Permits - Permit# 24SP-00073 - 4248 West Arm Drive - 9/10/2024City of Spring Park PlumbingConnection
Mod/Moved/Wad)
d
4349 Warren Ave, Spring Park, MN 55384
AARK 24SP-00073
Phone:(952) 471-9051 Fax: {952) 471-9160
For Inspections: (952) 442-7520
Date Issued:
Expiration Date:
09/10/2024
03/09/2025
Property Owner.
DEBRA HUMPHRIES
Job Site Address:
4248 WEST ARM DRIVE, SPRING
Mailing Address:
4248 WEST ARM DR
PARK, MN 55384
Cary:
Residential Miscellaneous
SPRING PARK, MN 55384
Permit T
Type:
Plumbing Connection
Phone:
(612) 214-4780
(Mod/Moved/Mfgd)
Email:
humpriesdebra65@gmaii.com
Valuation:
Description of Work:
Replace water shut-off valve and meter horn adapter
Subdivision: Required Setbacks:
Parcel ID: 18-117-23-03-0172
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
--- - - Fee items Amount
Primary BWS HEATING AND AIR CONDITIONING State Surcharge (Fixed)
LLC (952) 681-2615 $ 1.00
Plumbing Connection (Mod/Moved/Mfgd)
$ 50.00
Total Fees: $ 51.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
09/10/2024
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Paris
SPRING PARK
On[akf%innetonkj 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICU" LOCATION. PLEASE DO NOT RBADVE THIS NOTjcE MM ALL REOUiRED M/BManoNS ARE WADE AND SlfINED OFF BY THE APPROPRUATE
AUTHORnY AND THE SUILDM IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS IAUST BE AVAILABLE ON THE MM E.
APPLICATION NO.; 24SP-00073 TYPE: Plumbing
Connection ISSUED DATE: 09/10/2024 EXPIRATION DATE: 03/09/2025
(Mod/Moved/Mfgd)
PROJECT ADDRESS: 4248 WEST ARM DRIVE, SPRING PARK, MN 55384 18-117-23-
PARCEL NO.: 43-0172
BWS HEATING AND AIR
OWNER: DEBRA HUMPHRIES
CONTRACTOR: CONDITIONING LLC CONTRACTOR PHONE: (952) 681-2615
DESCRIPTION OF WORK: Replace water shut-off valve and meter hom adapter
CONSTRUCTION TYPE: OCCUPANT LOAD:
INSPECTION INSP DATE DATE
Plumbing Final PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Fire Approval: Date: Engineering
Approval:
PW Approval: Date: Other
To request an irmpectlon: (952) 442-7520
Date:
Date:
Page 1 of 1
CITY OF SPRING PARK 4349 Warren Avenue PAGE 1 BUILDING PERMIT
�� QW�3
Spring Park, MN 55384 ElHandout Given
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT
SITE ADDRESS: u 2—I W 5-1 ym Y ve PID:
1) Was the home constricted before 19787 (YES ❑, continua with line 2, NO continue without completing EPA Section)
2) Will the work disturb n sq ft of Interior painted surfaces or z20 sq It of exterior painted surfaces? (YES ❑ go to line 4, NO Xllne 3)
:l) Are there any windows being replaced? (YES ❑, go to line 4, NOXContinue without completing EPA Section)
4) Has this home been Certified Lead Free? (YES ❑, you MUST Attach Certification Information, NO o complete line 5)
ti) EPA Contractor Certification Number, NAT - v (applies to contractor only)
FROPERTY OWNER: Y� Address;
Estate: N zi : Email;_ lnuhn DhY1P.sh>!ra AS f�vwn
�. !IIro
�f
t%t,' i 11, lu, .Ij ��/�_iir t.l;
TYPE OF WORK: n New Construction
prwran.
❑ Deck a ❑ Pool tea ❑ Re -Roof
13 Commercial Residential ❑ Change of Use
❑ Re ta1 t Wa ll-� Pore ❑ Re -Side
$ EST. t VALUATION O!= WORK ❑ Finish Basement
- [_°gin obi ctr a+sr ❑ Fence
JSdd1r _ ❑ Remodel
Square feet:
L Rro r;p; Inking ❑Shed
o Addition
- i irz ;;;❑ Window/Door Replacement
"
❑ Garage-Attachecl(DPtdc:h �lumbing�rovlde delall on Pape 2 # being replaced
Oetalled Description of Access
n a Mechanical -provide detafl an ape 2 ❑ Mlsc Other
•
^i ���in
Wo
=tlgnetsrra or Ihk sppdcetaon by 1M Fagal property owner d nsed' tins, as (ty
efdesignee to W"r upon the limp" to perta,m neWed ns Envy mry
aorracl to the beat of my Imowlsdge, I fudhsr Dui sl wo rto °
+ accadenu
rti rpressnladve, b raqueed and wtho#•a ple Iankg AdmYdslralor w dasapnee and IM tauMl ag ofltM
P polka. I neraby eeknowladpe that I Iwo road this epplkaUm and stela that all ldormMbn k true anti
with approved spseMcawns
r
plans, end conduns and to abide try ai ordhantes of the AAunkpaply
and the laws of iM Slate d Mlnnaota a teavan ant psnnR. I ngra to pay dl pin ravlsvr fw aysn 11 I ataoos• not !n proceed Mpa pea swath. W m111 apins wlawt wads
n not commenced WkW Itla days loom {q Pondad, ab®adonsd, Or inspected for 1lm days, wok beyond the so
�` scope Fb
•
aQ be sulod to a penalty.
o1 Prmll, or work wMaut a parrel or Inspectlon,
Notate Ordlne `*11, Effe ND - FRIDAY Before 7 a.m. and after 1e P.M. WeekendatHolldays before 7 a.m. and after 8 p.m.
11
SIGNATURE OF AP 10 1 "40
DATE:
PRINTEp Ngfrt�_ v 113,dy
This Is the signature of: o Owner or Representative
OCCUP. —4,, CONST. TYPE: CODE:
s
BLDG SPRINKLED Yes / No
VALUATION:
Permit Fee: $
WAC Charge: $
Plan Review Fee: $
State Surcharge: $
Sewer & Water Hook -Up: $
Sewer & Water Disconnect: $
Site Inspection Fee: $
Water Meter. $
S.E.C. Fee: $
Muni SE1WA Fee: $
Investigation Fee / Other Fee: $
'2016 SAC Escrow: $2.4&r,
Copy Charge ($.25 per8.5 x11 page) $
ZO
Uconao Chook ($6) I Load Chook ($6) $
Other. $
TOTAL DUE: $
lu
SUB -TOTAL $
to
Plumbing Fee (from page 2) $
'NOTE: Commercial plans writ be submitted to the Met Council Environmental Svcs
W
Mechanical Fee from Pa s 2 $
for SAC determination. eacraw payment will be required when permit is Issued. ifU
LL
Special Conditions/Required Setbacks;
after Met council review no SAC Is determined, escrow will be refunded In full
O
Building Approval By.
DATE:
Printed Building A r al By;
El License Verification Li Lead Verification - Checked By
City Approval By:
DATE:
paid;TV Date: Receipt No.
5 j i � By.
Ar
CITY OF SPRING PARK
PAGE 2
I —
hanlcal Contractor: u i
State: Z .
i Bond No: 2 or PC 1l
!I: u . CDiry
lied Descrlotion of work: 1Af/i I�
❑ MECHANICAL PERMIT
1 PLUMBING PERMIT
FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
l2.[ rll➢
Indicate type of project, fixtures, and Gas Lines you will be Installing or replacing (Include count for eilifi type? fixture):
MECHANICAL FIXTURES
GAS L111[�,�i .,
�
entity Quantity
Quantity
.r.4°�•
,
Furnace Kitchen Fan
Furnace`f'
Air Con ditionin stem Bath Fan
-- g System
Fireplace
N.�-
Air Exchanger
9e Grill
Unit Heater ;,.,
'�
_
_Fireplace
Water F
Unit Heater
Grill
In Floor Heat
❑ Replacement (one fixture only, no piping or vent changes)
❑ Addition/Remodel
n New Construction
.t
Li
Other
Plumbing Contractor:
O
Of
DirIEF7 Uae "::_L�
echanical hermit Fee: $
'.. Gas Line Permit Fee: $
State Surcharge: $
' Other. $
;3 Total Mechanical Permit: $
Bond
Indicate type of project and fixtures you will be Installing or replacing (Include count for each type of fixture):
PLUMBING FIXTURES
uantity Quantity
Water Heater Shower Laundry Tub
Gas ❑ Electric Dishwasher RoughAn Future Fixture
Water Softener Clothes Washer Sump
Lawn Sprinkler System Ice Maker Line Water Piping System
Water Closet (Toilet) Hose Bib Floor Drain
Lavatory ash Basin Bathtub
Offke Uas Only:
❑ Replacement (one fixture only, no piping or vent changes) Plumbing Permit Fee: $
o AdditionlRemodel State Surcharge $
• New Construction Other: $
L7 Other Total Plumbing Permit: $
Jamie Hoffman
From: payment4@thepaymentgroup.com
Sent: Friday, September 6, 2024 11:16 AM
To: Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: BRUCE STRANDBERG Permit Payment to Spring Park, MN
TPG
Dear Spring Park, MN - Permits & Licenses,
BRUCE STRANDBERG has made a web Pavment through The Payment Group for:
Payment Information
Date Paid: Friday, 06 September 2024 11:15:15 CT
Confirmation: 511 XXR
Credit Card Number (last 4
digits): 3933
Credit Card Type: MasterCard
Permits & Licenses from
BRUCE STRANDBERG CREDIT CARD 4248 WEST ARM PC705747
DRIVE $51.00
BRUCE STRANDBERG can be reached at: 952-681-2615 or installs@bwshvac.com if there are any
questions regarding this payment.
Click here to login to your The Payment Group admin account
Thank you once again for choosing The Payment Groupl
2
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
24SP-ON73 j Plumbing Connection (Mod1 Moved/Nlfgd)
Payment Amount: $51.00
Transaction Method Payer
Credit Card Bruce Strandberg
Comments
Assessed Fee Items
SPRINGRARK
On Lake Minnetonkg
Receipt Number: 340
September 6, 2024
Cashier Reference Number
Jamie Hoffman 511XXR
Fee items being paid by this payment
Assessed Fee Item
On Account Code Assessed Amount Paid Balance Due
09/06/24 State Surcharge (Fixed) $1.00 $1.00 $0.00
09/06/24 Plumbing Connection (Mod/Moved/Mfgd) $50.00 $50.00 $0.00
Application Info
Property Address
4248 WEST ARM DRIVE
SPRING PARK, MN 55384
Description of Work
Property Owner
DEBRA HUMPHRIES
Replace water shut-off valve and meter hom adapter
Tom" $51.00 $51.00
Prevloua Payments $0.00
RemaWng Balance Due $0.00
Property Owner Address Valuation
4248 WEST ARM DR
SPRING PARK, MN 55384