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Permits - Permit# 22SP-00028 - 4100 Spring Street - 9/12/2022
City of Spring Park Repair/Remodel/Alteration (Commercial) 4349 Warren Ave, Spring Park, MN 55384 PR1NG PARK 22sP-0002s n La a Minnetonka (952)471-9051 (952)471-9160 For Inspections: (952)442-7520 Date Issued: 09/12/2022 Property Owner: DEB ROZEBOOM Expiration Date: 03/11/2023 Mailing Address: 4100 SPRING ST Job Site Address: 4100 SPRING ST UNIT 410, SPRING UNIT 410 PARK, MN 55384 SPRING PARK, MN Category: Commercial Alteration Phone: Permit Type: Repair/Remodel/Alteration Email: (Commercial) Valuation: $4,349.00 Description of Work: Replacing tub with shower exposing part of shared wall-will re-insulate to code Subdivision: Required Setbacks: Parcel ID: Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount Primary MAD CITY HOME IMPROVEMENT LLC State Surcharge $ 2.17 Commercial Building Permit $ 155.75 Commercial Plan Review $ 101.24 Total Fees: $259.16 NOTICE Signature of Applicant/Date Building Department Signature/Date 09/12/2022 MUST BE POSTED ON JOB SITE INSPECTION CARD *4 Z: City of Spring Park SPRING PARK OnLa6Xinnetonkg 4349 Warren Ave, Spring Park, MN 55384 POST THIS CARD IN A SAFE CONSPICUOUS LOCATION.PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY.STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. Repair/Remodel/Alte PERMIT NO.: 22SP-00028 PERMIT TYPE: ration(Commercial) ISSUED DATE: 09/12/2022 EXPIRATION DATE: 03/11/2023 PROJECT ADDRESS: 4100 SPRING ST UNIT 410,SPRING PARK,MN 55384 PARCEL NO.: MAD CITY HOME IMPROVEMENT OWNER: DEB ROZEBOOM CONTRACTOR: LLC CONTRACTOR PHONE: DESCRIPTION OF WORK: Replacing tub with shower exposing part of shared wall-will re-insulate to code CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Energy Code/Insulation Fire/Draft Stopping Drywall(Fire/Smoke Building Final Fire Approval: Date: Engineering Date: Approval: PW Approval: Date: Other( ): Date: To request an inspection:(952)442-7520 Page 1 of 1 CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren AvenuetSP-(ma$ Spring Park, MN 55384 ❑Handout Given Phone: 952-471-9051 Fax: 952-471-9160 El Lead Handout Given Routed o M SPCa� SITE ADDRESS:-ffi Smn1 St uo1 �•`,�� PID: 1)Was the home constructed before 108?(YES o,continue with line 2,NOXcontinue 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 o go to line 4,NO C 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) S)EPA Contractor Certification Number. NAT- (applies to contractor only) • PROPERTY OWNER: Oeb `oze boom Address: L\\0 S URA city ^PriicQ �it state: r' zip: 5 3 `_\ Email: N 1 A Contact Name: DE b IR o Z e b.00Tn Phone: °15 L ' W) - 3\'o e CONTRACTOR: kAod G ► Vr , Address: Z6 FC�krv1eAj.) Ptve V4 2 v i ar State: M Phone: - 6 • y 4 8 Fax• N p Contractor Licarlsa No: bc 17 51012. Contact Name: Phone: 6sk•603'474 HITECT: Address State zi P. Phone: Fax: • Email; Contact Name: Phone- TYPE OF WORK: ❑New Construction ❑Deck c.Pool in Re-Roof O Commercial Aesidential o Change of Use a Retaining Wall d Porch ❑Re-Side EST.VALUATION OF WORK ❑Finish Basement a Demolition ❑Fence $ � 3� 1 ArRemodelOep ocC. ❑Fire Sprinkler ❑Shed Square feet o Addition o Fire'Alann o Window/Door Replacement ❑Garage-AttachedfDetach XPlumbing-provide detail on Page 2 y being replaced �n Detailed Description of Work: ❑Accesso Structure o Mechanical-provide dean on Page 2 t i Misc Other t t • 1 Cl� J • signature of this application births"el property owner a e licensed saMrsetor.as the aMhere repmentattva ls mqutred and wdhwim foe ZQAWV A&r**moor w aeagwa and the eusibig ohklel or designee to~upon the property to psrlorm resided Inspection.Entry may be wlthwA prior notice.I hereby acknowledge that I have food this•ppAc itew and state that is:ttlon,atbn is true and correct to the best army knowledge,I furihor egree t hat of woli performed Will be In accordencs wth approved plans.spsck kations and condidDns and to stride by all ordtwxee of the Mmmkpsft and the laws of Ito Sale of MMrwoote regarding actions taken pyrwont to tlds permt.I agree to pay MI plan rsvlew f•as~If I choose,not to proceed with the work.Pennx w*es wharf work r Is not commenced within 180 days from date of permit,or If work Is suspended abandoned,or fool Inspected Ow 100 days work beyond to scope of this permit.or work without a pomt or Inspection • wet be subleet to a penalty Noise Ordinance In Effect:MONDAY-FRIDAY Before 7 a.m.and after 10 p.m.Weekends/Holidays before 7 a.m.and after s p.m. SIGNATURE OF APPLICANT• C DATE:_6I22 122 PRINTED NAME: Clu a VCQ of i� is Is the s ture of o Owner or ❑Owner's Representahve OCCUR TYPE: CONSY TYPE CODE: BLDG SPRINKLED Yes!No VALUATION:$ Permit Fee. $_)S7- WAC Charge: $ Plan Review Fee $ Sewer a Water Hook-Up: $ 7 State Surcharge: $ Sewer 8 Water Disconnect: $ Site Inspection Fee: $ Water Meter. $ S.E.C.Fee: $ Muni SE/WA Fee: $ Investigation Fee/Other Fee: $ '2016 SAC Escrow. s2_4.$5 >_ Copy Charge($.25 per 8 5 xI I page)$ Other. $ G L'tconco Chock(fr.)/Load Chock(tt6)$ TOTAL DUE: $ W SUB TOTAL $ C S9 •r,0 rt Commercial plans will be submitted to the Met Council Environmental Svcs H Plumbing from Page 2 $ � �Fee( g ) _._ for SAC determination. Escrow,payment will M required when Psanll is Issued. If ur Mechanical Fee from Page 2 $ after Mel Council review no SAC is determined.escrow will be refunded in lull_ rL Special Conditions/Required Setbacks: Building Approval By. DATE: Printed Building Apgroypt By: I I License Verification o Lead Verification-Checked By: City Approval DATE: 9 ja tS? Paid ,55 I .l(p Date: 9 �' a� Receipt No.5l956 it? I By. CITY OF SPRING PARK ❑ MECHANICAL PERMIT ❑PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL •R • Mechanical Contractor: Address: City: State: Zip: Phone: Fax: State Bond No: lContact 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 Loa Stove OBke 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. $ A, Total Mechanical Permit: $ Plumbing Contractor. tAa C1 \1* 4l i Address: 262 rrcy-\ vlew N 5U't�e City: 4seyi Stte: N zip: Phone: Fax: N A Plumbers License No: P "7'75 2 State Bond No: \ Contact Name: tA adt 'a Contact Phone: 60 3 . 4 7 1H Email: 2.t1't \ tS G 1 C.O Detailed DescrIpUon of Work: bi ►a c' t)hov.,er v o pS a vt Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture): PLUMBING FIXTURES Quantity an Water Heater Shower Laundry Tub n 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: XReplacement(one fixture only, no piping or vent changes) Plumbing Permit Fee: $ ❑Addition/Remodel State Surcharge $ ❑New Construction Other: $ ❑Other Total Plumbing Permit: $ The field copy of these plans must Plan Revisions Read all attached be kept on-site and made All construction shall materials. available to inspector during all comply with the approved inspections. Ip ans. Everyone performing work to which the code To schedule inspections call Plan revisions will not be is applicable shall (952) 442-7520 reviewed in the field without prior approval from the comply with the code. Please have the permit number Building Official. Submit all and street address ready at the plan revisions to the time of the call. Department of Building Safety for review, prior to their construction. Reviewed for Code Compliance This review is limited to the submitted scope of work, is based upon the supposition that the plan accurately depicts the intended construction and end-use, that the necessary legal authority has been obtained to construct the project and work is subject to code compliance and field inspection during construction. By: 7omXraase Type of Construction: Unknown Date: 9/2/2022 Occupancy Classification: Unknown Permit #: 22SP-00028 Code Edition: 2020 MN State Building Code SEPARATE PLUMBING PERMIT REQUIRED THIS PERMIT IS FOR THE REPLACEMENT/MODIFICATIONS TO THE GYPSUM BOARD ADJACENT TO THE EXISTING SHOWER/TUB LOCATION AND THE FLOOR/CEILING ASSEMBLY BELOW THE SHOWER/TUB AREA APPROVED PLAN 4100 Spring Street Unit#410 Ol4#i!un laai1S buiadS OOl4 Ndld 03AOHddV od�0, ©' a�o Q�. -�o 4©4„p4 i 1 ram:.. Assuming the wall separating the adjoining unit is a rated assembly. Where the gypsum board is removed,blocking shall be installed at the joints between the existing gypsum board and new gypsum board when re-installing gypsum board. .c Maintain the integrity of any floor/ceiling rated assemblies and wall rated assemblies. It is assumed the shared wall with the neighbor and the floor/ceiling assembly is a 1 hour rated wall assembly APPROVED PLAN 4100 Spring Street Unit#410 llw.w.s O F Y#iiun 18ejjSJ 5ufjds oo (v Nd]d :(P"aq Isp saA p) ou %&A suorI JISCI0 a�nOaddtJ _ �rs�+ ❑ $0A suinii48u G 47P!M AvHglsa»t IItH 41PINl f loopT 411M Z iooP 41PPA t+ooP M"IclIssa»e Aenvoo0 «ul«— 14211 sadols ❑ gal sadols(u} !anal 14SI3 of gal Su!1143 «W« P+vnio;sadols ❑ peq sadols r-t aanal luoq of q�eq soon ul« 14111 sadols ❑ gal sadois an l ai 74A3 0l gal iooli W« ino sueal ❑ ul sueal � , gwnld peal gees ul. lno sueal ❑ ul sueal E._..) qwnld ieOi it-14&M «ul ino sural ❑ ul sueal gwntd pen!gal Sullautd ❑ sassetdJ4lel ❑ NO IlensAap sSu!sano�IIrM !mail ❑ alaauol ❑ Poons' SulluF/;Item aleWsuq ❑ -ull ❑ ap1 X Poonlpse4 ❑ Mul+ Sulsaeo.s.00li gos ❑ PIMs` Au,tal-1,oai wlwi El loan ❑ aurweds ❑ alawm ❑ Poon fulwu;,00li ou IX saA ❑ ie24 coop W se4 4u!sooli anssasd ou ❑ pooS ,mots ❑ anssasd iaitns lltisul-aid }�ulup DS usaop ❑ PO cools ❑ 4sun;Wejp Ilelwt-ad saA ❑ JOOJ a%P 42nw41 lufluan se4 dulgwntd 9utispt3 -d Peal 11 d X t md,Ya ❑ lyef ❑ sq, JaddQJ � JOfl!sodwo))lulgwnid slleal Alluasm ❑ Aip11s (� ou n saA s310as uo in4s liesuolpotnt4�ssaleaJaweuaiuleW ou saA ❑ opuon, � 4 Sl)\A �.y) ualewi go lnys saltM r ou $� ,1 aryen of laued ssauy SulP33 do/P❑ Pauwos 11twUAfP` ' (asoogs• p pa ) ou s" ❑ sodea u1u0 lulod ssa»e(saA;I) ou S" ❑ 41eq molaq Aluo a)tds µAu.) ou saA awo4 ul 41eq N�if PalaPowa aq 01 4le8 luawateq r, � Put ❑ 1s( ❑ lanaf w0014leg (uogrugdta)ou ❑ ssA (� tau Sullins uum/aSueg (uolitueldea)ou ❑ -a»e Supxd uol"dlu14ie8 Oth i!\A 1J qQ ,Ppy ��•_ :m as:ssa �j�� souadsul q' uwolsn:) — au �Jed 6u�a�s J-Oyr"S Nw5o8L�8� 0�ir##;(un i®aj;g 6uudS OOlt4 NVId :alto ❑o Sul "'-- a nieulim iawossn:) 'Aep auo ue44 iafuol alel Pln03 io ue4l O/OW iol painpa"aq Am sansi uaasiolun pue Alitaldwo3'suopdo'saponme uixa uo paseq s41eq awos spuelsiapun iawossnD. ■oq ialeatq wawo)to scale (upped sJYo mys taIrm Seale ssasn safewep luaiin> saifue pe wall taM04s L 9ulgwn!d/ulup ua414 ss!d amseufis iawolsn:) of suaA BIM yuaA uei Mau D fulyslxa fupeldai El y43q/uel fu4lelsui A4b apissno Alb apisul siauto'3 fugoxuiem A10 fugo�suleM Alb auogfupiaN Aib------ will iauto:) prys laeq uroq, pnis v*lt woo. pnis yiai wall. ul uolsewl ulup wossn3 fisA�pi1 ainleuf!s iawossn3 wolsm y4111 NI uop"ol ulap*.ON u01pas pe-i yaa wossm -MCI.Z [] puns b/I fu14008 iaAo7 of papaau will atnuufls iawossn] oil saA fuuooll ivaum iaAoa 11!M :suop ainleufis tawoisn) ia4 ssel0 —10 (Jafool Jo.09 pucd uo ail M to aplsino taseM a:iwlulw of fuluado iol wool 42noue molle III(pain .96)apt . e4l ssal ou Put 34344 fuBla)woi BM:sself e!uwople3 aimeufls iawels w axis ued Otis Aq o aq IBM. :uolsesol auilut :apls aipu :apes afu1H :u00 03tl(IJs80 NMI �vvm aPI1 :nqg !Ms s :i000 taMoys :A4M uoseai aalouu aaseald•Ijetyuo3 wall siaWp 11 J `ainAeufts sawotsn) ow 8110 N8 ( 4;D :s0103 Alma3N fepp+i 41p!M X (pnis os Pnls(yyfual-paowoap Apeatly ImMul 441M I( (.Z/t+Begs pnis Mau of 4sIu914121141•11eM fupusw/fu!pPV —Ie u1 Milli-X--I.S+4slug 014s1u9)4'4ual1PO4s!w,1Apuaiin�j ( selmlpuadud M lapol io tuoil of sills wall awelslo 11� lailued A lallol io aioaa as silts wall aDuesslo _a .NW mseuals iawolsnz) --�(gnl)s a 4fi H upls �-Y„^• (ReM ps os+gJ �a w P-4 •Wll 03 sua114MM Q�1s ti4f!U os s1a1143fua� 111ml of Otis lens7v ainsrufls iawossn, (Molaq uleldraiou ❑ saA ❑ u0ilessadra s,iawoisn)slaaw acts p"uo:) atnseufls iammim:1 47111ua15-27 41PIMTY' un ued ioi saes ixquo� �•�G :wpossa»e Put fulls scat r0406 seaw r�l��.�'�->--A�-e---�preFer�v,ce _r'ifiTr�•r,�, a��g�Cec�s� S*Otcharea LgUr�vy YUbrn Maintain the integrity of any floor/ceiling rated assemblies and wall rated Ki 1-C)�Gvt assemblies. It is assumed 5ti,,a� the shared wall with the Wal+ neighbor and the ,~� Ct 1 E--.-� floor/ceiling assembly is a 1 11(Z Luj-f 1 hour rated wall assembly hGi917r;Sr 0 0 a O i O APP:' PLAN i kX,tiK iV1 C �`� 4100 Spring Street Unit#410 To Oqur A-i-,W Bathtub & Shower Measure Form Customer name KO7-ItkO 1,beb Address: `ii�U 5py 506hqiql4e Ina Job 0: OS 14 M Delta: ............... ............""" ................... .... ^...� DON'T FORGET THE PICTURES) ................a=::::::::::::.._.: ::::... .. 310 lob„ 3dfi� Tp Mlddte rb hq, O.C door I . l .. :. =` For I"th specify finishing measure to(for example.drywall or tile): CEILING FAWLIGHT SIZE:_ Window if e t: Drain location: Tech notes: SKIRT HEIGHT��o'} LENGTH: ❑ RIGHT CENTER ❑ Sludtostud TUB WIDTH: P _ WIDTH x LEFT AL Drywa'1 to drywall APPROVED drywall to front ❑ ❑ Tie to We ❑exlsdng surt nd to front DEPTH: PLAN III 4100 Spring Street Unit#410 ,in jaculS 6u(jdg 00ty NV-1d uq,ti,w4wV s Nftutpy 0 3 AO U d d b uolialduo:)to ain4cufl5 jol3eAu"nS lawoisna 041 Act paufls uaaq 104 uo4aldww to alaglllaa t plan lvawAed lewj 1ol pauitugns aq 1ou Am saap^ul uulazadsul ald p amuufi5 ms f4lep pin!.ns aq Is s»pool sgof p"ioa put alaldwoa uo Apo pled aq Him»lo^ul SM pal plea aq low HI*50204d put wawa4tutw 41VA p4illo4lnt iou y1om Auq :ealoAul total apegafau um we paltry sailed IIV pat olle tuI aI,-ou aq Ilpa,aN41 43413 doW uo13 KC Amp dNl 41e3 days woo 5605.2-p dal 4x'3 dogs uoil Os-sz afle4o dNl 4113 11-ua)P1e 3014/uet waA.sou lielsm put pIo a^oway Wei urool mil ttun fu11g o3 4—wta put»op UStl Yot3 Pjlos d.p peng10 ppnq 10 aA )j yar3 AMOLIs/qni 4n1Su!01 AIptA 10 talpl111V 4x3 swirl/aAoa lie pue P124 pue4 uq apgs/ltnell pelsui 41131 1swirl 1a^oa lie put peat'1;O ow iteml 4x3 mop uewAe3 peitul 4x3 aifut—a m!laued ulnial y aullul/M loop sul*s Ilttsui 4113 1�� Sllelsul 4x3 anmrs/pnpuns IKlsal 4113 pot»Asoys ptisul 4103 '�. leq ge91telsui 4st3 I'M pnwl 4x3 pad ioot/a,PPei/liar-eyms/~iwim figs l 4>e3 pem ul"10 laued fuplaa I".1 4x3 alq w wows a40gfu111a4 4Wa UMILU item f Hat MvA Pe3 suonSaAwr/>ln u:altAz pegs E pgsul 4x3 ( gwouss"is"fea E p3stq 4>e3 waiSAS lie-aifue oau unsul 4x3 ualelnsulVAld/I1tAv4p lie sapnpUl chid ftM 41t3 sMaly qM ur>,W.petsul 4x3 ioodYl4Mlaa1/laN1eg/ued Nwogc/sp4 llet" Wt3 zpotnys,alea)uluPlaHt^Ilelsul put plmg 413 leWIdde 18uw Paau 8 sold paau•stspl aanisnllSat/ilalwm tan8 4"3 ,alxq/walsds he.a3allvoY7alsgtl Put 41e1'cpe-ai!I'gnl isej-owa0 4x3 jav-V%wisAs He "P1eoq+wo4s'MaW tsttLagN- twi alto Ilelsui L -AIIO (7 C)O 7 Ssa,PPV 1—M Nlltltul V aweN qof waoj auawssassy ainseaw jogel 41e9 f! City of Spring Park 4349 Warren Ave Spring Park, MN 55384 PRING PARK Phone (952)471-9051 Fax(952)471-9160 n Lake Minneton a Project Name: Date: 09/02/2022 Approval Status: In Progress(Not Complete) Jurisdiction: City of Spring Park Construction Type: ID: 22SP-00028 Applicant Name: Mad City Windows& Baths Applicant Phone: (651) 603-4748 Applicant Email: permits@madcitywindows.com Jobsite: 4100 SPRING ST UNIT 410 Code: 2020 1300, Minnesota Building Code Administration; 2020 1305, Minnesota Building Code Trades Reviewed: Building The plans and specifications,for the project named above, have been reviewed for substantial compliance with the current Minnesota State Building Code.This review is limited to the submitted scope of work; is based upon the supposition that the data on which the design is based are correct and that the necessary legal authority has been obtained to construct the project.Although every attempt has been made to identify code issues or concerns for proper and necessary change, the project designer(s),the building contractor(s)and the property owner(s) are ultimately responsible for providing complete code compliance and maintaining minimum construction standards for the safeguarding of life or limb, health, public welfare and property while constructing this project. Approval is based on the correction of all noted deficiencies and compliance with all items listed below.Any changes from these documents and/or additional information shall be submitted to the Department of Building Safety for code compliance review and approval.Written response of approval must be on site prior to implementation of such changes. The following information is related to the submitted plans/scope or as general information regarding code compliance. Compliance with the stated requirements will be verified during the construction process. All work shall be inspected. It is the responsibility of the contractor/installer to contact the Department of Building Safety, when ready to schedule an inspection, at(952)442-7520 during regular business hours. If you have any questions or concerns regarding this plan review, please contact me via telephone at(952)442-7520 or email at codereview@mnspect.com. Tom Krause Plans Examiner tkrause@mnspect.com 4100 SPRING ST UNIT 410 Page 1 City of Spring Park 4349 Warren Ave Spring Park, MN 55384 Phone(952)471-9051 WRING PARK Fax(952)471-9160 n Lake 31inneton a Plan Specific Items: Building:Approved with Comments-Tom Krause,tkrause@mnspect.com Scope of work: Replacing portions of gypsum board surrounding tub/shower area to allow for the replacement of the shower/tub unit with shower unit with manufactured shower pan and 3 wall smooth system. • Maintain the integrity of any floor/ceiling rated assemblies and wall rated assemblies. It is assumed the shared wall with the adjoining neighbor and the floor/ceiling assembly is a 1 hour rated wall assembly. Where the gypsum board is removed, blocking shall be installed at the joints between the existing gypsum board and new gypsum board when re-installing gypsum board. The same thickness and type as the existing gypsum board shall be installed at gypsum board areas removed. • Separate Plumbing Permit required for the shower/tub replacement. • This permit is for the replacement/modifications to the gypsum board adjacent to the existing shower/tub location and the floor/ceiling assembly below the shower/tub area. 4100 SPRING ST UNIT 410 Page 2 Payment Confirmation Payer Information: Payment Made By: CORY HENKE Payment Made For: CORY HENKE Email: PERMITS@MADCITYWINDOWS.COM Permit Address: 4100 SPRING ST UNIT 410 Address: 5020 VOGES RD MADISON, WI 53718 Payment Description: Permits Payment Date: 9/9/2022 1:09:25 PM Business Name Payment Payment Confirmation Amount Convenience Total Method Account Number Fee City of Spring Park MC ****9019 51956151 $259.16 $7.65 $266.81 (Permits) This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. Thank you for using PSN. 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RECEIPT City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952)471-9051 SPRING PARK 22SP-00028 I Repair/Remodel/Alteration (Commercial) On Lake 3finnetonka Receipt Number:64 Payment Amount: $259.16 September 12,2022 Transaction Method Payer Cashier Reference Number Credit Card Mad City Windows Jamie Hoffman 51956151 Comments Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Code Assessed Amount Paid Balance Due 09/02/22 State Surcharge $2.17 $2.17 $0.00 09/02/22 Commercial Building Permit $155.75 $155.75 $0.00 09/02/22 Commercial Plan Review $101.24 $101.24 $0.00 Totals. $259.16 $259.16 Previous Payments $0.00 Remaining Balance Due $0.00 Permit Info Property Address Property Owner Property Owner Address Valuation 4100 SPRING ST UNIT 410 DEB ROZEBOOM 4100 SPRING ST UNIT 410 $4,349.00 SPRING PARK, MN 55384 SPRING PARK, MN Description of Work Replacing tub with shower exposing part of shared wall-will re-insulate to code