Permits - Permit# 22SP-00032 - 4446 West Arm Road - 9/12/2022 City of Spring Park Re-Window/Exterior Door
(Residential
4349 Warren Ave, Spring Park, MN 55384
F
PRING PARK 22SP-00032
La fie SNinneton a (952)471-9051 (952)471-9160
For Inspections: (952) 442-7520
Date Issued: 09/12/2022 Property Owner: Danielle& Blake Gimbel
Expiration Date: 03/11/2023 Mailing Address: 4446 West Arm Road
Job Site Address: 4446 West Arm Road, Spring Park, MN
55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone:
Permit Type: Re-Window/Exterior Door(Residential) Email: danielle.m@kw.com
Valuation:
Description of Work:
Replace windows in existing openings
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
State Surcharge(Fixed) $ 1.00
Contractor License Look-up $ 5.00
Lead Certification Look-up $5.00
Residential Building Maintenance Permit $50.00
Total Fees: $61.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
09/12/2022
MUST BE POSTED ON JOB SITE
�- INSPECTION CARD
xl:�- City of Spring Park
SPRING PARK
OnGakeJl-tinnetonka 4349 Warren Ave, Spring Park, MN 55384
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.
Re-Window/Exterior
PERMIT NO.: 22SP-00032 PERMIT TYPE: Door(Residential) ISSUED DATE: 09/12/2022 EXPIRATION DATE: 03/11/2023
PROJECT ADDRESS: 4446 West Arm Road,Spring Park,MN 55384 PARCEL NO.:
OWNER: Danielle&Blake Gimbel CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Replace windows in existing openings
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Final/In-Progress
Fire Approval: Date: Engineering Date:
Approval:
PW Approval: Date: Other( ): Date:
To request an inspection:(952)442-7520
Page 1 of 1
CITY OF SPRING PARK PAGE 1 BUILDING PERMIT
4349 Warren Avenue aids_ 0o03
Spring Park, MN 55384 ❑ Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given �-
SITE ADDRESS: q'�L4 `0 W , f\e m Rd__ PID:
1)Was the home constructed before 1978?(YES a,continue with line 2,NO a continue without completing EPA Section)
2)Will the work disturb Z6 sq ft of interior painted surfaces or 220 sq ft of exterior painted surfaces?(YES❑go to line 4,NO o line 3)
3)Are there any windows being replaced?(YES c,go to line 4,NO a continue without completing EPA Section)
4)Has this home been Certified Lead Free?(YES o,you MUST Attach Certification Information,NO c complete line 5)
5)EPA Contractor Certification Number. NAT- (applies to contractor only)
• PROPERTY OWNER: Yl l -4- Address: 44
Ci : V�_ r—k State' n Zip: Email: .PA W,CO Wl
�• Contact Name: r n Phone: �V Ca T
CONTRACTOR: �`i.�r lC w Wo, J Address: - �L% L
Ci 5T 1;1 Stateih\0 Zi L Phone: ([. _ �C � Fax:
Contractor License No: 1
7-1
c �� Contact Name' y 1` Phone: t+51"&'
t
Email: Qry Uvoic"x-
ARCHITECT: Address.
City: State: Zip: Phone: Fax:
• Email: Contact Name: Phone:
TYPE OF WORK: New Construction -Deck -Pool Re-Roof
Commercial Residential n Change of Use c Retaining Wall =Porch Re-Side
EST.VALUATION OF WORK ❑Finish Basement ❑Demolition Fence
$ �U 00. C)0 =Remodel Fire Sprinkler -Shed
Square feet: Addition o Fire Alarm K,Window/Door Replacement
o Garage-Attached/Detach a Plumbing-provide detail on Page 2 #being replaced$_
•� Detailed Description of Work: ❑Accessory Structure Mechanical-provide detail on Page 2 -Misc Other
•
r1G "i it
1 J 1 t l ( r ✓ \
Signature o}this opplicalon by the legal property owner a a licensed contractor.as the owners representative.is required and author¢es the Zoning Administrator or designee and the to Building r6 a
or deslgnee to enter upon the property to perform needed inspections.Entry may be without prior notice I hereby acknowledge that I have read this application and state that all information is Irua and
correct to the best of my krIOwteoge.I further agree that as work performed wa be In accordance wilh approved plans.specificatioro and conditions and to abide by all ordinances of the Municipality
and the laws of the State of Minnesota regarding actions taken pursuant to this permit 1 agree to pay all plan review tees even It 1 choose not to proceed with the work,Permit expires when work
r• is
not commenced within 180 days from date of permit.or if work is suspended.abardoned.or not inspected for 180 days.Work beyond the scope of this permit.or work without a permit Or inspactlon.
• will be subject to a penalty.
Noise Ordinance In E tc MONPAY-F I Bet re`..7 a. .and after, p.m.Weekends/Holidays before 7 a.m.and after 8 p.m.
r C
SIGNATURE OF APPLICANT. DATE:
PRINTED NAME: t +t 11iii0mi the signature of: Owner or Owne s Re esentative
OCCUR TYPE: C PE: CODE: BLDG SPRINKLED Yes/No
VALUATION:$
Permit Fee: S WAC Charge: $
Plan Review Fee: S Sewer&Water Hook-Up: $
State Surcharge: $ `.rD Sewer&Water Disconnect: $_
Site Inspection Fee: $ Water Meter: 5
S.E.C. Fee: $ Muni SE/WA Fee: S _
Investigation Fee/Other Fee: $ t 6 SAC Escrow: $2 485
} Copy Charge(S-25 per 8.5 x11 page) S Other: S
z L'tcenee Check($S)1 Lead Chock($S) $^ TOTAL DUE: $
WSUB-TOTAL $ caI. _:Commercial plans will be submitted to the Met Council Environmental Svcs
N 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.
2
LL Special Conditions/Required Setbacks:
LL
O
Building Approval By: DATE:
Printed Building Approval B ❑ License Verification❑ Lead Venfication-Checked By:
City Approval By: DATE: q
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
In Floor Heat Dryer
Gas Log Stove
office 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: $
PLUMBING INFORMATION
Plumbing Contractor: Address:
City: State: Zip: 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
Once Use Only:
❑ Replacement(one fixture only, no piping or vent changes) Plumbing Permit Fee: $
❑AdditionfRemodel State Surcharge $
❑New Construction Other: $
❑ Other Total Plumbing Permit: $
Payment Confirmation
Payer Information:
Payment Made By: Mary Derosier
Payment Made For: Mary Derosier
Email: permits@windowworldmn.com
Permit Address: 4446 W Arm Rd.
Address: 10596 83rd St. N.
Stillwater, MN 55082
Payment Description: Permits
Payment Date: 9/7/2022 3:35:48 PM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park MC ****1748 10471637 $61.00 $2.55 $63.55
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
22SP-00032 ( Re-Window/Exterior Door(Residential) On Lake 3finnetonkg
Receipt Number:63
Payment Amount: $61.00 September 12,2022
Transaction Method Payer Cashier Reference Number
Credit Card Window World Jamie Hoffman 10471637
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
09/06/22 State Surcharge(Fixed) $1.00 $1.00 $0.00
09/06/22 Contractor License Look-up $5.00 $5.00 $0.00
09/06/22 Lead Certification Look-up $5.00 $5.00 $0.00
09/06/22 Residential Building Maintenance Permit $50.00 $50.00 $0.00
Totals. $61.00 $61.00
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4446 West Arm Road Danielle& Blake Gimbel 4446 West Arm Road
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Replace windows in existing openings