Z7 This is the signature of: - Owner or K Owner's Representative
OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes / No
VALUATION. $
Permit Fee: $ WAC Charge: $
Plan Review Fee: $ Sewer & Water Hook -Up: $
State Surcharge: $ Sevier & Water Disconnect $
Site Inspection Fee: $ Water Meter. $
S.E.C. Fee: $ Muni SEMA Fee: $
Investigation Fee / Other Fee: $ *2016 SAC Escrow: S2_495
>_
Copy Charge ($.25 per 8.5 x11 page) $ Other. $
O
Lioonco Chock ($5)1 Load Chock ($5) S TOTAL DUE: $
W
SUB TOTAL $
Commercial plans will be submitted to the Met Council Environmenter Svcs
Plumbing Fee (from Page 2) $
Lu
for SAC determination. Escrow paymard will be required when permit Is issued. If
Mechanical Fee from Page 2 $ after Met Council review no SAC Is determined, escrow will be refunded In full.
U.
Special Conditions/Required Setbacks:
O
Building Approval By., DATE:
Printed Building Approval By: ❑ License Verification ❑ Lead Verification - Checked By:
City Approval By: DATE:
Paid: Date: Receipt No. By:
CITY OF SPRING PARK
PAGE 2
of Work:
❑ MECHANICAL. PERMIT
❑ PLUMBING PERMIT
FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count for each type of fixture):
MECHANICAL FIXTURES GAS LINES
U1 ,• k Qualgilty QuaMl�
_ Furnace Kitchen Fan Furnace
Air Conditioning System Bath Fan Fireplace
Air Exchanger _ Grill Unit Heater
Fireplace
Unit Heater
In Floor Heat
Water Heater
Grill
Dryer
Ofrite We Only:
❑ Replacement (one fixture only, . Hping or Trent changes) Mechanical Permit Fee: $
❑ Addition/Remodel Gas Line Permit Fee: $
❑ New Construction State Surcharge: $
x` Other Other. $ _
Total Mechanical Permit: $
` 'ita L g Y� 4 (� ..f r� �
Plumbing Contractor: MN Rusw Address: � 5010 169 N
CitV.Nlew Hope State: MN Zr : Phone: 952-935-9669 Fax:
Plumbers License No: PC805612 Istate Bond No:
Contact Name: Kelli Gugisberg Contact Phone: 952-935.9669
Email: kelll@minnesoterusxo.com
Detallled Dmrlpftn of Work:
Direct replacement of existing shower wet space, wall surround and plumbing fixtures.
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture):
PLUMBING FIXTURES
LiantItWater Heater Shower Laundry Tub
Gas ❑ Electric Dishwasher Rough4n Future Fixture
Water Softener Clothes Washer Sump
Lawn Sprinkler System Ice Maker Line Water Piping System
Water Closet (Toilet) Hose Bib Floor Drain
Office Use Only.
16 Replacement (one fixture only, no piping or vent changes) Plumbing Permit Fee: $
❑ Addition/Remodel State Surcharge $
❑ New Construction Other. $
13 Other Total Plumbing Permit: $
RECEIPT
City of Spring Paris
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
24SP-00012 Plumbing (Residential)
Payment Amount: $76.00
Transaction Method Payer
Credit Card Kelli Gugisberg
Comments
Assessed Fee Items
Fee items being paid by this payment
AiA E��
On Laif 911inneton�g
Receipt Number: 276
Cashier Reference Number
Marcy Miller
March 12, 2024
Assessed Fee Item Account Code Assessed Amount Paid Balance Due
On
03/04/24 State Surcharge (Fixed) $1.00 $1.00 $0.00
03/04/24 Residential Plumbing Permit
Application Info
Property Address
4100 SPRING STREET UNIT
312
SPRING PARK, MN 55384
Description of Work
Property Owner
DAVID NEEDHAM & ROBYN
NEEDHAM
$75.00 $75.00 $0.00
Toftuls• $76.00 $76.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address
4100 SPRING ST #312
SPRING PARK, MN 55384
Direct replacement of existing shower wet space, wall surround and plumbing fixtures.
Valuation
3/12/24, 9:14 AM
Message from www.PaymentServicaMetwork.com
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
Kell! Gugisberg
Kelli Gugisberg
kelli@minnesotarusco.com
4100 Spring St Unit #3 i2
5010 Hwy 169 N
New Hope, MN 55428
Permits
3/4/2024 11:13:15 AM
Business Payment Payment Confirmation Convenience
Name Method Account Number Amount Fee Total
City of
Spring Park VISA ****8471 76898008 $76.00 $2.99 $78.99
(Permits)
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