Permits - Permit# SP15-006 - 2429 Black Lake Road - 1/1/2015CITY OF SPRING PARK
fA
iQ
4349 Warren Avenue Spring Park, MN 55384
Noise Ordinance In Effect:
11-1
C
3
W
Phone (952) 471-9051 Fax (952) 471-9160
Monday - Friday
0 �'
Q
before 7 a.m. and after 10 p.m.
'o
PLUMBING PERMIT
X oo
"'
Weekends/Holidays
$
3
before 7 a.m. and after 8 p.m.
DATE: H ^2�' I
PM No.
Pipelayers Card No.
SITE ADDRESS: 2`i L ( •�.7r11.'_c 1` L,` � � -
oka'L'i tl[o
OWNER
PLUMBING CONTRACTOR Name / Address / City / State / Zip / Daytime Telephone
ESTIMATED VALUE
1��.w� YYlectia,n;c�,.l 1Ytc. �b3-y gFs•�t�a S
42 N . '�S� c� �0 552)13
CLASS OF WORK: ) New ( ) Addition ( kr) Alteration ( ) Replace
�(
TYPE OF WORK: iJJ Residential ❑ Commercial
Water Closet (Toilet) Bathtub Roof Leader -Rainwater
Z Lavatory (Wash Basin) Shower Drinking Fountain
Kitchen Sink & Disp. Dishwasher Lawn Sprinkler System
Water Heater Clothes Washer Water Meter
❑ Gas ❑ Electric Water Softner Water Connection
Ice Maker Line Piping/Treating Equipment Sewer Connection
Rough -in Future Fixture Floor Sink or Drain SAC
Vacuum Breakers Sump
Plumbing Comments: Fixtures @ $5.00 each': $ 2.0. 6 O
9-Avrnod4 1 \Dm-Nhro a yr% .
`NOTE: Commercial plans will be submited to the Met Council
'2015 SAC Escrow :$2.435
Environmental Svcs for SAC (sewer availability charge) $2,485
determination. Escrow payment will be required when permit is $ ,
issued. If after Met Council review no SAC is determined, escrow
will be refunded in full. $
State Surcharge: $5.00
I
CC
Total PLUMBING Permit: $J
'Minimum Fee of $50.00
Signature of this application by the legal property owner or a licensed contractor, as the owner's representative is required and authorizes the City Zoning Administrator or designee and the City 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 state that all information is We 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 City and the laws of the State of Minnesota regarding actions taken
pursuant to this permit. I agree to pay all plan review fees even H I choose not to proceed with the work Permit expires when work Is not commenced with 180 days from date of permit issued, or ff building and work
is
suspended, abandoned or not inspected for 180 days. Work beyond or without a peril or Inspection will be subject to a penalty.
Call MNSP for inspectio�at(952)�442-7120. (24 Hour Notice) 8:00 a.m. - 4:30 p.m.
SIGNATURE OF APPLICANT: o DATE: 14-21- IS
PRINTED NAME: S DATE:
For All Rough -In And Final Inspections Call MNSPECT At (952) 442-7520 (24 Hour Notice)
For Sewer/Water Inspections Call City Hall At (952) 471-9051
i
11i13 CARD MUST BE VISIBLY POSTED,
ACCESSIBLE, AND PROTECTED FROM
WEATHER AND PHYSICAL DAMAGE
FOR THE DURATION OF THIS PERMIT.
Site Address:
Owner Name/Address:
CITY of SPRING PARK Permit #
PERMIT CARD SP15-006
(VALID FOR A SINGLE PROJECT) 4
�- lc- leiBuilding:
loft
Contractor Name/Address: e Qka�.i, ca
f'nntrnrtnr 1 irpnse_- t'f„ '� 1i R U Date Issued: t4 ' I - t S_
REFER TO HANDOUT FOR INSPECTION REQUIREMENTS
OFFICE USE
M ROOFING
SIDING WINDOW 0 DOOR
HANDOUT
INSPECTOR:
DATE:
Issued by: Received by:
FENCE 0 SHED
Front: Back:
INSPECTION:
DATE:
Side: Side:
0 MECHANICAL
0 FIREPLACE ML PLUMBING
COMMENT
ROUGH -IN:
DATE: Pressure test plumbing and hydronic piping
GAS LINE:
DATE: Air test required for new gas line
FINAL:
DATE: Gas line fitting test required
MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS WAY rtuvrc 1 v 1 nr_
Permit will expire 180 days after issuance. All work must comply with the MN State Building Code.
PHONE (952) 442-7520 MNSPECT, LLC TOLL FREE (888) 446-1801