Permits - Permit# 25SP-00050 - 2433 Black Lake Road - 7/23/2025City of Spring Park I Mechanical (Residential
PARK
4349 Warren Ave, Spring Park, MN 55384
25SP-00050
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
Date Issued: 07/23/2025
Property Owner: PHILLIP ANTHONY & DEBRA LANE
Expiration Date: 01/19/2026
HOLINKA
Job Site Address: 2433 BLACK LAKE RD, SPRING
Mailing Address: 17 OAK LANE
PARK, MN 55384
Category: Residential Miscellaneous
SPRINGFIELD, MN 62712
Permit Type: Mechanical (Residential)
Phone: (309) 453-2115
Valuation:
Email: dlholinka@gmail.com
Description of Work:
Install gas line for generator. Rework some supply's, returns and vinting for house is getting remodeled
Subdivision:
Required Setbacks:
Parcel ID: 19-117-23-12-0019
Filing:
Actual Setbacks:
Lot:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary METRO VENT LLC (612) 716-9429
State Surcharge (Fixed)
$ 1.00
Residential Mechanical Permit
$ 75.00
Total Fees:
$ 76.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
07/23/2025
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
OnLa�f9l1innetonka 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
AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE.
Mechanical
PERMIT NO.: 25SP-00050 PERMIT TYPE: (Residential) ISSUED DATE: 07/23/2025 EXPIRATION DATE: 01/19/2026
19-117-23-
PROJECT ADDRESS: 2433 BLACK LAKE RD, SPRING PARK, MN 55384 PARCEL NO.: 12-0019
PHILLIP ANTHONY & DEBRA LANE
OWNER: HOLINKA OWNER PHONE: (309) 453-2115
CONTRACTOR: METRO VENT LLC CONTRACTOR PHONE: (612) 716-9429
APPLICANT: Metro Vent LLC APPLICANT PHONE: (612) 716-9429
DESCRIPTION OF WORK: Install gas line for generator. Rework some supply's, returns and vinting for house is getting remodeled
CONSTRUCTION TYPE:
INSPECTION
DATE
INSP PASSED COMMENTS
OCCUPANTLOAD:
Mechanical Rough -In
(Reports
DATE
INSPECTION INSP PASSED COMMENTS
lAir/Hydrostatic Test
Mechanical Final
Fire Approval: Date: Engineering
Approval:
PW Approval: Date: Other
To request an inspection: (952) 442-7520
Date:
Date:
Page 1 of 1
CITY OF SPRING PARK
PAGE 1
BUILDING PERMIT
4349 Warren Avenue
55p-0005 C .)
Spring Park, MN 55384
❑ Handout Given
Routed to SAFEbuilt
Phone: 952-471-9051 Fax: 952-471-9160
❑ Lead Handout Given
SITE ADDRESS: 2433 Black IaKe 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 >-6 sq ft of interior painted surfaces or 2:20 sq
ft of exterior painted surfaces? (YES ❑ go to line 4, NO❑line 3)
3) Are there any windows being replaced? (YES ❑, go to line 4, NOD continue without completing EPA Section)
4) 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: Phillip H011nka
Address: 2433 Black lake Rd
city: Sprin Park State: MN zip: 55384
Email:
Contact Name: Phillip
Phone:
CONTRACTOR: Metro Vent LLC
Address: 7480 County Road 10
city: Chaska State: MN zip 55318
Phone: 612-716-9429 Fax:
Contractor License No: MB 707584
Contact Name: Chad Phone: 612-716-9429
Email: chad@metroventllc.com
ARCHITECT: NA
Address:
City. State: M N zip
Phone: Fax
Email:
Contact Name: Phone:
TYPE OF WORK: ❑New Construction
❑Deck ❑Re -Roof
❑Commercial EIResidential ❑Change of Use
[]Pool ❑Re -Side
EST. VALUATION OF WORK ❑Finish Basement
❑Retaining Wall ❑Fence
$ 4800.00 ❑Remodel
❑Porch ❑Shed sq ft
Square feet: ❑Addition
❑Demolition ❑Window/Door Replacement
❑Garage-Attached/Detach
❑Plumbing -provide detail on Page 2 # being replaced
Detailed Description of Work: ❑Accessory Structure
EI Mechanical -provide detail on Page 2 ❑Misc Other
Rework some supply's, returns and vinting for house is getting remodeled
Add new gas line for possible generator
signature of Ihis application by the legal property owner or a Ilcensed contractor. as the owner's representative. cs required and authorizes the Zoning Administrator or designee and the Building
Official or designee to enter upon the property to perform needed inspections Entry may be without prior notice I hereby acknowledge that I have read this application and stale that all information
.s true and correct to the best of my knowledge. I further agree that all work performed will be in accordance with approved plans, specifications and conditions and to abide by all ordinances of the
Municipality and the laws of the State of Minnesota regarding actions taken pursuant to this permit I agree to pay all plan review fees even if I choose not to proceed with the work. Permit
expires when work is not commenced within 180 days from dale of permit, or if work is suspended,
abandoned, or not inspected for 180 days Work beyond the scope of this permit, or work without
a permit or inspecitton will be subrect to a penalty
SIGNATURE OF APPLICANT: Chad Buesgens
DATE: 7-21-25
PRINTED NAME:
This is the signature of: [-]Owner or ❑Owner's Representative
OCCUP. TYPE: CONST TYPE: CODE:
BLDG SPRINKLED Yes / No
VALUATION: $
Permit Fee: $ '� L 5
Park Dedication: $
Plan Review Fee: $
SAC Charge: $
State Surcharge: $ _ S
WAC Charge: $
Site Inspection Fee: $
Sewer Hook -Up: $
S.E.C. Fee: $
Water Hook -Up: $
Investigation Fee / Other Fee: $
Sewer Trunk: $
j
Copy Charge ($.25 per 8.5x11 page) $
Water Trunk: $
p
License Check ($5) / Lead Check ($5) $
Water Meter $
W
rn
SUB -TOTAL $
City Fee: $
Z)
Plumbing Fee (from Page 2) $
Other: $ 1
v
Mechanical Fee (from Page 2) $
TOTAL DUE: $ %I'o • v
LL
Special Conditions/Required Setbacks:
O
Building Approval By
DATE:
Printed Building Aprovglj3y:
❑ License Verification ❑ Lead Verification - Checked By:
City Approval By:
DATE:
Paid: Date: I
Receipt No.
3U By:
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL INFORMATION
Mechanical Contractor: Metro Vent LLC Address: 7480 County Road 10
city: Chaska State: MN Zip: 55318 Phone: 612-716-9429 Fax:
State Bond No: MB 707584 lContact
Name: Chad Buesgens
Email: Chad@metroventllc.com lContact
Phone: 612-716-9429
Detailed Description of Work:
Rework some supply's, returns and vinting for house is getting remodeled Add new gas line for possible generator
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 Quantity Quantity
Furnace Kitchen Fan Furnace 1 generatro
Air Conditioning System Bath Fan Fireplace
Air Exchanger Grill Unit Heater
Fireplace Water Heater
Unit Heater Grill
In Floor Heat Dryer
Gas Loa Stove
Office Use Only:
❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $
El Addition/Remodel Gas Line Permit Fee: $
❑ New Construction State Surcharge: $ 1.00
❑ Other Other: $
Total Mechanical Permit: $
PLUMBING INFORMATION
Plumbing Contractor: Address:
City: State: Zip: Phone: Fax
Plumbers License No:
State Bond No. -
Contact Name:
Contact Phone:
Email:
Detailed Description of Work:
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture)
PLUMBING FIXTURES
Quantity Quantity Quantity
Water Heater Shower Laundry Tub
❑Gas []Electric Dishwasher Rough -In Future Fixture
Water Softener Clothes Washer Sump
Lawn Sprinkler System Ice Maker Line Water Piping System
Water Closet (Toilet) Hose Bib Floor Drain
Lavatory (Wash Basin) Bathtub
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
Sent: Tuesday, July 22, 2025 4:57 PM
To: Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: CHAD BUESGENS Permit Payment to Spring Park, MN - Permits & Licenses from TPG
Dear Spring Park, MN - Permits & Licenses,
CHAD BUESGENS has made a web Payment through The Payment Group for:
Payment Information
Date Paid: Tuesday, 22 July 2025 16:57:01 CT
Confirmation: OY3US1
1
Credit Card Number (last 4
digits):
Credit Card Type:
CHAD BUESGENS
r
MasterCard
2433 BLACK LAKE
METRO VENT LLC ROAD SPRING PARK
MN 55384
$76.00
CHAD BUESGENS can be reached at: 612-716-9429 or chad@metroventllc.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 Group!
1
Jamie Hoffman
From: payment@thepaymentgroup.com
Sent: Wednesday, July 23, 2025 9:25 AM
To: Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: MARK LEE Permit Payment to Spring Park, MN - Permits & Licenses from TPG
�PuA V MERouP
Dear Spring Park, MN - Permits & Licenses,
MARK LEE has made a web Payment through The Payment Group for:
Date Paid:
Confirmation:
Credit Card Number (last 4
digits):
Credit Card Type:
MARK LEE
Wednesday, 23 July 2025 09:25:20 CT
FAV6E3F
9164
Visa
FIREHOUSE FOODS MINNETRISTA, MN FOOD TRUCK $75.00
55364 SALES PERMIT
MARK LEE can be reached at: 612-384-1302 or markpaullee@gmail.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 Group!
1
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
25SP-00050 i Mechanical (Residential)
Payment Amount: $76.00
" -�-- I--. W P090--w
SPRING PARK
On Lake Minnetonka
Receipt Number: 459
July 23, 2025
Transaction Method Payer
Cashier
Reference Number
Credit Card Metro Vent LLC
Jamie Hoffman
0Y3USI
Comments
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item
On
Account Code
Assessed Amount Paid
Balance Due
07/21/25 State Surcharge (Fixed)
$1.00 $1.00
$0.00
07/21/25 Residential Mechanical Permit
$75.00 $75.00
$0.00
Totals:
$76.00 $76.00
Previous Payments
$0.00
Remaining Balance Due
$0.00
Application Info
Property Address Property Owner Property Owner Address Valuation
2433 BLACK LAKE RD PHILLIP ANTHONY & DEBRA 17 OAK LANE
SPRING PARK, MN 55384 LANE HOLINKA SPRINGFIELD, MN 62712
Description of Work
Install gas line for generator. Rework some supply's, returns and vinting for house is getting remodeled