Permits - Permit# SP-2021-00062 - 2447 Black Lake Road - 6/14/2021City of Spring Park Permit
Cl i Y Of Permit Number: SP-2021-00062
'
�ftvr i` k '`Issue Date: 6/14/2021
_ \ 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: 2447 BLACK LAKE ROAD, SP, MN 55384
Description:
fumace replacement with 5 ceiling mount supplies and 3 returns
Permit Granted To: Air Mechanical
Homeowner's Name: SCOTT SUTTLE
Phone Number:
Parcel #: 1911723120027
Permit Type: MECH - General
Permit Exp: 12/11/2021
Valuation: $7,000.00
Fees
Receipt # Product Sale Date Quantity Date Paid Status Pmt Info Amount
12695 Mechanical - New Appliances 6/14/2021 1.00 6/14/2021 Paid Check: 60052 $75.00
12695 State Surcharge Flat Fee - $1.00 6/14/2021 1.00 6/14/2021 Paid Check: 60052 $1.00
Total: $76.00
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 02021
RECEIVED JUN 112021
CITY OF SPRING PARK
PAGE 1
BUILDING PERMIT
4349 Warren Avenue
-04046A
Spring Park, MN 55384
❑ Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952-471-9160
❑ Lead Handout Given
SITE ADDRESS: 2447 BLACK LAKE RD
PID: 19-117-23-12-0027
1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO E continue without completing EPA Section)
2) Will the work disturb z6 sq ft of interior painted surfaces or Z20 sq
ft of exterior painted surfaces? (YES ❑ 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 ❑, you MUST Attach Certification Information, NO ❑ complete line 5)
5) EPA Contractor Certification Number. NAT -
(applies to contractor only)
PROPERTY OWNER: SCOTT & CAROLINE SUTTLE Address: 2447 BLACK LAKE RD
city: SPRING PARK state: MN zip: 55384
Email: ND 1996 YAHOO.COM
contact Name: SCOTT OR CAROLINE
Phone: 651-335-5716
CONTRACTOR: AIR MECHANICAL
Address: 16411 ABERDEEN ST NE
city: HAM LAKE State: MN zip: 55304
Phone: 763-434-7747 Fax:
Contractor License No: MB005122
Contact Name: CAR ISSA Phone:763-434-7747
Email: RETRO AIRMECHANICAL.COM
ARCHITECT:
Address:
City: State: Zip:
Phone: Fax:
•
Email:
Contact Name: Phone:
TYPE OF WORK: ❑ New Construction
❑ Deck ❑ Re -Roof
❑ Commercial (Residential ❑ Change of Use
❑ Pool -- ❑ Re -Side
EST. VALUATION OF WORK ❑ Finish Basement
p Retain ft Well ❑ Fence
$ 7000.00 ❑ Remodel
❑ Porgy ❑ Shed
,r
Square feet: ❑Addition
❑ Demolition • ❑ Window/Door Replacement
❑ Garage-Attached/Da*h
____1-Acce;soryab6'
;,p'Plumbing-provide detail on Page 2 # being replaced
Detailed Description of Work: ture
X 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 sit work performed will be In accordance with approved plans. specifications and conditions and to abide by at ordinances of the Municipality
and the laws of the Slate 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
rs
Is not commenced within 180 days from deft of psimit 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 MONDAY - FRIDAY a. . and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m.
SIGNATURE OF APPLICANT:
DATE: 6/8/21
PRINTED NAME: CARtb6A URUL66
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: $
Muni SE/WA Fee: $
Investigation Fee / Other Fee: $
`2016 SAC Escrow: $2.485
Copy Charge ($.25 per 8.5 x11 page) $
Other: $
J
zo
License Check ($5) / Lead Check ($5) $
TOTAL DUE: $ '74.
w
N
SUB -TOTAL $
NOTE: Commercial plans will be submitted to the Mat Council Environmental Svcs
=11
Plumbing Fee (from Page 2) $
for SAC determination. Escrow payment will be required when permit is issued. If
W
Mechanical Fee (from Page 2) $ %6. Da
after Met Council review no SAC is determined, escrow will be refunded in full.
U
LL
Special Conditions/Required Setbacks:
LL
O
Building Approval By:
DATE:
Printed Building Approval By:
❑ License Verification ❑ Lead Verification - Checked By:
City Approval By:
DATE:
Paid: 'yG `0 Date: Receipt No. p(QQ,S'�;L By: j 2%Z�
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: AIR MECHANICAL Address:16411 ABERDEEN ST NE
City: HAM LAKE State: MN zip: 55304 Phone: 763-434-7747 Fax:
State Bond No: M B0051 22 lContact
Name: CARISSA GROESS
Email: RETRO AIRMECHANICAL.COM
Contact Phone: 763-434-7747
Detailed Description of Work: REPLACE FURNACE & INSTALL (5) CEILING MOUNT SUPPLIES & (3) RETURNS
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 ua i
Furnace Kitchen Fan Furnace
Air Conditioning System Bath Fan Fireplace
Air Exchanger Grill Unit Heater
Fireplace 8 (5) SUPPLIES 8 (3) RETURNS Water Heater
Unit Heater Grill
In Floor Heat Dryer
Gas Log Stove
ONke Use Only:
X Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: $ `/5 60
X Addition/Remodel Gas Line Permit Fee: $
❑ New Construction State Surcharge: $
❑ Other Other. $
Total Mechanical Permit: $ 7,�.D
PLUMBING INFORMATION
Plumbing Contractor: Address:
City: State: zip: Phone: Fax:
Plumbers License No: IState
Bond No:
Contact Name: I
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: $
INSPECTION RECORD
2020 MN State Building Code
City of Spring Park Permit Number: SP-2021-00062 Issue Date: 6/14/2021
SITE ADDRESS: 2447 BLACK LAKE ROAD, SP, MN 55384 Description:
PERMIT TYPE: MECH - General furnace replacement with 5 ceiling mount supplies and 3 returns
ZONE/USE TYPE: RESIDENTIAL
APPLICANT: Air Mechanical
OWNER: SCOTT SUTTLE
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)
Mechanical Rough -In
Required
Gas Line Air Test
Required
Mechanical 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. MOND" 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 ofrice.
Thank you for your Payment!
� LI I Y OU
Transaction ID: 12695
Transaction Number:
Transaction Type: Payment
Recipient:
Notes:
City of Spring Park
4349 Warren Avenue
SP MN,55384
Ph:952-442-7520
$76.00
Date: 6/14/2021
Method: Check: 60052
Address: 2447 BLACK LAKE ROAD, SP, MN 55384
Reference: Permit Number: SP-2021-00062 Type: MECH - General for Air
Mechanical
Fees
Product:
Mechanical - New Appliances Paid 1.00 $75.00 $75.00
State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $1.00
Total Amount: $76.00
Page 1 of 1 Printed on: 6/14/2021