Permits - Permit# 24SP-00142 - 4001 Sunset Drive - 1/2/2025City of Spring Park Plumbing Replacement -
Single Fixture Residential
4349 Warren Ave, Spring Park, MN 55384
FnMINGPAR 24SP-00142
Laky 3finneta
Phone:(952) 471-9051 Fax: {952} 471-9160
For Inspections: (952) 442-7520
Date Issued: 01/02/2025 Property Owner: CATHERINE STEPANEK/MARK R
Expiration Date: 07/01/2025 STEPANEK REVOC TRUST
Job Site Address: 4001 SUNSET DRIVE, SPRING PARK, Mailing Address: 5121 MINNEAPOLIS AVE
MN 55384
Category,. Residential Miscellaneous MOUND, MN 55364
Permit Type: Plumbing Replacement - Single Fixture Phone:
(Residential) Email:
Valuation:
Description of Work:
Install WH
Subdivision: Required Setbacks:
Parcel ID: 1711723330093
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary APPLIANCE CONNECTIONS INC (952) 445- State Surcharge (Fixed) $ 1.00
4803 Residential Mech./Pig. Replacement Permit $ 50.00
Total Fees: $ 51.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
01/02/2025
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
OnLakg9lfinnctonkp 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A WE CONSPKWUS LOCATM. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECnONB ARE MADE AND SIGNED OFF BY THE APPROPRIATE
= AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE J0831TE
Plumbing
APPLICATION NO.: 24SP-00142 TYPE: Replacement - ISSUED DATE: 01/02/2025 EXPIRATION DATE: 07/01t2025
Single Fixture
(Residential)
1711723330
PROJECT ADDRESS: 4001 SUNSET DRIVE, SPRING PARK, MN 55384 PARCEL NO.: 093
CATHERINE STEPANEKIMARK R
OWNER: STEPANEK REVOC TRUST CONTRACTOR: APPLIANCE CONNECTIONS INC CONTRACTOR PHONE: (952) 445-4803
DESCRIPTION OF WORK: Install WH
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
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 TBDING PERMIT
4349 Warren Avenue SpringPark, MN 55384 ❑ Handout GivenPhone: 952-471-9051 Fax: 952-471.9160 ❑ Lead Handout Givend to MNSPECT
:IITE ADDRESS: ! S45��i t/f PID:
1) Was the home constructed before 1978? (YES o• continue with line 2, NO o Continue without completing EPA Section)
2) Will the work disturb 26 sq ft of Interior painted surfaces or �20 sq ft of exterior painted surfaces? (YES ❑ go to line 4, NO n line 3)
3) Are there any windows being replaced? (YES ❑, go to line 4, NO 13 continue without completing EPA Section)
4) Has this home been Certified Lead Free? (YES ❑, you MUST Attach Certification Information, NO ❑ complete line 5)
i) EPA Contracfor Certification Number. NAT -
(applles to contractor only)
Contact
•, ` ;•��
s• r
TYPE OF WORK:
a Commercial Residential
EST. VALU OF WORK
❑ New Construction ❑ Deck ,- , ❑ Pool
❑ Change of Use ❑ Retaiiiimg Wall ❑ Porch
❑ Finish Basement o Demolition
❑ Remodel ❑Fire SprinF�er' �
❑ Addition ❑ FreAlarm 3'
u Garage-Attached/Detaeh plumbing -provide demq on rage 2
❑ Gesso ructure - ❑ Mechanical -provide detaH on Pape 2
hone:
o Re -Roof
❑ Reside
❑Fence
c Shed
❑ Window/Door Replacement
# being replaced
n Misr. [m,ar
DeTtalled - rlp' ri of rk:
Q11 WO of tltls a;Vfcaibn by to legel property caner ar a kensed tor, as the ovmet1 repreeentaMs, la nquisd and SUit, as 1M Zo --
frrW to Vie beat o wtW upon the Pmp, I m perform needed InspecUxm, Entry may be WUtout prior notice, I Mrsoy 8t Admintatretor ar Ws1p»e and Vre &AWtg oftbte
my latawiedpe. I tlattrr aproa that el work 10-fflodye that I have reed tNs WPR4tfon and stab tat 91 Information b true am
o tlw Jews ofthe Stab of Mlnneaota P�nt•o >+'a bs to accordance with apprwad Plana, Wstlflta9orn end conditions and to I" by a1 ordnancw of the Munk4nity
not tommwtced VOMt 180 days from deft of sctlaor te It wn k IS MMPwit to ihla perm IL ! OW- to Pay eu Olen r*vbw ra® wwt If 1 choose not to Proceed with ihO wok. Penn n e�Wea when work
Ih be sublea to a penally- �' It work h d, aDmtdwed. or not ktspected for 180 days. work beyond the scope of tMs PWMII. or work Mffio t a pmmt or Inspectlon.
Noise Ordinance In Effect_1 ONDAY - FRIDAY alliqj 7 am a er 10 pm WeekendaMolidays before 7 a.m. and after 8 D.M.
VALUATION: $ _
Permit Fee: $ •mD
Plan Review Fee: $
State Surcharge: $
Site Inspection Fee: $
S_E•C_ Fee: $
Investigation Fee / Other Fee: $
Copy Charge ($.25 per 8.5 xi page) $
0 Li-- Choct- ($5) r Laad Chock ($6) $
Lu SUB -TOTAL $ �.
Plumbing Fee (from Page 2) $
Lu Mechanical Fee from Pa e 2 $
U.a Special Con dltlons/Required Setbacks:
O
Building Approval By:
Printed Building Approval By -
city Approval By.
Paid: 5 �. Date:
This is the signature of: o Owner or ❑ lye
BLDG SPRINKLED Yes
WAC Charge: $
Sewer & Water Hook -Up: $
Sewer & Water Disconnect $
Water Meter: $
Muni SE/WA Fee: $
2016 SAC Escrow: &2 }i 85
Other. $
TOTAL DUE: $ '� • �.-.
'NOTE: Consnerciar grans will be submltbd to the Mat CouW1 cnvlronnbahte) Sven
for Mc dsterminatlon. Escrow payment will be required when Permit Is issued. If
aRm Met Council review no SAC is determined, esriow will be rutunded In full.
DATE:
O License Verification ❑ Lead Verification - Checked
DATE:
Receipt No. f� tk_ BY
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
PAGE 2 ❑ PLUMBING PERMIT
FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
I Contractor:
Detailed Descriptlon of
Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count for each type
MECHANICAL F&TURES
a`� GAS LINES yp of fixture):
ua
Furnace Kitchen Fan17,
Air Conditioning System Bath Fan FurnaceAir Exchanger Grill Fireplace
F• �.
replace
Una Heater
Unit Heater
Water Heater
In Floor Heat
_ Grill
Gas L aq
Dryer
❑ Replacement (one fixture only, no piping or vent changes)
D AddibordRemodel
❑ New Construction
❑ Other
ice use Only
Mechanical Permit Fee: $
Gas Line Permit Fee: $
State Surcharge: $
Total Mechankal PermfL- =
Indicate type of Project ect and --~—
fixtures you will be installing or replacing (include count for each type of fixture):
t PL(IMSING FDrrLgWS
Water Heater Shower �`M(-
❑ Electric Shower
—� Laundry Tub
Water Softener ClRough-4n Future Fixture
othes Washer
Lawn Sprinkler System C4 Maker Line Sump
)
Water Closet (Toilet) Water PiOnxt System
Lavato Hose Bib
ash Basin) R,�„� Floor Drain
t
lacement (one fixture only, no piping or vent changes)
ltion/Remodel
❑ New Construction
❑ Other
Use only;
Plumbing Permit Fee: $
State Surcharge $
Other. $
Total Plumbing Permit: $
Jamie Hoffman
From:
payment@thepaymentgroup.com
Sent:
Thursday, January 2, 2025 11:33 AM
To:
Jamie Hoffman
Cc:
payment@thepaymentgroup.com
Subject:
KENNETH THOMPSON Miscellaneous Payment to Spring Park, MN
from TPG
�PNAVMENI
GROU"
Dear Spring Park, MN - Misc. Payments,
KENNETH THOMPSON has made a web Pavment through The Payment Group for:
: Payment Information
Date Paid:
Confirmation:
Credit Card Number (last 4
digits):
Credit Card Type
Thursday, 02 January 2025 11:33:02 CT
ZEJ3HL
9936
Visa
Misc. Payments
First Name lLast Nam Type of Paymeni Payment Amount
KENNETH THOMPSON can be reached at: 952-887-1613 or britney@budgetexteriors.com if there
are any questions regarding this payment.
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
24SP-00142 1 Plumbing Replacement - Single Fbcture (Residential)
Payment Amount
Transaction Method
Credit Card
Comments
$51.00
Payer Cashier
Appliance Connections Jamie Hoffman
Assessed Fee Items
Fee items being paid by this payment
SPARING PARK
On Gaff 911innetonb
Receipt Number: 408
January 2, 2025
Reference Number
ZEJ3HL
Assessed Fee Item
On Amount Code Assessed Amount Paid Balance Due
12/30/24 State Surcharge (Fixed)
12/30/24 Residential Mech./Pig. Replacement Permit
Application Info
Property Address
4001 SUNSET DRIVE
SPRING PARK, MN 55384
Description of Work
Install WH
Property Owner
CATHERINE
STEPANEKIMARK R
STEPANEK REVOC TRUST
$1.00 $1.00 $0.00
$50.00 $50.00 $0.00
Totals' $51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address
5121 MINNEAPOLIS AVE
MOUND, MN 55364
Valuation