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Permits - Permit# 25SP-00007 - 4317 Channel Road - 1/28/2025A-rl City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 Phone:(952) 471-9051 Fax: (952) 471-9160 For Inspections: (952) 442-7520 Plumbing Replacements Single Fixture (Residential 25SP-00007 Date Issued: 01/28/2025 Property Owner: PATRICK BERRY & HANNAH BERRY Expiration Date: 07/27/2025 Mailing Address: 4317 CHANNEL RD Job Site Address: 4317 CHANNEL RD, SPRING PARK, MN 55384 SPRING PARK, MN 55384 Category: Residential Miscellaneous Phone: Permit Type: Plumbing Replacement - Single Fixture (Residential) Email: Valuation: Description of Work: Install New Water Meter Subdivision: Required Setbacks: Parcel ID: 19-117-23-12-0033 Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount Primary RIVERSIDE MECHANICAL INC (952) 894- 7600 State Surcharge (Fixed) Residential Mech./Plg. Replacement Permit $ 1.00 $ 50.00 Total Fees: $ 51.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 01/28/2025 MUST BE POSTED ON JOB SITE INSPECTION CARD iik City of Spring Park SPRIMIS PARK onGakv 1ltinmmnko 4349 Warren Ave, Spring Park, MN 55384 POST THIS CARD IN A SAFE CONSPICUOUS LOCAT 0K PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORRYAND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOasiTE. Plumbing APPLICATION NO.: 25SP-00007 TYPE: Replacement- ISSUED DATE: 01/28/2025 EXPIRATION DATE: 07/27/2025 Single Fixture (Residential) 19-117-23- PROJECTADDRESS: 4317 CHANNEL RD, SPRING PARK, MN 55384 PARCEL NO.: 12-0033 PATRICK BERRY & HANNAH OWNER: BERRY CONTRACTOR: RIVERSIDE MECHANICAL INC CONTRACTOR PHONE: (952) 894-7600 DESCRIPTION OF WORK: Install New Water Meter CONSTRUCTION TYPE: OCCUPANT LOAD: DATE INSPECTION INSP PASSED COMMENTS Plumbing Final Fire Approval: Date: PW Approval: Date: To request an inspection: (952) 442-7520 DATE INSPECTION INSP PASSED COMMENTS Engineering Date: Approval: Other ( ): Date: Page 1 of 1 CITY OF SPRING PARK 4349 Warren Avenue PAGE 4 BUILDING PERMIT Spring Park, MN 55384 ❑ Handout Given Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to SAFEbuilt MITE ADDRESS:4317 Channel Rd PID: 1) Was the home constructed before 1978? (YES❑, continue with line 2, NO ❑ continue without completing EPA Section) 2) Will the work disturb a6 sq ft of interior painted surfaces or 2:20 sq ft of exterior painted surfaces? (YES ❑ go to line 4, NOMline 3) 3) Are there any windows being replaced? (YES ❑, go to line 4, NO❑continue without completing EPA Section) 1) Has this home been Certified Lead Free? (YES ❑ , you MUST Attach Certification Information, NO ❑ complete line 5) 5) EPA Contractor Certification Number: NAT - PROPERTY OWNER: Giity: State: M N zip: i"ontact Name: CONTRACTOR: Riverside Mechanical t;.t : Brooklyn Park state: MN zip:55445 Contractor License No: PC644809 Finail: matt@riversidemech.com OMCHITECT: cam: State: MN ZD: Email. TYPE OF WORK: EST. VALUATION OF Square feet: Detailed Description of Work: Installing new water meter Address: Email: Phone: Address:8600 Xylon Ave N STE106 Phone:952-894-7600 Fax: Contact Name: Matt Phone: 952-894-7600 Address: ❑New Construction ❑Deck ❑Change of Use OPool ❑Finish Basement ❑Retaining Wall ❑ Remodel ❑Porch ❑Addition ❑Demolition ❑ Garage-Attached/Detach I]Plumbing-provide detail on Page 2 DAccessory Structure ❑MechaniCal-provide detail on Pape 2 Fax: Phone: ❑ Re -Roof ❑Re -Side ❑Fence ❑Shed sq ft ❑Window/Door Replacement # being replaced ❑Misc Other �tgnature or this application by the legal property owner or a licensed conlrectur. as the uwner's i eprcyrnlatrve. is rrquaea and e1,'+c. ices the Zar. ng Adru !!,st; nvr or designee and the Br; (ding f1111cial or designee to enter upon the property to perform needed nspect,ons Entr, May be without pn❑r nob: e ! h,(!by „cknr .dedy, Zr-_ t I ;t,r•_ ❑ ,tea lhs applical.un and sate I. ial alr ,nfrrmation n true and correct to the best of my knohtedge. I further agree that ail work performed � Jill he it accordance ;In app:ovec plans, specdlca:iov and mnaifons and to abode :-y ail ord:rances of the t•lunicipeiity and the laws of the State of Minnesota regarding anions taken pursuant to It..s permit. I agree to pay all plan review fees even If I choose not to proceed with the work. Permit �cpires when work is not mrn,nenced within 180 days from date of peim.t. or if work is s,rspenoed. • band mw. or inspection. wil sib ect to a erwl p+lie or n❑: inspectea fog I p7 rays WorK beyore h+e acdp.: or this oermit. or worn without be SIGNATURE OF APPLICANT: I DATE: 1 /27I25 FIRINTED NAME: Matt Hinrichs This is the signature of: []Owner or DCCUP. TYPE: pOwner's Representative CONST. TYPE: CODE: BLDG SPRINKLED Yes / No JALUATION. $ Permit Fee: $ Plan Review Fee: $ State Surcharge: $ 1.00 Site Inspection Fee: $ S.E.C. Fee: $ } Investigation Fee / Other Fee: $ Copy Charge ($.25 per 8.5xl 1 page) $ O License Check ($5)1 Lead Check ($5) $ w SUB -TOTAL $ I w Plumbing Fee (from Page 2) $ U Mechanical Fee (from Page 2) $ OSpecial Conditions/Required Setbacks. Building Approval By: Printed Building Approt al By: City Approval By Paid: } M Date: Park Dedication! 5 SAC Charge: $ WAC Charge: $ Sewer Hook -Up: $ Water Hook -Up: $ Sewer Trunk: $ Water Trunk: $ Water Meter $ City Fee: $ Other: $ TOTAL DUE: DATE: ❑ License Verification Lead Verification - Checked DATE: I Receipt No, MKWfl'67N By: l 'lf5'11 JF ,A ,i�lti� CITY OF SPRING PARK ❑ MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL INFORMAT17N Mechanical Contractor: Address: City: State: Zip: Phone: Fax: State Bond No: Contact Name: Email Contact Phone: Detailed Description of Work: 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 Quantity uanti Quantity Furnace Kitchen Fan Furnace _ Air Conditioning System Bath Fan Fireplace Air Exchanger Grill Unit Heater Fireplace Water Heater Unit Heater In Floor Heat Gas Loa ❑ Replacement (one fixture only, no piping or vent changes) ❑ Addition/Remodel ❑ New Construction ❑ Other Plumbing Contractor: Riverside McChanical� city: Brooklyn Park state: MN zip:55445 Plumbers License No: PC644809 Contact Name: Matt Email: matt@riversidemech.com Detailed Description of Work: Install New Water Meter Grill Dryer Stove O icv Use Only: Mechanical Permit Fee: $ Gas Line Permit Fee: $ State Surcharge: $ Other $ Total Mechanical Permit: $ Address:8600 Xylon Ave N STE106 Phone :952-894-7600 Fax: State Bond No: Contact Phone:952-894-7600 well] Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES antiantity QuantityQuantity _ Water Beater Shower Laundry Tub ❑Gas ❑Electric Dishwasher Rough -In Future Fixture i Water Softener Clothes Washer Sump i Lawn Sprinkler System Ice Maker Line Water Piping System — Water Closet (Toilet) Hose Bib Floor Drain Lavatory (Wash Basin) Rnthtiih Office Use Only: ❑Replacement (one fixture only, no piping or vent changes) Plumbing Permit Fee: $ ❑Addition/Remodel State Surcharge $ 1.00 ❑New Construction Other: $ ❑Other Total Plumbing Permit: $ Jamie Hoffman From: payment4=thepaymentgroup.com@mg.thepaymentgroup.com on behalf of payment4 @thepaymentgroup.com Sent: Tuesday, January 28, 2025 9:50 AM To: Jamie Hoffman Cc: payment@thepaymentgroup.com Subject: RICHARD RUSSELL Permit Payment to Spring Park, MN - Permits & Licenses from TPG Dear Spring Park, MN - Permits & Licenses, RICHARD RUSSELL has made a web Payment through The Payment Group for: Date Paid: Tuesday, 28 January 2025 09:50:22 CT Confirmation: Credit Card Number (last 4 digits): Credit Card Type: RICHARD RUSSELL MKWHEA 6961 MasterCard RIVERSIDE 8600 XYLON AVE N, MECHANICAL STE 106 BROOKLYN PARK, MN 55445 $51.00 RICHARD RUSSELL can be reached at: 952-894-7600 or matt@riversidemech.com if there are any questions regarding this payment. Mick here to login to your The Payment Group admin account Thank you once again for choosing The Payment Groupl RECEIPT City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952)471-9051 25SP-00007 i Plumbing Replacement - Single Fixture (Residential) Payment Amount Transaction Method Credit Card Comments $51.00 Payer Cashier Riverside Mechanical Jamie Hoffman Assessed Fee Items Fee items being paid by this payment SPR ING PAS On Lakf Minnetonka Receipt Number. 411 January 28, 2025 Reference Number MKWHEA Assessed Fee Item On Amount Code Assessed Amount Paid Balance Due 01/27/25 State Surcharge (Fixed) $1.00 $1.00 $0.00 01/27/25 Residential Mech./Pig. Replacement Permit $50.00 $50.00 $0.00 Totals: $51.00 $51.00 Previous Payments $0.00 Remaining Balance Due $0.00 Application Info Property Address Property Owner Property Owner Address Valuation 4317 CHANNEL RD PATRICK BERRY & HANNAH 4317 CHANNEL RD SPRING PARK, MN 55384 BERRY SPRING PARK, MN 55384 Description of Work Install New Water Meter