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Permits - Permit# SP-2019-00090 - 2478 Black Lake Road - 1/1/2019CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue sP-a o lg % Handout Ghren Spring Park, MN 55384 Phone:952-471-9051 Fax:952.471-9160 ❑ Lead Handout Given Routed to MNSPECT SITE ADDRESS: D "i 70 P L a-,—i, t,Le- a PID: C / ' !I / -- 231 1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO ❑ continue without completing EPA Section) 2) Will the work disturb 2!6 sq ft of interior painted surfaces or 2!20 sq ft of exterior painted surfaces? (YES o go to line 4, NO o line 3) 3) Are there any windows being replaced? (YES o, 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 o complete line 5) 5) EPA Contractor Certification Number. NAT - (applies to contractor only) • PROPERTY OWNER: Address: jC Ci State: r%N Zip: Email: Contact Name: Phone: • CONTRACTOR: A PEW 5—,e i Address: / City: State: Zip: Phone: Fax:%- Contractor License No: i Contact Name: one: Email: ARCHITECT: Address: City: State: Zip: Phone: Fax: • Email: Contact Name:�i Phone: TYPE OF WORK: ew Construction ❑ Deck / ❑ Re -Roof i ❑ Commercial sidential ❑ Change of Use ❑ Pool / ,.> ❑ Re -Side EST. VALUATION OF WORK ❑ Finish Basement ❑ Retaining Wall ❑ Fence $ Y��'7E7C'2 �- ❑ Remodel ❑ Porch \ / , ❑ Shed Square feet: ❑ Addition i ❑ Demolition',, / o Window/Door Replacement ❑ Garage-Attached0stach q Plumb rovide detail on Page 2 # being replaced Detailed Description of Work: ❑ Accessory Structure ` chanical-provide detail on Page 2 o Misc Other signature of this appsca0orn by the legal property owner or a licensed cminictor, as the owner's representative, Is required and authortras Me Zoning Administrator or designee and the Building Offk:lal 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 Mon, ation Is true and correct to the best of my knowledge. I further ogres that a1 wolic perfanned wa oe�*acccrdance with approved plans, speciticatIons and conditions and to abide by al ordinances of the Munlcpally and the laws of the stets of Minnesota regardnitactions taken pursuant to vdsspannn. I agree to pay all plan review fees even If I choose not to proceed with the worL PemnIt expires when wok r Is not commenced within 180 days I m date of{nen_ nk; ortt work suspended abandoned, or not inspected for 180 days. work beyond the scope of this penult, or work without a permit or Inspection. • _Is II be subject to a penalty. Noise Ordinance I'n Effect+ MONDAY - FRI fore 7 am. and after 10 pm. Weekends/Holidays before 7 a.m. and after 8 p.m. SIGNATURE OF APPLICANT, DATE: PRINTED NAME: _ This is the signature of: o Owner or ❑ Owner's Representative OCCUP. TYPE: ^ — J CONST. TYPE: CODE: BLDG SPRINKLED Yes / No VALUATION` , 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. Copy Charge ($.25 per x11 page) $ Othe $ ✓`� ZO License Check ($5) / Lead Check ($5) $ TOTAL DUE $ W SUB -TOTAL $ to Plumbinges Fee from Page 2 $ ( g ) 'MOTE: Commercial plans will be subm to the Met Council Environmental lu Mechanical Fee from Page 2 $ , 6D for SAC detmmination. Escrow psymerrt wE required when permit Is Issued. If after Met Council review no SAC Is determl will be refund Special Conditions/Required Setbacks: U. Building Approval By. DATE: Printed Building Approval BY ❑ License Verification ❑ Lead Verification - Checked By: City Approval By: DATE: Paid: Qg. 5G Date: /( / Receipt No. lt a (,p�- By: PMJ CITY OF SPRING PARK ECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL•' • Mechanical Contractor A-C ddrsss: Vgyv,Css� C' +� State: Zi : Phone: Z Fax: State Bond No: IYZA 7q e,0 Contact Name: ►— '- S� Email: Contact Phone: Detailed Descreption of Work: — AIX— Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count for each type o fixture): MECHANICAL FIXTURES GAS ONES Quagg ty QuaKitchen Fan ' Furnace m1tI 1 mace - r Conditioning System 5 Bath Fan Fireplace _�_ Air Exchanger Grill -;k Unit Heater Fireplace Water Heate Unit Heater Grill In Floor Heat Gas LonSS-toyve //,,❑ Replacement (one fixture only, no piping or vent changes) hanical Permit Fee: $ ` 1g�•❑ ,010W�"eelbftseOnf "ition/Remodel s Line Permit Fee: $ /a0 , 0 ew Construction State Surcharge: $ / J ❑ Other Other. $ Total Mec'ilk ot: hanical Permit: $ ('on ' off.-TIMM Plumbing Contractor: �_ ® Address: City: State: Zi : Phone: Fax: Plumbers License No: M 1W State Bond No: Contact Name: ® 1W V Contact Phone: Email: Detailed Descripnb- n of Work: s 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 ash Basin Bathtub OHke 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: $ 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. INSPECTION RECORD x 2015 Minnesota State Building Code Citv of SDrina Park Permit Number: SP-2019-00090 Issue Date: 11/26/2019 SITE ADDRESS: 2478 BLACK LAKE RD, SP, MN 55384 oascnoaon: PERMIT TYPE: MECH - General Install heating system in new home -13 fixtures & 8 gas lines; ZONE/USE TYPE: Residential fixtures =1 furnace, I a/c system,1 air exchanger, 2 fireplace, 2 unit heater,1 APPLICANT: All HVAC Systems, LLC kitchen fan 5 bath fan: gas lines =1 furnace, 2 fireplace, 2 unit heater,1 dryer, OWNER: AMIN & LUCILLE EMAD 1 stove. 1 main 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 (6) Inspection Inspectors Response Approval Date Comments or Corrections &equired Mechanical Rough In Required: Gas Line Air Test Required Mechankal. Final- Required Fireplace Rough -In Required Fireplace Gas Line 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. 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. - CITY OF P J 4��l '.k] '71 'N111 frj)) , G N1IN +Dll;SOTA To Schedule an Inspection Call: 952-442-7520 Details City of Spring Park Permit Permit Number: SP-2019-00090 Issue Date: 11/26/2019 Zoning Type: Residential Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM NO HOLIDAYS Site Address: 2478 BLACK LAKE RD, SP, MN 55384 Description: Install heating system In new home -13 fixtures 8, 8 gas lines; fixtures = 1 furnace, 1 a/c system, 1 air exchanger, 2 fireplace, 2 unit heater, 1 kitchen fan, 5 bath fan; gas lines =1 furnace, 2 fireplace, 2 unit heater, 1 dryer, 1 stove, 1 main Permit Granted To: All HVAC Systems, LLC i Permit Type: MECH -General Homeowner's Name; AMIN & LUCILLE EMAD I� Phone Number. Permit Exp: 5/24/2020 I --------—------------------------ -------- —— Parcel #: 1911723120021 Valuation: $17,000.00 Fees 0.1 Mechanical - New Appliances 11/26/201913.00 Due $487 50 0 State Surcharge Flat Fee - $1.00 11/26/2019 1.00 Due $1.00 0 Mechanical - Gas Line W Permit 11/26/2019 8.00 Due. $120.00 Total: $608.50 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 44349 Warren Avenue ♦ 55384 Copyright ©2019 Thank you for your Payment! Transaction ID: 6667 Transaction Number. Transaction Type: Payment Recipient: contractor Notes: Fees �ctrYor JR i i - I Cj �r -IR K- City of Spring Park 4349 Warren Avenue SP MN, 55384 Ph: 952-442-7520 $608.50 Date: 11 /26/2019 Method: Check: 2268 Address: 2478 BLACK LAKE RD, SP, MN 55384 Reference: Permit Number: SP-2019-00090 Type: MECH - General for All HVAC Systems, LLC Product:.N .. Mechanical - New Appliances Paid 13.00 $487.50 $0.00 $487.50 State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $0.00 $1.00 Mechanical - Gas Line W Permit Paid 8.00 $120.00 $0.00 $120.00 Total Amount: $608.50 Page 1 of 1 Printed on: 11/26/2019 LICENSE/CERTIFICATE/REGISTRATION DETAIL MECHANICAL Class Type: CONTRACTOR Number: MB747487 BOND Application 427069 No: Expire Date: 9/7/2020 Orig Date: 10/10/2018 Enforcement NO Action: Workplace N/A Experience: Status: ISSUED Effect 10/10/2018 Date: Print 10/15/2018 Date: Name: ALL HVAC SYSTEMS LLC Address: 435 RIDGEVIEW CIRCLE HAMEL, MN 55340 Phone: 612-250-8402 Business Relationship Requirements Name: Lic/Reg No: Status: Application No: Expire Date: Effect Date: Orig. Date: �, Another Lookup?