Permits - Permit# SP-2020-00032 - 4317 Channel Road - 1/1/2020i:q CITY 01?
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MINNESOTA
City of Spring Park Permit
Permit Number: SP-2020-00032 I
Issue Date: 5/26/2020
Zoning Type: RESIDENTIAL i
Use Type: 1
To Schedule an Inspection Call: 952-442-7520
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM • NO HOLIDAYS
Details
Site Address: 4317 CHANNEL ROAD, SP, MN 55384
Description:
Replace water softener
I Permit Granted To: Dean's Professional Plumbing
Homeowner's Name: PATRICK & HANNAH BERRY Permit Type: PLG - Fixture Replacement
Permit Exp: 11/22/2020
Phone Number. 612-202-1265 Valuation: $2,400.00
Parcel #:1911723120033
L-- ----- - -- - ---- - --- ----- - .-. - ---- --- - --- ----------------- --- -- - _-..,_.^- ---- --- J
Fees
8140
8140
Plumbing- Fixture Maintenance 5/26/2020 1.00 ' 5/26%2020 Paid Check: 013341 , $50.00
State Surcharge Flat Fee - $1.00 5/26/2020 1.00 5/26/2020 Paid Check: 013341 $1.00
Total: $51.00
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!
M,
Scott Qualle, Building Official
City of Spring Park #4349 Warren Avenue ♦ 55384
Copyright 02020
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INSPECTION RECORD
2020 MN State Building Code
Citv of SDrina Park Permit Number: SP-2020-00032 Issue Date: 5/26/2020
SITE ADDRESS: 4317 CHANNEL ROAD, SP, MN 55384 vesQtonon:
PERMIT TYPE: PLG - Fixture Replacement Replace water softener
ZONE/USE TYPE: RESIDENTIAL
APPLICANT: Dean's Professional Plumbing
OWNER: PATRICK 8: HANNAH BERRY
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 pians are noravailatile to tie 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.
Permit Card
.Plumbing Final, Re
DO NOT COVER ITEMS TO BE INSPECTED.
ii onse Approval D. te
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.
RECEIVED MAY 2 61010
CITY OF SPRING PARK
PAGE 1
BUILDING PERMIT
4349 Warren Avenue
•5P-a�G
d6 -
Spring Park, MN 55384HandoutGiven
Phone: 952-471-9051 Fax: 952-471-9160
❑ Lead Handout Given
Routed to MNSPECT
SITE ADDRESS: �3/-7 Ch t1i1Ad Rd
PID: /9/I 7231.7063.3
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 220 sq
ft of exterior painted surfaces? (YES a 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 o, you MUST Attach Certification Information, NO o complete line 5)
5) EPA Contractor Certification Number: NAT -
(applies to contractor only)
•
PROPERTY OWNER:
Address: 7
City: State: M& Zip: 5�Lj
Email:
Contact If Nam .
Phone: of .a D O? ^ k,S
•
CONTRACTOR: S
Address: D D
Ci State: tV Zi : S3 9
Phone: 3 - 4c2 Fax: - D -
Conhacto License No:
Contact Name: Phone - - 3
Email LO
ARCHITECT:
Address:
City: State: Zip:
Phone: Fax:
•
Email:
Contact Name: Phone:
TYPE OF WORK: ❑ New Construction
❑ Deck �❑ Re -Roof
,,LL
❑ Commercial ❑*esidential ❑ Change of Use
❑ Pool o Re -Side
EST. VALUATION OF WORK ❑ Finish Basement
❑ Retaining Wall ❑ Fence
$ oa4n C, ❑ Remodel
o Porch ❑ Shed
Square feet: ❑ Addition
❑ Demolition .. ❑ Window/Door Replacement
❑ Garage-Attached/Detach,
XPlumbing-provide detail on Page 2 # being replaced
Detailed Description of Work: ❑ Accesso "Structure
o Mechanical -provide detail on Page 2 ❑ Misc Other
Signature of this application by the legal property owner or a licensed contractor. as the owners 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 without 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 work performedwill 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 taken pursuant to this permit. I agree to pay all plan review fees even if I choose not to proceed with the work. Permit expires when work
-
Is not commenced within 180 days from date of permit, or if work 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.
Noise Ordinance In Effect: "MO DAY - FRIDAY B fore 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after S p.m.
SIGNATURE�7 OF APPLICANT:
DATE: -,-/. so -07�
PRINTED.NAME: p
This is the signature of: ❑ Owner or Owner's Representative
OCCUP. TYPE: 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: $
Investigation Fee / Other Fee: $
Muni SE/WA Fee: $ h� L
`2016 SAC Escrow: $2.485 U"
}
Copy Charge ($.25 per 8.5 x11 page) $
Other. $
License Check ($5) / Lead Check ($5) $
TOTAL DUE: $ Ti
w
SUB -TOTAL $
Plumbing Fee (from Page 2) $/, Q�
`NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs
for SAC determination. Escrow payment will be required when permit is issued�lf
W
Mechanical Fee from Page 2 $
after Met Council review no SAC is determined, escrow will be refunded i f^ ull.
U.
Special Conditions/Required Setbacks:
--
ILL
O
Building Approval By:
DATE:
Printed Building Approval By:
❑ License Verification ❑ Lead Verification - Checked By:
City Approval By:
DATE:
Paid: 5�� B D Date: 210 o��dt Receipt No. By:
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL INFORMATION
Mechanical Contractor: Address:
City: State: Zip: 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 Log Stove
Office 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: $
PLUMBING INFORMATION
Plumbing Contractor: �S D S % r2 Address: D Aja
City: D State: MAI zip:, Phone: 3-�Fax: —a o - 47013
Plumbers License No: C
State Bond No: !- pC& O b 9
Contact Name: O
Contact Phone: 40 —1 07
Email: t��
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
o 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
❑*eplacement (one fixture only, no piping or vent changes)
Office Use Only:
Plumbing Permit Fee: $ SZ, OCR
❑ Addition/Remodel
State Surcharge $
❑ New Construction
Other: $
❑ Other
Total Plumbing Permit: $ C
LICENSE,/CERTIFICATE/REGISTRATION DETAIL
PLUMBING
Class Type:
CONTRACTOR
Number: PC000239
Application
275215
Status: ISSUED
No:
Effect
Expire Date:
12/31/2021
1/1/2020
Date:
Orig Date:
2 7/2012
Print 12/2/2019
Date:
Enforcement
YES
-- -Action:-----
— - -
- . - —
Workplace
N/A
Experience:
Name:
DEANS PROFESSIONAL PLUMBING INC
Address:
7400 KIRKWOOD CT N
MAPLE GROVE, MN 55369
Phone:
763-428-1321
Business Relationship Requirements
Name:
ADELMAN, DEAN
W
Lic/Reg No: PM062187
Application
Status:
ISSUED
78794
No:
Expire
12/31/2020
Effect Date: 3/14/2019
Date:
Orig Date:
10/11/1996
Mother Lookup?
Thank you for your Payment!
Transaction ID: 8140
- - —Transaction-Number—
Transaction Type: Payment
Recipient: contractor
Notes:
Fees
CITY or.
�1gi*3�E5��A
P1
Ipt C r\lx
City of Spring Park
4349 Warren Avenue
SP MN, 55384
Ph: 952-442-7520
$51.00
Date: 5/26/2020
Method: Check: 013341
Address: 4317 CHANNEL ROAD, SP, MN 55384
Reference: Permit Number: SP-2020-00032 Type: PLG - Fixture
Replacement for Dean's Professional Plumbing
Plumbing -Fixture MaintenancePaid 1.00 ' $50.00 $0.00 $50.00
State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $0.00 $1.00�
Total Amount: $51.00
Page 11 of 1 Printed on: 5/26/2020