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Permits - Permit# 07-01B - 2471 Black Lake Road - 1/1/2007$ Permit: 187.50 VaYuatioli $15,000.00 Ro. 07-0130 Plan Review: 0 State: 7.50 Total: 195.00 Mate of Aitttteosta County of _ Hennepin I ON of Suring Park Office of Building Inspector Plumbing hermit IN CONSIDERATION OF The statements and representations made by O'Brien Plumbing 224 So Main Le Suer MN 56058 in application therefore duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY GRANTED To said Sue Baker (Paul Thomas Homes) as owner to install to a building described as follows: kind of construction (build, erect, install, add to, alter, repair, move, wreck, as the case may be) Plumbing new construction Front of width in feet ; side or length in feet ; height in feet ; number of stories ; contents cubic feet; square feet, upon that tract of land described as follows: Lot Block ; plat or addition 2471 Black Lake Road 19-117-23-12-0024 which tract is of the size and area specified in said application This permit is granted upon the express conditions that said owner and their contractors, agents, workers and employees, shall comply in all respects with the ordinances of the City of Spring Park ; that it does not cover the use of public property, such as streets, sidewalks, alleys, etc., for which special permits must be secured; and that it does not cover the following: none of the following (Electrical work, plumbing, heating, plastering, etc., if such there be.) for which special permits must be secured. Given under the hand of the Building Inspector of said City and its corporate seal and attested by its Clerk this 15th day of March Year. 2007 Attest: Sarah Friesen, Administrator Lvle Oman Clerk Building Inspector Poor Quality Document Disclaimer The original or copy of a document or page of a document presented at the time of digital scanning contained within this digital file may be of substandard quality for viewing, printing or faxing needs. CITY OF SPRING PARK 4349 WARREN AVENUE SPRING PARK, NIINNESOTA 55384 952-471-9051 Date 3 • ( S - 0 7 Permit # O -7 - O 1 APPLICATION FOR PLUMBING PERMIT GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call 952-249-4600. A 24-hour notice required. INSTRUCTIONS Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 952-2494600. Please check one: New .16 Additio_ n Repair Replace Residential Commercial JOB SITE: d Owner's Name _ Mailing Address l Contractor's Name Mailing Address PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Kitchen Sink / Water Heater I Disposal / Water Softener I Dishwasher / Wet Bar / Sillcocks 3 Sprinkler Sys. Misc. (List) Plumbing Permit Application PERMIT FEE CALCULATION 2002 State Statute Yes, This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of $500.00 or less excluding the cost of the fixture or appliance; and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 4' jS © C5 O 1. 1.25% Of Contract Price* or Minimum Fee ($35.00) fa:to O x .0125 Contract Price 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit ISCTUD x .0005 Contract Price or $.50, whichever is greater 3. Postage and Handling 4. TOTAL PERMIT FEE (Only mail -in applications) (Add lines 1-3 above) $ Iq- Z-o $ -7 - S 0 * CONTRACT PRICE OR JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for the permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50, whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Si Approved By: c gnature © 2 Date �J Date 3 . s - 0 7 2 gtate of[ine�ota aub NbusuP �a1 ota ST. PAUL, 443. aFAYETTE ROAD NORTH, Master Plumber License LICENSE NO 00401404 00982T .BF TESTER ID .:NO Michael F• O'Brien EXPIp(!'LI�Y 2 0 0 7 EPMgvf9ff /2007 gitate oftrie$ota °r aatb IOC %S.T. PAUL, ,r NORTH, 443 LAFAyET ]ROMasterPlumber License . LICENSE NO 004'014PM .00982T BF TESTER ID 'NO Michael F-.O'Brien J, ExPIRilf?9177 2007 Emaff 2007