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Permits - Permit# SP-2020-00031 - 4325 Channel Road - 1/1/2020I CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue 5P--a6ao- ,0 b3I Spring Park, MN 55384 Handout Given Phone: 952-471-90c51 Fax: 952-471-9160 Lead Handout Given Routed to MNSPECT SITE ADDRESS: / i �� J C h.I e l U PID: 1) Was the home constructed before 1978? (YES a, continue with line 2, NO ❑ continue without completing EPA Section) 2) Will the work disturb 4 sq ft of interior painted surfaces or a2O sq ft of exterior painted surfaces? (YES o go to line 4, NO o line 3) 3) Are there any windows being replaced? (YES ❑, go to line 4, NO o continue without completing EPA Section) ) Has this home been Certified Lead Free? (YES ❑, you MUST Attach Certification Information, NO ❑ complete line 5) g) EPA Contractor Certification Number. NAT - (applies to contractor only) • PROPERTY OWNER: 540voi Me ycr '5 Address: City: State: Zip: Email: Contact Name: Phone: • CONTRACTOR: Lr N Address: Lfl t7 0 Oy Ile, City- 4 State:. Zi ' S3 Phone: 75.1 - / - % Fax: Contractor License No: 6� :� Contact Name: CIC, Phone: 3- 7 % Email: u I'jiAA M P 6-vi,,A d- 0✓l1 ARCHITECT: Address: City- State: Zip: Phone: Fax: • Email: Contact Name: Phone: TYPE OF WORK: o New Construction ❑ Deck ❑ Re -Roof o Commercial dResidential ❑ Change of Use ❑ Pool ❑ Re -Side EST.i OF WORK ❑ Finish Basement ❑ Retaining Wall o Fence �VALUATION $ uL� Remodel o Porch o Shed Square feet: ❑Addition ❑ Demolition o Window/Door Replacement ❑ Garage-Attached/Detach o Plumbing -provide detail on Page 2 # being replaced De iled Description of Work: o Accessory Structure ❑ Mechanical -provide detail on Page 2 o Misc Other t` l.t t. l i--r utn ✓t Ir �t- r Signature of tltis application by the legal eny a mer ara rrcertsW7cr& ctor. as the owners representative. Is required and euthorbas the Zoning Administrator or designee and the Building Officlel or designee to enter upon the property to perform needed Inspections. Entrymaybe withini t prior notice. I hereby acknowledge that I have read this application and state that all Information Is true and coned to the best of my knowledge. 1 "her agree that all work performed will be In accordance with approved plans. specifications and conditions and to abide by all ordinances of the Municipally 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 l choose not to proceed with the work. Permit expires when work r Is not commenced within 180 days from date orpeanft. or N work Is suspended. abandoned. or not Inspected for 1a0 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: MONDAY - FRIDAY Before 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m, and after 8 p.m. SIGNATURE OF APPLICANT: DATE: PRINTED NAME: Oct C. CA This is the signature of: Owner or o 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: $ f" Site Inspection Fee: $ Water Meter. $ S.E.C. Fee: $ Muni SE/WA Fee: $ 4 Investigation Fee / Other Fee: S *2016 SAC Escrow. Copy Charge ($25 per 8.5 x11 page) S Othe S� ($ zz License Check ($5) / Lead Check (95) $ TOTAL DUE If J, Lu SUB -TOTAL $ to Fee 2) �• 6 'NOTE: Commercial plans will be submitted Met Council Envlro I�3_lf Plumbing (from Page $ for SAC determlnatidu. Escrow payment will be re 1 when permit Is ias W Mechanical Fee from Page 2 $ arm Met council review no SAC Is delermfned, escrow will be r U. Special Conditions/Required Setbacks: U. O Building Approval By: DATE: Printed Building Approval By: O License Verification ❑ Lead Verification - Checked By: City Approval By: DATE: Paid: $ 9/ 00 Date: off% a (� Receipt No. O By: IbT 'day 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: zip: Phone: Fax: State Bond No: lContact Name: Email: lContact Phone: Detailed Description of Work: Indicate type of project, fixtures, and Gas Lines you will be installing or replacing (include count for each type•ofture): MECHANICAL FIXTURES GAS LINES-- 1! Quantity ua t'Quantity" Furnace Kitchen Fan Furnace Air Conditioning System Bath Fan Fireplace'T Air Exchanger Grill Unit Heater! , Fireplace , Water Heater' Unit Heater Grill In Floor Heat Dryers �•� Gas LogrN Stoveazt_� ss Ofin:e Use Only: ❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ ,. ; o Addition/Remodel, mi Gas Line Permit Fee: $ o New Construction State Surcharge: $ ,., o ❑ Other :r. 4. Other: $ Total Mechanical Permit: $ e0k:. •INFORMATION Plumbing Contractor: 1 1. '., ri Address: Ci iw State: Zi " ? k Phone: " of — Fax: Plumbers License No: �69" 10' State Bond No: Contact Name: CL . s , Contact e: Email: 1.`= f,' ►Corot Detailed Descrivt on of Work: I do'-"t' 11) QtrFe�11.e� Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES Ouantltv QuantityQuantity Water Heater c Shower �_ Laundry Tub Gas ❑ Electric i 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: Plumbing Permit Fee: $ 0• 68 ❑ Replacement (one fixture only, no piping or vent changes) o Addition/Remodel State Surcharge $ 0p ❑ New Construction Other: $ Total Plumbing Permit: $ �/� Other 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 Permit CITY Oli TL' Rom. Permit Number: SP-2020-00031 Issue Date: 5/27/2020 Zoning Type: RESIDENTIAL Use Type: 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: 4325 CHANNEL ROAD, SP, MN 55384 Description: Plumb in new bathroom, kitchen, upstairs laundry, water heater & water softener Permit Granted To: Affinity Plumbing Homeowner's Name: STEVEN J MEYERS Phone Number. Parcel #: 1911723120034 L—_ . ----- --- ----- — --- ---- - - Fees 8138 State Surcharge Flat Fee - $1.00 5/26/2020 8138 PIG - $10 per Fixture over Min 5/26/2020 Permit Type: PLG - General (resides Permit Exp: 11/22/2020 Valuation: $11,000.00 1.00 5/27/2026 Paid Cash $1.00 9.00 5/27/2020 Paid Cash $90.00 Total: $91.00 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 ©2020 Thank you for your Payment! Transaction ID: 8138 Transaction Number. Transaction Type: Payment Recipient: contractor Notes: Fees rI CITY or. It. fin Flu-'N. J-1�, '�- 1�1�- RT iAIN'NV150TA City of Spring Park 4349 Warren Avenue SP MN, 55384 Ph: 952-442-7520 $91.00 Date: 5/27/2020 Method: Cash Address: 4325 CHANNEL ROAD, SP, MN 55384 Reference: Permit Number: SP-2020-00031 Type: PLG - General (residential) for Affinity Plumbing State: Surcharge flat Fee - $1.00 Paid - 1.00 $1.00 $0.00 $1.00 v� PIG - $10 per Fixture over Min Paid 9.00 $90.00 $0.00 $90.00 Total Amount: $91.00 Page 1 of 1 Printed on: 5/26/2020 INSPECTION RECORD 2020 MN State Building Code Citv of SDrin4 Park Permit Number: SP-2020-00031 Issue Date: 5/27/2020 SITE ADDRESS: 4325 CHANNEL ROAD, SP, MN 55384 oescrtuaon: PERMIT TYPE: PLG - General (residential) Plumb in new bathroom. ldtchen, ugtst�tairs laundry, water heater & water ZONE/USE TYPE: RESIDENTIAL softener APPLICANT: Affinity Plumbing OWNER: STEVEN 3 MEYERS 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 (4) Plumbing Underground R. L. Required Plumbing Above Ground R. I. Required Gas Line Certification. Required Plumbing 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. LICENSE/CERTIFICATE/REGISTRATION DETAIL PLUMBING Class Type: CONTRACTOR Number: PC669066 Application 318525 No: Expire Date: 12/31/2021 Orig Date: 6/142013 Enforcement NO Action: Workplace N/A Experience: Status: ISSUED Effect 1/1/2020 Date: Print 3/302020 Date: Name: AFFINITY PLUMBING LLC Address: 13741 LOUISVILLE WAY SHAKOPEE, MN 55379 Phone: 952-913-7171 Business Relationship Requirements Name: MONSRUD, CLAY Lic/Reg No: PM647263 A Status: ISSUED Expire 12/312020 Date: Orig Date: 4/162013 Another lookup? Application 313837 No: Effect Date: 1/12019 RECEIPT DATE .S ��''o7dai0 NO. 9795 RECEIVED FROM 0 ADDRESS 1-77-V I ,-PJ_ _ / . o0 00 QT:1 ACCOUNT AMT OF ACCOUNT AMT. PAID BALANCE DUE DOLLARS $ 9/ fn+�„ .,L2rru� SP-adae - OD03/ HOW PAID CASH CHECK MONEY ORDER BY