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Permits - Permit# SP-2021-00050 - 4100 Spring Street - 6/10/2021
City of Spring Park Permit ,Icily 01 �l � � ( \ � U071A R K Permit Number: SP-2021-00050 l Issue Date: 6/10/2021 _ Zoning Type: COMMERCIAL 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: 4100 SPRING STREET 309, SP, MN 55384 Description: Fumace/AC replacement Permit Granted To: Precision Heating and Cooling Homeowner's Name: OTIS RICHARD & CAREY ANN ADERMAN Phone Number: Parcel #: 1811723440088 Fees 12664 Mechanical - New Appliances 6/2/2021 12664 State Surcharge Flat Fee - $1.00 6/2/2021 Notes Permit Type: MECH - Fumace/Air Conditioner Permit Exp: 11/29/2021 Valuation: $0.00 uantity Date Paid Status Pmt Info Amount 2.00 6/10/2021 Paid Check:14294 $75.00 1.00 6/10/2021 Paid Check:14294 $1.00 Total: $76.00 • 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-2021-00050 Issue Date: 6/10/2021 SITE ADDRESS: 4100 SPRING STREET 309, SP, MN 55384 Description: PERMIT TYPE: MECH - Furnace/Air Conditioner Furnace/AC replacement ZONE/USE TYPE: COMMERCIAL APPLICANT: Precision Heating and Cooling OWNER: OTIS RICHARD & CAREY ANN ADERMAN 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 Response Approval Date Comments or Corrections Required Mechanical 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 Cry of Spring Park office. CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue Ij'� � - i5el Spring Park, MN 55384 ❑ Handout Given Routed to MNSPECT Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given SITE ADDRESS: DO '309 PID: 1) Was the home constructed befor 1978? (Y S a, continue with line 2, NO o 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 ❑ go to line 4, NO a line 3) • 3) Are there any windows being replaced? (YES �j, go to line 4, NO Li continue without completing EPA Section) 4) Has this home been Certified Lead Free? (YES L, you MUST Attach Certification Information, NO ❑ complete line 5) 5) EPA Contractor Certif ion Number. NA - (applies to contractor only • PROPERTY O Address: Ci Ir Stat . Z' Email a Contac Name: Phone: • CONPtCTOFFisKIAddress: d Cit Sta Zi Phone: �� Fax: Contractor L' arise No: ontact Nam � P Email: ARCHITECT: Address: City: State: Zip: Phone: Fax: • Email: Contact Name: Phone: TYPE OF WORK: o New Construction o Deck o Re -Roof Commercial ential c Change of Use Pool o Re -Side EST. V LU ION OF WORK , Finish Basement :3 Retaining Wall Fence $ ❑ Remodel cc Porch o Shed Square eat Addition Demolition o Window/Door Replacement Garage-Attached/Detach L Plumbing -provide detail on Page 2 # being replaced � Detailed Description of Work: Accessory Structure Mechanical -provide detail on Page 2 ,, Misc Other • Signature of this application by the iegal property owner oro Ncensed c the owners representative, is required and aumonzes the Zoning Administrator or designee and the Building Official or designee to enter upon the property to perform needed inapac .Envy be without prior notice. I hereby ackMvieoge that l have read this application end state that all information is true and correct to the best of my Knowledge I further agree teal all perfo A be accordance with approved plans. specifications and conditions and to abide by as ordinances Of" Mumcpalay and rise laws of the State of btinreaota regarding ectw is M to 41+1s rl. I agree top all plan review fees even if I choose not to proceed with this work. Permitexpires when work •s is not c ommerc ed within 1 rib days from date a , of If A no abandoned, inspected for too days. work permit beyond the scope or this peit or work vothout a permit or Inspection. • win be subject to a penally. Noise Ordinance In E MO FRI e 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m. SIGNATURE OF APPLIC DATE. ' PRINTED NAME: is is the signature of: _Owner or Owner's Representative OCCUP. TYPE: CON T. TYPE: CODE: BLDG SPRINKLED Yes / No VALUATION: $ Permit Fee: S WAC Charge: S Plan Review Fee: S Sewer & Water Hook -Up: $ State Surcharge: S Sewer & Water Disconnect: S Site Inspection Fee: $ Water Meter. S S.E.C. Fee: S Muni SE/WA Fee: $ Investigation Fee / Other Fee: S '2016 SAC Escrow: S2.485 } J Copy Charge ($.25 per8.5 x11 page) $ Other. $ zz I icensp Check ($5) / I Pad Check ($5) $ TOTAL DUE: $ . 430 w SUB -TOTAL $ U) =3 Plumbing Fee (from Page 2) $ 'NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs u! U Mechanical Fee (from Page 2) $ for SAC determination. Escrow payment will be required when permit is Issued. If after Met Council review no SAC is determined, escrow will be refunded in full. M Special Conditions/Required Setbacks: LL Building Approval By: DATE: Printed Building Appro y: C License Verification ❑ Lead Verification - Checked By: City Approval By: - ATE: _JQ -c-;2/ Paid: Date: _� ��'-Receipt No. e # f AI d 1 By: �J CITY OF SPRING PARK A;ECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL• • Mechanical Co tractor: Address: C Stat Zi Phone: Fax: State Bon No: Contact Name: Email: 79m 2 rers&'s Contact Phone: Detailed Descr tan of Work: r 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 OBSe 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: S PLUMBING •. • Plumbing Contractor: Address: C State: Zip: Phone: Fax: Plumbers License No: IState 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: $ Mom. cA_s Thank you for your Payment! Transaction ID:12664 Transaction Number: Transaction Type: Payment Recipient: Contractor Notes: Fees Mechanical - New Appliances State Surcharge Flat Fee - $1.00 llIY01 P R I ING 107, 1 r r K City of Spring Park 4349 Warren Avenue SP MN, 55384 Ph:952-442-7520 $76.00 Date: 6/10/2021 Method: Check: 14294 Address: 4100 SPRING STREET 309, SP, MN 55384 Reference: Permit Number: SP-2021-00050 Type: MECH - Furnace/Air Conditioner for Precision Heating and Cooling Paid 2.00 $75.00 $75.00 Paid 1.00 $1.00 $1.00 Total Amount: $76.00 Page 1 of 1 Printed on: 6/10/2021