Permits - Permit# 24SP-00074 - 3902 Shoreline Drive - 10/15/2024�-OwlCity of Spring Park Mechanical Re lacement -
Single Appliance Residential
4349 Warren Ave, Spring Park, MN 55384
PR1l�1 24SP-00074
hn,Gake9Hinneio Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
Date Issued: 10/15/2024 Property Owner: JEFFREY S GARBERG
Expiration Date: 04/13/2025 Mailing Address: 3902 SHORELINE DR
Job Site Address: 3902 SHORELINE DR, SPRING
PARK, MN 55384 SPRING PARK, MN 55384
Category: Residential Miscellaneous Phone: (952) 594-0869
Permit Type: Mechanical Replacement - Single Email: isgarberg@gmail.com
Appliance (Residential)
Valuation:
Description of Work:
Replace Bryant Furnace
Subdivision: Required Setbacks:
Parcel ID: 17-117-23-33-0147
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary PRONTO HEATING & AIR CONDITIONING State Surcharge (Fixed) $1.00
INC (952) 835-7777
Residential Mech./Plg. Replacement Permit $ 50.00
Total Fees: $ 51.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
10/15/2024
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Paris
SPRING MRK
onL*9dinnetonkg 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD M A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE
AUTHORITY AND THE BUILDWG IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PAWS WjST BE AVAILABLE ON THE JOBSRE
Mechanical
APPLICATION NO.: 24SP-00074 TYPE: Replacement - ISSUED DATE: 10/15/2024 EXPIRATION DATE: 04/13/2025
Single Appliance
(Residential)
PROJECT ADDRESS: 3902 SHORELINE DR, SPRING PARK, MN 55384 17-117-23-
PARCEL NO.: 33-0147
PRONTO HEATING & AIR
OWNER: JEFFREY S GARBERG CONTRACTOR: CONDITIONING INC CONTRACTOR PHONE (952) 835-7777
DESCRIPTION OF WORK: Replace Bryant Furnace
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Mechanical Final
Fire Approval:
PW Approval:
To request an inspecdlon: (952) 442-7520
Date: Engineering
Approval:
Date: Other (
Date:
Date:
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CITY OF SPRING PARK
4349 Warren Avenue
Spring Park, MN 55384
Phone: 952-471-9051 Fax:952-471-9160
PAGE 1
❑ Handout Given
❑ Lead Handout Given
31TE ADDRESS: DOS lbr e, In (lh PID:
BUILDING PERMIT
4499-0007y
Routed to MNSPECT
1) Was the home constructed before 19787 (YES Q, continue with IIne?NO continue without completing EPA Section)
2) Will the work disturb 26 sq ft of interior painted surfaces or Z20 sq ft of exterior painted surfaces? (YES o go to line 4, NO o line 3)
3) Are there any windows being replaced? (YES ❑, go to line 4, NO ❑ continue without completing EPA Section)
4) Has this home been Certified Lead Free? (YES o, you MUST Attach Certification Information, NO o complete fine 5)
:i) EPA Contractor Certification Number NAT -
_ (applies to contractor only)
PROPERTYOIMrER:. l ,r' 24h� Qk-- ..tj__ N
Contact Name.
Contractor License No:
TYPE OF WORK:
Commercial esldential
EST. VALUATION OF WORK
s ( , 350
Square feet:
Description of
Zi
New Construction
• Change of Use
• Finish Basement
Remodel
Addition
= Garage-Attached/Detach
u Accessory Structure
a Deck 3 Pool
Retaining Wall r Porch
❑ Demolition
Fire Sprinkier
Fire Ala rm
PlUmbing-Provide demA on Pape 2
Mechanical -provide deiao on Pape 2
Re -Roof
❑ R"ide
Fence
Shed
= Window/Door Replacement
# being replaced
>aAisc Other
Signature of this appikati n by nta lapel property awnar a a licensed Cotttrect0F. a the Owner's raprrantatlm, Is required arid authorizes (N IDning Administrela or designee and the Bulb Ofacls
o'Wsignq 10 enter upon the property to grfonn needed lnspsctbm. Entry my be vhthoo pnor notice. I hsreby acknowledge Ihal I Nwa row ttft OPFecintm and state that all nrormstlon is Vw aro
c•nrect to the best of my Iugwledge. I further Ogres that W work perfamned wa be in wccrdance with approved plans. specifkatkm and condnions end to abide by OI ordnance of afa Munk"My
aId the laws of the State of Minnesota regarcktg Oct{orn taken purs"M to this perm►. I agree to pay all plan rwAsw fees rA n If I cttooee not to proceed with the work. parnn *rues when work
not COMMO COd WtInn 180 days from date of permit, or 11work is wispended. abandoned, or not Inspected for 1 a0 tlays. Work bayomd the scope of this perms. or work wMW a psrml of inspection.
tie be subject to a penalty
Notes Ordinance In Effect. f-iONDAY - OAY Before 7 a.m. and after 10 P.M. Weekenda/Hofidays before 7 a.m. and after a p.m
SIGNATURE OF APPLICANT: ,Aft
(PRINTED NAME:
OCCUP. TYPE: CONST. TYPE: CODE:
VALUATION:$
Permit Fee: $ —(;0- en
Plan Review Fee: $
State Surcharge: $ Vu
Site Inspection Fee: $
S.E.C. Fee: $
Investigation Fee / Other Fee: $
Copy Charge ($.25 per 8.5 x11 page) $
Liconcc Chock ($6) 1 Lotad Chock ($6) $
Sorg-YOTAL $ J1 • '^
Plumbing Fee (from Page 2) $
Mechanical Fee (from Page 2) $
)ecial Conditions/Required Setbacks:
Building Approval By.
Printed Building Approve By.
City Approval Byl.
wn
Paid:Date: l 5 a� Receipt No.�
This Is the signature of: z Owner or X Owner's R
BLDG SPRINKLED Yes / No
WAC Charge: $
Sewer & Water Hook -Up: $
Sewer & Water Disconnect: $
Water Meter. $
Muni SENA Fee: $
*2016 SAC Escrow: %2 Aa
Other. R —
TOTAL DUE:
Commetelal Plans will be submitted to the Met Counca Environmental Svc.
for SAC determination. Escrow Payment will be required when permit is isaued, if
after Mot Coundl review no SAC Is determined, escrow will be refunded In full.
DATE:
❑ License Verification ❑ Lead Verification - C�ed
DATE:
1 By �—M
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Paris, MN 55384
(952)471-9051
24SP-00074 I Mechanical Replacement - Single Appliance (Residential)
Payment Amount:
Transaction Method
Check
Comments
Assessed Fee Items
$51.00
Payer Cashier
Pronto Heating and AC Jamie Hoffman
x
SPRING PAR
On Lake Winnetonk¢
Receipt Number. 383
October 15, 2024
Reference Number
21561
Fee items being paid by this payment
Assessed Fes Item Account Code Assessed Amount Paid Balance Due
09/06/24 State Surcharge (Fixed)
$1.00 $1.00 $0.00
09/06/24 Residential Mech./Plg. Replacement Permit
$50.00 $50.00 $0.00
Application Info
Property Address
3902 SHORELINE DR
SPRING PARK, MN 55384
Description of Work
Replace Brvant Furnace
Property Owner
JEFFREY S GARBERG
Totals$51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address
3902 SHORELINE DR
SPRING PARK, MN 55384
Valuation