Permits - Permit# SP-2021-00035 - 3872 Northern Avenue - 4/16/2021City of Spring Park Permit
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To Schedule an Inspection Call: 952-442-7520
Details
Permit Number: SP-2021-00035
Issue Date: 4/16/2021
Zoning Type: RESIDENTIAL
Use Type:
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS • MON-FRI: 8AM-4:30PM • NO HOLIDAYS
Site Address: 3872 NORTHERN AVENUE, SP, MN 55384
Description:
Install wood stove
Permit Granted To: GLOWING HEARTH AND HOME
Homeowner's Name: SAMUEL AND RACHEL MCNELLIS
Phone Number:
Parcel #: 1711723330087
Fees
12046 Mechanical - New Appliances 4/15/2021
12046 State Surcharge Flat Fee - $1.00 4/15/2021
Notes
Permit Type: MECH - Fireplace (Manufactured)(new)
Permit Exp: 10/12/2021
Valuation: $0.00
uantity Date Paid Status Pmt Info Amount
1.00 4/16/2021 Paid Check:33007 $75.00
1.00 4/16/2021 Paid Check:33007 $1.00
Total: $76.00
• This permit is issued in accordance with and subject to all provisions of Ordinances and policies governing building and zoning in City of
Spring Park.
• Permit Holder/Contractor/Owners Agent is responsible to call for the inspections!
• Permit Packet, including approved plan, and this inspection record must be posted in an accessible location before calling for inspection.
Maintain this inspection record until work is complete.
• No deviations from the approved plans are allowed without prior consent from the building inspections department.
• To Owner, Occupant, or Contractor: It is ILLEGAL TO OCCUPY this area/building until all required final inspections have been made,
approved, signed, and certificate of occupancy issued!
Scott Qualle, Building Official
City of Spring Park #4349 Warren Avenue ♦ 55384 Copyright 02021
INSPECTION RECORD
2020 MN State Building Code
City of Spring Park Permit Number: SP-2021-00035 Issue Date: 4/16/2021
SITE ADDRESS: 3872 NORTHERN AVENUE, SP, MN 55384
PERMIT TYPE: MECH - Fireplace (Manufactured)(new)
ZONE/USE TYPE: RESIDENTIAL
APPLICANT: GLOWING HEARTH AND HOME
OWNER: SAMUEL AND RACHEL MCNELLIS
Install wood stove
Description:
No inspection will be performed, and a re -inspection fee will be charged, if this "Inspection Record", the "City of Spring Park Permit', and, when applicable, the
approved plans are not available to the inspector. This permit expires if construction activity does not commence within 180 days from obtaining this permit; when
construction activity has been suspended or abandoned for at least 180 days; or the work has not been inspected within 180 days from the last documented activity.
IF SEPARATE PERMITS ARE REQUIRED, REFER TO THE "SEPARATE PERMITS REQUIRED FOR:" STAMP ON YOUR APPROVED
PLANS/CONSTRUCTION DOCUMENTS TO IDENTIFY WHAT SEPARATE PERMITS ARE REQUIRED.
ALL REQUIRED ROUGH -IN INSPECTIONS, NOTED ON SEPARATE PERMITS, MUST BE COMPLETED PRIOR TO SCHEDULING A FRAMING
INSPECTION.
ALL REQUIRED FINAL INSPECTIONS, NOTED ON SEPARATE PERMITS, MUST BE COMPLETED PRIOR TO SCHEDULING A BUILDING FINAL
INSPECTION.
DO NOT COVER ITEMS TO BE INSPECTED.
Permit Card
Inspection Inspector's Response Approval Date Comments or Corrections Required
Fireplace Final
Required
MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS DAY PRIOR TO THE INSPECTION DAY: 8:00 A.M. TO 4:30 P.M. MOND" THRU
FRIDAY. PHONE NUMBER TO CALL: 952-442-7520
When a Certificate of Occupancy is needed, return this card and the approved final inspection notice to
the City of Spring Park office.
476 q Z %VZ12 RECEIVED APR 15 2021
CITY OF SPRING PARK PAGE 1
BUILDING PERMIT
4349 Warren Avenue
�-off Da J-i Ly
Spring Park, MN 55384 ❑Handout Given
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given
Routed to MNSPECT /
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SITE ADDRESS:_IV72,A1or %j&17 z ` PID:
1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO ❑ continue without completing EPA Section)
2) Will the work disturb Z6 sq ft of interior painted surfaces or z20 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, NO ❑ 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 - (applies to contractor only)
'
PROPERTY OWNER: Address: 4*
City: 0 0 State: zip: Email
Contact Name: Phone:
•
CONTRACTOR:Muiii�1Lta2pzAddress:
Ci Slate: zip: Phone: Fax .
Contractor License No: Contact Name: nee
Email:
ARCHITEC�
Address:
City: State: Zip: Phone: F
•
Email: Contact Name-: " = 40hone:
TYPE OF WORK: ew Construction ❑ Deck Or ❑ Re -Roof
❑ Commercial esidential ❑ Change of Use ❑ Pool `��� ❑ Re -Side
EST. VA UATION OF WORK ❑Finish Basement Mini" a I ❑Fence
$ ❑ Remodel tl5aich`' ❑ Shed
Square feet: ❑Addition ❑ CAolition�� ❑ Window/Door Replacement
❑ Garage-Attached/DetdchW ' ,P► mbing-Provide detail on Page 2 # being replaced
Detailed Descri 'ono ork: ❑ Accesso , Ztr%i` ture echanical-provide detail on Page 2 ❑ Misc Other
•
Signature of this application by the legal property owner or&ticensed^tgit"ctor, as the.,t, fei's representative, is 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 voout prior notice. I hereby acknowledge that I have read this application and state that all information is true and
correct to the best of my knowledge. I further agree that all world parfonned wig" 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 reg"nq actlons taken ppr�_snt to thts pennft. I agree to pay all plan review fees even If 1 choose not to proceed with the work. Permit expires when work
is not commenced within 180 days from datli; r#tprjill; if Wgrk Is suspended, abandoned, or not Inspected for 180 days. Work beyond the scope of this permit, or work without a permit or Inspection.
•
will be subject to a penalty.1
Noise Ordinan ' Effect ND A - FRIDAY Before 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m.
SIGNATURE OF AP °IC J T: DATF:-12-21
PRINTE.E,yo bb This is the signature of: ❑ Owner or Owner's Representative
OCCUP. TYPE-`CONST. TYPE: CODE: BLDG SPRINKLED Yes / No
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VALUATION
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Permit Fee: $ WAC Charge: $
Plan Review Fee: $ Sewer & Water Hook -Up: $
State Surcharge: $ Sewer & Water Disconnect: $
Site Inspection Fee: $ Water Meter: $
S.E.C. Fee: $ Muni SE/WA Fee: $
Investigation Fee / Other Fee: $ *2016 SAC Escrow: $2,485
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Copy Charge ($25 per 8.5 x11 page) $ Other. $
0
License Check ($5) / Lead Check ($5) $ TOTAL DUE: $
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SUB -TOTAL $
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'NOTE: Commercial plans will be submitted to the Mel Council Environmental Svcs
Plumbing Fee (from Page 2) $
W
for SAC determination. Escrow payment will be required when permit Is Issued. If
Mechanical Fee from Page
U
2 $ after Met Council review no SAC is determined, escrow will be refunded in full.
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Special Conditions/Required Setbacks:
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Building Approval By: DATE:
Printed Building Approv ❑ License Verification ❑ Lead Verification - Checked By:
City Approval By: DATE: —/ fo L J
Paid: if Date: Y 1�1 ,a 1 Receipt No. ;V 33cc)7 By:
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL •' •
Mechanical Contractor: { Address: Q/
City: State: zi Phone: Fax: 6
State Bond No: AOVL57
Contact Name:
Email:
1Contact Phone:
Detailed scri tion of ork:
Indicate type of project, fixtures, and Gas Lines you will be installing
or replacing (include count for egwtyp fixture):
MECHANICAL FIXTURES
GAS LIN
Quantity Quantity
Quantity
Furnace Kitchen Fan
Furnace
Air Conditioning System Bath Fan
Fireplace -
Air Exchanger Grill
Fireplace
Unit Heater
Water H rr
Unit Heater
Grill
In Floor Heat
k
Gas Log
o
zUseOn.
❑ Replacement (one fixture only, no piping or vent changes) echanical Permit Fee: $ 15- 00
❑ Addition/Remodel.. Gas Line Permit Fee: $
❑ New Construction State Surcharge: $ / • 00
❑ Other Other. $
Total Mechanical Permit: $ -
PLUMBING INFORMATION
Plumbina Contractor:.., Address:
City: State: -VI� Zi Phone: Fax:
Plumbers License No:
Istate Bond No.
Contact Name:
I Contact Phone:
Email:;
Detailed Descri ` of o"
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 RoughAn 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 $
❑ New Construction
Other: $
❑ Other
Total Plumbing Permit: $
Thank you for your Payment!
Transaction ID: 12046
Transaction Number:
Transaction Type: Payment
Recipient: Contractor
Notes: Glowing Hearth & Home
Fees
Mechanical - New Appliances
State Surcharge Flat Fee - $1.00
1 C.I I OF
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City of Spring Park
4349 Warren Avenue
SP MN, 55384
Ph: 952-442-7520
$76.00
Date: 4/16/2021
Method: Check: 33007
Address: 3872 NORTHERN AVENUE, SP, MN 55384
Reference: Permit Number: SP-2021-00035 Type: MECH - Fireplace
(Manufactured)(new) for GLOWING HEARTH AND HOME
Paid 1.00 $75.00 $75.00
Paid 1.00 $1.00 $1.00
Total Amount: $76.00
Page 1 of 1 Printed on: 4/16/2021