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Permits - Permit# 26SP-00088 - 2424 Black Lake Road - 9/23/2026'WI I City of Spring Park I Plumbing (Residential) PARK Xinnet 4349 Warren Ave, Spring Park, MN 55384 Phone:(952) 471-9051 Fax: (952) 471-9160 For Inspections: (952) 442-7520 26SP-00088 Date Issued: 09/23/2026 Property Owner: ALYSSA ANNE PURDY Expiration Date: 03/22/2027 Mailing Address: 2424 BLACK LAKE RD Job Site Address: 2424 BLACK LAKE RD, SPRING PARK, MN 55384 SPRING PARK, MN 55384 Category: Residential Miscellaneous Phone. Permit Type: Plumbing (Residential) Email: Valuation: Description of Work: Replace water heater Subdivision Required Setbacks: Parcel ID: 19-117-23-12-0007 Filing: Actual Setbacks: Lot: Block: Total Sq Ft: Contractors: Fee Items Amount Primary APOLLO PLUMBING INC (612) 280-8086 State Surcharge (Fixed) $ 1.00 Plumbing APOLLO PLUMBING INC (612) 280-8086 Residential Plumbing Permit $ 80.00 Total Fees: $ 81.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 09/23/2026 MUST BE POSTED ON JOB SITE INSPECTION CARD City of Spring Park SPRING PARK OnLake Minnetonka 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, Plumbing PERMIT NO.: 26SP-00088 PERMIT TYPE: (Residential) ISSUED DATE: 09/23/2026 EXPIRATION DATE: 03/22/2027 19-117-23- PROJECT ADDRESS: 2424 BLACK LAKE RD, SPRING PARK, MN 55384 PARCEL NO.: 12-0007 OWNER: ALYSSA ANNE PURDY OWNER PHONE: CONTRACTOR: APOLLO PLUMBING INC CONTRACTOR PHONE: (612) 280-8086 APPLICANT: Apollo Plumbing - Candy APPLICANT PHONE: (612) 280-8086 DESCRIPTION OF WORK: Replace water heater CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Underground Plumbing Plumbing Rough -In Plumbing Final Fire Approval: Date: Engineering Date: Approval: PW Approval: Date: Other( ): Date: To request an inspection: (952) 442-7520 Page 1 of 1 CITY OF SPRING PARK 4349 Warren Avenue PAGE 1 BUILDING PERMIT Umw Spring Park, MN 55384 F-1 Email completed form to City of Spring Park to the attention of; Phone: 952-471-9051 jkhoffman@ci.spring-park.mn.us Routed to SAFEbuilt Email: jkhoffman®ci.sprin - ark.mmus SITE ADDRESS:2424 Black LaKe Rd, Spring Park. MN 55384 PID: 1) Was the home constructed before 178? (YES❑, continue with line 2, NO © continue without completing EPA Section) 2) Will the work disturb z8 sq ft of interl{or painted surfaces or >_20 sq ft of exterior painted surfaces? (YES ❑ go to line 4, NO01ine 3) 3) Are there any windows being replacAd? (YES ❑, go to line 4, NO[Ocontinue without completing EPA Section) 4) Has this home been Certified Lead gree? (YES ❑ , you MUST Attach Certification Information, NO ❑ complete line 5) 5) EPA Contractor Certification Numb r. NAT - PROPERTY OWNER:Alyssa Purdy Address 2424 Black Lake Rd city:Spring Park state: MN zip: 55384 Email:alyssap@gmail.com ContactName:Alyssa Purdy Phone: 612-281 -9847 CONTRACTOR: Address: City. State: Zip: Phone: Fax: Contractor License No: Contact Name: Phone: Email: ARCHITECT: Address: City: State: MN Zip: Phone: Fax: Email: Contact Name: Phone: TYPE OF WORK: [3 New Construction ❑Deck [3Re-Roof ElCommercial E]Residential ❑Change of Use ❑Pool ❑Re -Side []Finish Basement ❑Retaining Wall ❑Fence EST. VALUATION OF WORK 5 2892 [3 Remodel ❑Porch ❑Shed sqft Square feet: ❑Addition ❑Demolition C3Window/Door Replacement ❑Garage-Attached/Detach i7Plumbing-provide detail on Page 2 # being replaced []Accessory Structure []Mechanical-orovlde detail on Page 2 ❑Mist Other Detailed Description of Work: Signature or this apN-,at n by die lwinr property owns Ora licensed contractor, as the owners representative, Is required and autrtonzee the Zoning Administrator or designee and the Building Official or designee to enter upon the property to pe i needed Inspections. Entry may he without prior nolke. I hereby acknowledge that I have read this application and stale that all Informallon s true and correct to the best of my knowledge. I furthe Municipality and the laws of the Stat4 of Winnesota reg+irding agree that all work performred will be in accordance with approved plans, specifications and conditions and to abide by all ordinances of the 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 etplres when work Is not commenced within 180 days f4irn date of permit, or if work is suspended, abandoned, or not inspected for 180 days Work beyond the scope of this permit, or work without rt oermil or insoection. will be sublet[ to a oenalty. SIGNATURE OF APPLICAN . \ DATE:09/22/2026 PRINTED NAME: Candy Martinez jOffice Man qer This Is the signature of: ❑Owner or ©Owner's Representative OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes I No VALUATION: $ Permit Fee: $ Park Dedication: $ Plan Review Fee $ SAC Charge: $ State Surcharge $ WAC Charge: $ Site Inspection Fee: $ Sewer Hook -Up: $ S.E.C. Fee: $ Water Hook -Up: $ Investigation Fee / Other Fee: $ Sewer Trunk: $ z Copy Charge ($.25 per 8.5x11 page) $ Water Trunk: $ _ 0 License Check ($5) / Lead Check ($5) $ Water Meter $ Cn SUB -TOTAL ; ' SAC or City Fee:$ D Plumbing Fee (from Page 2) $ Other: $ Mechanical Fee (from Page 2) $ TOTAL DUE: $ _U LL LL Special Conditions/Required Setbacks: O Building Approval By: I DATE: Printed Building Approval ❑ License Verification ❑ Lead Verification - Checked By: City Approval By: DATE: Paid: Do Date: Li (C Receipt No. K By: j� CITY OF SPRING PARK ❑ MECHANICAL PERMIT IrPLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL•' + • Mechanical Contractor: Address: City: State: Zip Phone Fax: State Bond No: Contact Name: Email: lContact Phone: Detailed Description of Work: Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count `or each type of fixture): MECHANICAL F/XTU S GAS LINES Quantityuantl QuantiW Furnace itchen Fan Furnace Air Conditioning System ath Fan Fireplace Air Exchanger Grill Unit Heater Fireplace Water Heater Unit Heater Grill In Floor Heat Dryer Gas Log Stove OfRee Use Only: p Replacement (one fixture only, no pip g or vent changes) Mechanical Permit Fee: $ _ ❑ Addition/Remodel Gas Line Permit Fee: $ ❑ New Construction State Surcharge: $ 1.00 ❑ Other Other: $ _ Total Mechanical Permit: $ PLUMBING INFORMATION Plumbing Contractor:Apollq Plumbin Address.307 Jackson Ave Ste 4 city: Elk River Stbte:MN Zip:55330 Phone:612-280-8086 Fax: Plumbers License No: PC645875 State Bond No: Contact Name:Jim Aeshliman Contact Phone:612-280-8086 Email: manager api-plumbing.Co Detailed Description of Work: Replace water heater Indicate type of project and fix res you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES Quantity uantiQuantity Water Heater Shower Laundry Tub 91Gas ❑Electric Dishwasher Rough -In Future Fixture Water Softener 6lothes Washer Sump Lawn Sprinkler System Ire Maker Line Water Piping System Water Closet (Toilet) Hose Bib Floor Drain Lavatory (Wash Basin) Bathtub Office Use only. OReplacement (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: payment=thepaymentgroup.com@mg.thepaymentgroup.com on behalf of payment@thepaymentgroup.com Sent: Tuesday, September 22, 2026 3:12 PM To: Jamie Hoffman Cc: payment@thepaymentgroup.com Subject: JIM AESHLIMAN Permit Payment to Spring Park, MN - Permits & Licenses from TPG ATTENTION: if you need assistance with this payment, please FORWARD this email to tpoclientsupl)or« t nuvei.com and include your request. Your client manager will respond. Dear Spring Park, MN - Permits & Licenses, JIM AESHLIMAN has made a web Payment through The Payment Group for: Payment Information Date Paid: Tuesday, 22 September 2026 15:12:00 CT Confirmation: WKHQZU Credit Card Number (last 4 4719 digits): Credit Card Type: Visa First Name Last Name JIM AESHLIMAN Full Address - Permit or Payment Business Name City, State & License Amount Zip Number 2424 BLACK APOLLO LAKE RD, PC645875 $81.00 PLUMBING INC SPRING PARK, MIN 55384 JIM AESHLIMAN can be reached at: 612-280-8086 or manager@api-plumbing.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! i RECEIPT City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952)471-9051 SPRING PARK 26SP-00088 I Plumbing (Residential) On Lake 914innetonka Receipt Number: 601 Payment Amount: $81.00 September 23, 2026 Transaction Method Payer Cashier Reference Number Credit Card Apollo Jamie Hoffman WKHQZU Comments Assessed Fee Items Fee items being paid in this transaction Assessed Fee Item Account Code Assessed Amount Paid waived or Balance Due On Discounted 09/22/26 State Surcharge (Fixed) $1.00 $1.00 $0.00 $0.00 09/22/26 Residential Plumbing Permit $80.00 $80.00 $0.00 $0.00 Totals., Application Info Property Address Property Owner 2424 BLACK LAKE RD ALYSSA ANNE PURDY SPRING PARK, MN 55384 Description of Work Replace water heater $81.00 $81.00 $0.00 Previous Payments/Waivers $0.00 Remaining Balance Due $0 00 Property Owner Address 2424 BLACK LAKE RD SPRING PARK, MN 55384 Valuation