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Permits - Permit# 22SP-00001 - 4308 West Arm Road - 5/20/2022 .� City of Spring Park Re-Side - Non-Lath 4349 Warren Ave, Spring Park, MN 55384 Residential SPRING PARK 22SP-00001 On La ke�4inneton>a (952)471-9051 Fax(952)471-9160 For Inspections: (952) 442-7520 Date Issued: 05/20/2022 Property Owner: DOUGLAS &JERI SMITH Expiration Date: 11/16/2022 Mailing Address: 1923 DENTRO DO LOMAS Job Site Address: 4308 WEST ARM ROAD, SPRING BONSALL, CA 92003 PARK, MN 55384 Phone: Category: Residential Miscellaneous Email: Permit Type: Re-Side - Non-Lath (Residential) Valuation: Description of Work: Remove and replace siding and trim Subdivision: Required Setbacks: Parcel ID: 1811723430047 Filing: Lot: 21 Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount State Surcharge (Fixed) $1.00 Residential Building Maintenance Permit $50.00 Lead Certification Look-up $5.00 Total Fees: $56.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 5/20/2022 MUST BE POSTED ON JOB SITE INSPECTION CARD City of Spring Park SPRING PARK 4349 Warren Ave, Spring Park, MN 55384 On Gale Winnetonkg POST THIS CARD IN A SAFE CONSPICUOUS LOCATION.PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY.STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. PERMIT NO.: 22SP-00001 PERMIT TYPE: Re-Side-Non-Lath ISSUED DATE: 05/20/2022 EXPIRATION DATE: 11/16/2022 PROJECT ADDRESS: 4308 WEST ARM ROAD,SPRING PARK,MN 55384 PARCEL NO.: 181172343004 OWNER: DOUGLAS&JERI SMITH CONTRACTOR: CONTRACTOR PHONE: DESCRIPTION OF WORK: Remove and replace siding and trim CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Final/In-Progress To request an inspection:(952)442-7520 Page 1 of 1 CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue 1-9a P- DOO©,7 Spring Park, MN 55384 El Handout Given Routed to MNSPECT Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given SITE ADDRESS: 4308 West Arm Road PID: 1811723430047 1)Was the home constructed before 1978?(YES cXcontinue with line 2,NO❑continue without completing EPA Section) 2)Will the work disturb 26 sq fit of interior painted surfaces or 220 sq ft of exterior painted surfaces?(YES o go to line 4,NOX line 3) _ 3)Are there any windows being replaced?(YES❑,go to line 4,NO X 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: Paul Schroe fer Address: 4308 West Arm Road City:S rim Park State: MN Zip: 55384 Email: kshoutz@gmaii.com Contact Name: Paul SSchroe fer Phone: 218-343-4572 CONTRACTOR: Cloudline Exteriors Address: 4951 W 77th Street Suite 10 City: Edina State: MN Zip: 55435 Phone: 952-234-3303 Fax: Contractor License No: BC770579 Contact Name: Ben Brueshoff Phone: 952457-0445 Email: ben@cloudlineexteriors.com ARCHITECT: Address: Ci : State: Zip: Phone: AT Fax: • Email: Contact Name'. IL APhone- TYPE OF WORK: ❑New Construction o Deck ❑Pool Ppr❑Re-Roof ❑Commercial K Residential ❑Change of Use ❑Retaining Wall ❑Porch X Re-Side EST.VALUATION OF WORK ❑Finish Basement ❑Demolition ❑Fence $ 33,913.76 ❑Remodel ❑Fire Sprinkler ❑Shed Square feet: o Addition ❑Fire Alarm ❑Window/Door Replacement 1,500 ❑Garage-Attached/Detach o Plumbing-provide detail on Page 2 #being replaced rr Detailed Description of Work: ❑Accessory Structure ❑Mechanical-provide detail on Page 2 ❑Misc Other Removal and replacement of siding and trim • Signature of this application by the legal property owner or a licensed contractor,as the owner's representative.Is required and authorizes the Zoning Administrator or designee and the Building OMcial 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 performed will 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.1 agree to pay all plan review fees even if I choose not to proceed with the work.Permit expires when work u 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 perntt,or work without a permit or Inspection, • will be subject to a penally. 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:ge..'t, DATE:5/18/22 PRINTED NAME: Ben Brueshoff This is the signature of: ❑ Owner or Owner's Representative OCCUR TYPE: CONST.TYPE: CODE: BLDG SPRINKLED Yes/No VALUATION:$ Permit Fee: $ 50'0,0 WAC Charge: $ Plan Review Fee: $ Sewer&Water Hook-Up: $ State Surcharge: $ 1 .rb 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. $ Z Licence Check($5)/Load Check($5) $ 12e _ TOTAL DUE: $ w SUB-TOTAL $ , N 'NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs D Plumbing Fee(from Page 2) $ 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. U LL Special Conditions/Required Setbacks: IL O Building Approval By: DATE: Printed Building Approval By* ❑ License Verification❑ Lead Verification-Checked By: City Approval By DATE1. : �5 Paid: (� Date: a Receipt No. 3 By(Oe 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: Zi . 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 n Floor Heat Dryer Gas Log Stove Office Use Only: ❑Replacement(one fixture only, no piping or vent changes) Mechanical ermit Fee: $ ❑Addition/Remodel Gas Line Permit Fee: $ ❑New Construction State Surcharge: $ ❑Other Other. $ Total Mechanical Permit: $ PLUMBING INFORMATION Plumbing Contractor: ANIIIIIIIIIN Address: City: te: Phone: Fax: Plumbers License No: State 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: $ Payment Confirmation Payer Information: Payment Made By: Ben Brueshoff Payment Made For: Cloudline Exteriors Email: ben@cloudIineexteriors.com Permit Address: 4308 West Arm Rd Address: 4951 W 77th Street Suite 10 Edina, MN 55435 Payment Description: Permits Payment Date: 5/20/2022 11:22:58 AM Business Name Payment Payment Confirmation Amount Convenience Total Method Account Number Fee City of Spring Park VISA ****4143 64413637 $56.00 $2.40 $58.40 (Permits) This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. 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RECEIPT City of Spring Park �-- 4349 Warren Ave, Spring Park, MN 55384 (952) 471-9051 SPRING PARK 22SP-00001 I Re-Side - Non-Lath (Residential) On Gale 9Ninnetonla Receipt Number: 11 Payment Amount: $56.00 May 20, 2022 Transaction Method Payer Cashier Reference Number Credit Card Cloudline Exteriors Jamie Hoffman 64413637 Comments VISA last four 4143 Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Code Assessed Amount Paid Balance Due 05/19/22 State Surcharge (Fixed) $1.00 $1.00 $0.00 05/19/22 Residential Building Maintenance Permit $50.00 $50.00 $0.00 05/19/22 Lead Certification Look-up $5.00 $5.00 $0.00 Totals: $56.00 $56.00 Previous Payments $0.00 Remaining Balance Due $0.00 Permit Info Property Address Property Owner Property Owner Address Valuation 4308 WEST ARM ROAD DOUGLAS & JERI SMITH 1923 DENTRO DO LOMAS SPRING PARK, MN 55384 BONSALL, CA 92003 Description of Work Remove and replace siding and trim