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Permits - Permit# SP-2021-00047 - 2401 Black Lake Road - 5/26/2021City of Spring Park Permit 1 111Y 01. .� E',Z I 1\I ( -; �*T A r� << To Schedule an Inspection Call: 952-442-7520 Details Permit Number: SP-2021-00047 Issue Date: 5/26/2021 Zoning Type: RESIDENTIAL Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS Site Address: 2401 BLACK LAKE ROAD, SP, MN 55384 Description: Permit Granted To: All Around Homeowner's Name: TOM RAISBECK Phone Number: Parcel #: 1811723430185 Permit Type: MAINT - Roofing Replacement Permit Exp: 11/22/2021 Valuation: $0.00 Fees '--Receipt # ProductDate Quantity Dat I.W9.,,katus• • 12474 License Lookup 5/26/2021 1.00 5/26/2021 Paid Check: 6083 $5.00 12474 Residential - Re -Roof 5/26/2021 1.00 5/26/2021 Paid Check: 6083 $50.00 12474 State Surcharge Flat Fee - $1.00 5/26/2021 1.00 5/26/2021 Paid Check: 6083 $1.00 Total: $56.00 Notes • 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 ©2021 INSPECTION RECORD 2020 MN State Building Code City of Spring Park Permit Number: SP-2021-00047 SITE ADDRESS: 2401 BLACK LAKE ROAD, SP, MN 55384 PERMIT TYPE: MAINT - Roofing Replacement ZONE/USE TYPE: RESIDENTIAL APPLICANT: All Around OWNER: TOM RAISBECK Issue Date: 5/26/2021 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 Res Approval Date; RequiredRe-Roof In -Process MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS DAY PRIOR TO THE INSPECTION DAY: 8:00 A.M. TO 4:30 P.M. MONDAY 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. Thank you for your Payment! Transaction ID: 12474 Transaction Number: Transaction Type: Payment Recipient: Contractor Notes: L Fees CIIY OF [) _IR I IN (jIw7)1;i\ C Z t� City of Spring Park 4349 Warren Avenue SP MN, 55384 Ph:952-442-7520 $56.00 Date: 5/26/2021 Method: Check: 6083 Address: 2401 BLACK LAKE ROAD, SP, MN 55384 Reference: Permit Number: SP-2021-00047 Type: MAINT - Roofing Replacement for All Around Residential - Re -Roof Paid 1.00 $50.00 License Lookup Paid 1.00 $5.00 State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $50.00 $5.00 $1.00 Total Amount: $56.00 Page 1 of 1 Printed on: 5/26/2021 CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue s7-al� l - Ono gI Spring Park, MN 55384 ❑Handout Given Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT , � ter'- �f-10 a Jc (,� (� i n ,' ,� �% � � 6� 104 Q 19 111- � "I � •ItJ' g5 SITE ADDRESS: `y' L-{� PID: 1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO•4, continue without completing EPA Section) 2) Will the work disturb i'6 sq ft of interior painted surfaces or z20 sq ft of exterior painted surfaces? (YES ❑ go to line 4, NO o 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 o, you MUST Attach Certification Information, NO ❑ complete line 5) 5) EPA Contractor Certification Number. NAT - (applies to contractor only) ! PROPERTY OWNER: dot Address: C' State:MN Zi Email: •a Contact Na o Phone: • CONTRACTOR: 1A it Address: iolv City, State: Mr Zip: tY Phone: Fax: Contractor icense No: s Contact Name: Phone: ID Email: ARCHITECT: Address: City: State: Zip: Phone: Fax: Email: Contact Name: Phone: — TYPE OF WORK: ❑ New Construction o Deck Re -Roof ❑ Commercial Residential ❑ Change of Use ❑ Pool ❑ Re -Side - E T VALUATION OF WORK ❑ Finish Basement ❑ Retaining Wall ❑ Fence $ Cr ! (P ❑ Remodel ❑ Porch ❑ Shed Square t: ❑Addition ❑ Demolition ❑ Window/Door Replacement ❑ Garage-Attached/Detach o Plumbing -provide detail on Page 2 # being replaced •• Detailed Descriptiioon" of Work: Accessory Structure ❑ Mechanical -provide detal on Page 2 ❑ Misc Other "❑ • Signature of this application by the legal property owner or licensed contractor, as the owners represerrtative, is required and authorises the Inning Administrator or designee and the BuNding oflklal or designee to enter upon the property to perform needed Inspections. Entry may be without prior notice. I hereby acknowledge that 1 have read this application end state that oil information Is we and correct to the beat a my knowledge. I further agree that ON 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 token pursuant to this permit. I agree to pay all plan review fees oven If I choose not to proceed with the work. Permit expires When work u is not commenced within 180 days from data of pwmlti or If work is suspended, abandoned, or not Inspected for 180 days. Work beyond the scope of this permit, or work without a perms or Inspection, • will be subject to a penalty. Noise Ordinance In Effect MONDAY - FRIDAY Before 7 a.m. and after 10 p.m. WeekendsfHolidays before 7 a.m. and after 8 p.m. 25 SIGNATURE OF APPLICANT: DATE: PRINTED NAME: 1 N This is the signature of: ❑ Owner or Owner's Representative OCCUR TYPE: IfONST. TYPE: CODE: BLDG SPRINKLED Yes / No VALUATION: $ Permit Fee: $ a . CCI WAG Charge: $ Plan Review Fee: $ Sewer & Water Hook -Up: $ State Surcharge: $ 00 Sewer & Water Disconnect: $ Site Inspection Fee: $ Water Meter. $ S.E.C. Fee: $ Muni SENVA Fee: $ Investigation Fee / Other Fee: $ *2016 SAC Escrow: $2,485 Copy Charge ($.25 per 8.5 x11 page) $ Other. $ z0 License Check ($5) / Lead Check ($5) $ J • 00 TOTAL DUE: $ O W SUB -TOTAL $ N *NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs :3Plumbing Fee (from Page 2) $ for SAC determination. Escrow payment will be required when permit is issued. If W Mechanical Fee from Page 2 $ after Met Council review no SAC is determined, escrow will be refunded in full. U a Special Conditions/Required Setbacks: U. 0 Building Approval By: DATE: Printed Building Appr v-*-By: ❑ License Verification ❑ Lead Verification - Checked By: City Approval By: DATE:c�- Paid: Date: ,Receipt No. id -By: L 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: City: State: Zi : Phone: Fax: State Bond No: Contact Name: Email: Contact Phone: Detailed Description of Work: 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 Air Conditioning System Bath Fan Fireplace Air Exchanger Grill Unit Heater Fireplace Water Heater Unit Heater Grill In Floor Heat Dryer Gas LcKi Stove Ofte Use Only: ❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ ❑ Addition/Remodel Gas Line Permit Fee: $ ❑ New Construction State Surcharge: $ ❑ Other Other. $ --- Total Mechanical Permit: $ INFORMATIONPLUMBING 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 $ ❑ New Construction Other: $ ❑ Other Total Plumbing Permit: $