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Permits - Permit# SP-2021-00098 - 3890 Sunset Drive - 9/21/2021City of Spring Park Permit 1 CITY of _j") A P Rr C -1 _r x To Schedule an Inspection Call: 952-442-7520 Details Permit Number: SP-2021-00098 Issue Date: 9/21/2021 Zoning Type: RESIDENTIAL Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS Site Address: 3890 SUNSET DRIVE, SP, MN 55384 Description: Permit Granted To: Evergreen Construction Company Homeowner's Name: AMY R ADLINGTON SHKABERIN Phone Number: Parcel #: 1711723320020 Permit Type: MAINT - Roofing Replacement Permit Exp: 3/19/2022 Valuation: $0.00 Fees Receipt•• Date Quantity Date Paid Status Pmt Info Amount 13757 Residential - Re -Roof 9/20/2021 1.00 9/21/2021 Paid $50.00 13757 State Surcharge Flat Fee - $1.00 9/20/2021 1.00 9/21/2021 Paid $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! Scott Qualle, Building Official City of Spring Park #4349 Warren Avenue ♦ 55384 Copyright ©2021 INSPECTION RECORD City of Spring Park Permit Number: SP-2021-00098 Issue Date: 9/21/2021 SITE ADDRESS: 3890 SUNSET DRIVE, SP, MN 55384 Description: PERMIT TYPE: MAINT - Roofing Replacement ZONE/USE TYPE: RESIDENTIAL APPLICANT: Evergreen Construction Company OWNER: AMY R ADLINGTON SHKABERIN 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 Re -Roof In -Process 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 SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue lce Ql� _00098 Spring Park, MN 55384 ❑ Handout Given Phone:952-471-9051 Fax:952-471-9160 ❑ Lead Handout Given Routed to MNSPECT SITE ADDRESS: 3 H0 SVylst°-\ T,>rl Vfz- PID: 1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO ❑ continue without completing EPA Section) 2) Will the work disturb a6 sq ft of interior painted surfaces or 220 sq It of exterior painted surfaces? (YES 0 go to line 4, NO o line 3) 3) Are there any windows being replaced? (YES o, go to line 4, NO o 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: Sr 1 Y_Gi be r (V1 Address: a Gil ' Ci :S l irti- State: VAN Zip: 5S33dr Email: � Contact Name: Phone: ii CONTRACTOR: tuer rr0VkSAY'V i0V1 0M Address: IM C CkrtK J90jvl4< 60n L city: Late: MNZip: SS 17 0 Phone: % �2�f Fax: Contractor License No: 2 & o Contact Name: i 1 a Phone: - aQ q - 74 Email:ki I q0DmnevCrqrerf1 Out ARCHITECT: Address: Citv: State: Zip: Phone: Fax: • Email: Contact Name: Phone: TYPE OF WORK: ❑ New Construction ❑ Deck c Pool >(Re -Roof ❑ Commercial Residential ❑ Change of Use o Retaining Wall = Porch o Re -Side EST. VALUA ION OF WORK ❑ Finish Basement ❑ Demolition o Fence _ S 501Jo ❑ Remodel o Fire Sprinkler ❑ Shed Square feet: a Addition ❑ FireAlann ❑ Window/Door Replacement o Garage-Attached/Detach o Plumbing -provide detail on Page 2 # being replaced re Detailed Description of Work: ❑ Accesso Structure o MechanicaI-provide detail on Page 2 a Misc Other V4 -tr Iry • Signature of ha ap iicafion by he legal property owner Q a Ecensed contractor. as the avne:'s representallve. is required and aatherties he Zoning Administrator or designee and the 3ailding Official or des!gnea to error upon -he property to pe,fix needed mspectms. Entry maybe wthoui prior notice. I hereby acknoMwIge that I have read this appicaoon and state that all nforma:ion is true and correct :o the best of my i r=eedge. I tuber agree Ira: of v.ork pet formed wll ben ac ccrdance vrh approved pbns. speci3catons and conditions and to abide by of ordinances of the Municipal`y and he lap:s of he State cf iinnescta regartim actions taken pursuant to :n:s p(rmh. I agree to pay all plan review fees even if I choose not to proceed with the work. Pemlil e.pires vfier work .s is no: cemmrxed vrthir 180 dais from date of or i1 workLs suspended. abandoned. c not inspected for 180 days. Work beyond he scope of:his pear., or wok wilhout a permr, or inspKton, • au be s:tbjeci :o a pena:iy. Noise Ordinance In Effect: NDAY - FRIDAY fore 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m. SIGNATURE OF APPLICANT: DATE: 9 ZOr'L\ PRINTED NAME: R,011A t/ This is the signature of: 17 Owner or Owner's Representative OCCUR TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes / No VALUATION: S Permit Fee: S WAC Charge: S Plan Review Fee: $ Sewer & Water Hook -Up. S State Surcharge: S I • Sewer & Water Disconnect: S Site Inspection Fee: S Water Meter. S S.E.C. Fee: S Muni SE/WA Fee: S Investigation Fee / Other Fee: S *2016 SAC Escrow: S2 485 >- Copy Charge (S.25 per 8.5 x11 page) S Other. S J ZO Liccnrc Chock (i5) ! Lead Check ($5) S•-19�5 TOTAL DUE: $ w N D SUB -TOTAL $ Plumbing Fee (from Page 2) $ 'NOTE: Commercial plans will be submitted to the Mel Council Environmental Svcs for SAC determination. Escrow payment will be required when permit is issued. If w Mechanical Fee from Page 2 $ after Met Council review no SAC Is determined, escrow will be refunded In full. v a Special Conditions/Required Setbacks: aL O Building Approval By: DATE: Printed Building Approval By: 0 License Verification ❑ Lead Verification - Checked By: City Approva Igm DATE: �f Paid: Date: J 1 Receipt No. ► f 70 5 By. ��fi CITY OF SPRING PARK LI MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL INFORMATION Mechanical Contractor. Address: city: State: Zi : Phone: Fax. State Bond No: JContact Name: Email: JContact 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 Offke Use Only: ❑ Replacement (one fixture only, no piping or vent changes) Mechanical Permit Fee: S ❑ Addition/Remodel Gas Line Permit Fee: S ❑ New Construction State Surcharge: $ ❑ Other Other. S Total Mechanical Permit: $ PLUMBING• • • Plumbing Contractor: Address: City: 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 Pipinq 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: $ Thank you for your Payment! Transaction ID: 13757 Transaction Number: 47083583 Transaction Type: Payment Recipient: Contractor Notes: 5i, C1 FY OOFF P_r C-3 !tM±tININEN0-1A City of Spring Park 4349 Warren Avenue SP MN,55384 Ph:952-442-7520 $51.00 Date: 9/21/2021 Method: Address: 3890 SUNSET DRIVE, SP, MN 55384 Reference: Permit Number: SP-2021-00098 Type: MAINT - Roofing Replacement for Evergreen Constriction Company Fees Product: Residential - Re -Roof Paid 1.00 $50.00 $50.00 State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $1.00 Total Amount: $51.00 Page 1 of 1 Printed on: 9/21/2021 Payment Confirmation Payer Information: Payment Made By: Joe W Hahs Payment Made For: Bella Kuebler Email: bella@mnevergreen.com Address: 1200 centre pointe curve Mendota Heights, MN 55120 Payment Description: Licenses Payment Date: 9/21/2021 9:19:32 AM Payment Payment Confirmation Convenience Business Name Method Account Number Amount Fee Total City of Spring Park VISA ****2754 47083583 $51.00 $2.25 $53.25 (Licenses) This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. 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