Permits - Permit# 22SP-00033 - 2429 Black Lake RoadCity of Spring Park
4349 Warren Ave, Spring Park, MN 55384
IMRK I (952) 471-9051
(952) 471-9160
For Inspections: (952) 442-7520
Re -Roof (Residential)
22SP-00033
Date Issued: 09/23/2022
Property Owner: Sherrie Bartolotto
Expiration Data: 03/22/2023
Mailing Address: 2429 Black Lake Road
Job Site Address: 2429 Black Lake Road, Spring Park,
MN 55384
Category: Residential Miscellaneous
Spring Park, MN 55384
Phone: (612) 750-4021
Permit Type: Re -Roof (Residential)
Email:
Valuation:
Description of Work:
Re -roof house and garage
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary Northface Construction (763) 433-2269
State Surcharge (Fixed)
$ 1.00
Contractor License Look -up
$ 5.00
Residential Building Maintenance Permit
$ 50.00
Total Fees:
$ 56.00
NOTICE
Signature of ApplicantlDate
Building Department Signature/Date
09/23/2022
MUST BE POSTED ON JOB SITE
INSPECTION CARD
m fko iz: City of Spring Paris
SPRING PARK
On Lake 96finneto* 4349 Warren Ave, Spring Park, MN 55394
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE FADE AND SIGNED OFF BY THE APPROPRIATE
AUTIIORRY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE.
PERMIT NO.: 22SP-00033 PERMIT TYPE: R
(Reesideside
ntial) ISSUED DATE: 09/23/2022 EXPIRATION DATE: 03/22/2023
PROJECT ADDRESS: 2429 Black Lake Road, Spring Park, MN 55384 PARCEL NO.:
OWNER: Sherrie Bartolotto CONTRACTOR: Northface Construction CONTRACTOR PHONE: (763) 433-2269
DESCRIPTION OF WORK Re -roof house and garage
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION iNSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Final/In-Progress
Fire Approval:
PW Approval:
To request an Inspedon: (952) 442-7520
Date: Engineering
Approval: Date:
Date: Other ( ): Date:
Page 1 of 1
CITY OF SPRING PARK
PAGE 1
BUILDING PERMIT
4349 Warren Avenue
o2cS'P �'
Spring Park, MN 55384
❑Handout Given
Phone.952-471-9051 Fax:952-471-9160
❑Lead Handout Given
Routed to MNSPECT
'SITE ADDRESS. 2429 Black Lake Road
PID:
1)';Nas the home ¢zinstroc;I u befom tAr 6' ;YES n, CCITI'LtE wit:l line 2. NO :,+ erJnbrlue without copnpletinfl EPA Seci:O,r�
2) Will tf�e work dislure ?6 sq tt of pntLl riOr painted surfaces w aw sq f: of eKte i.r painted surtaces% (YES _ go t•.n line 4 No ?Ir!e;
:ii Are there any windows being replaces-, (YES L, 4c !c line 4, NO a
eat itinoe w4hout cC,ripietina EPA Ser�Lori
•) Has this home been Certified Lead Freer lYES ri, you MUSt AttaCr i7ertiti .a;ion Inforrrailorr, NO 11 Complete line 5?
3) EPA Contractor Certification Number NAT -
iappljes to contractor only;
•
12ROPERTY OV MER: Sharrie Bartolotto
Address. 2429 Black Lake Road
I'_it - Spring Park State: MN Zip: 55384
Er►tall i.�ioeshel@hotmail.com
Contact Name: Sharie Bartolotto
Phone: 612-750-4021
¢
aIONTRACTOR: Northface Construction LLC
Address. 18332 Joplin St. NW
i.j : Elk River State: MN Zip- 55330
Phone: 612-433-2269 Fax:
fontractor License No: BC665389
Contact Name: Eric tuttle Phone. 012-271-0253
I=mall: E.Tuttle@northfaoeconstruction.00m
ARCHITECT:
Address:
4; : State: Zip,
Phone: " Fax:
Email:
Contact Name: - : Phone:
TYPE OF WORK: zi New Construction
z Deck _ Pool a. Re -Roo`
Commercial z Residential Change of Use
_ Retaining Wall M Parch Re -Side
EST. VALUATION OF WORK v Finish Basement
m Demolhilon ❑ Fence
.6 19,000 o Remodel
_
= Fire Sprinkler _ Shed
Square feet. ,7 Addition
= Fire Alarm » Windo*/Dor r Replacement
r Garage-Attached/Detach
c Plumbing-pr(wide demo cn Page 2 it being replaced
Oetaifed Description of Work: , Accessory,Structure
= Mechanical -provide datad on Page 2 = Mist Other
Re -roof the house and detached garage
•
sllgnature of lhls aWllcatler by the legal propertyawner or a licensed cwrdector, as the arriela representative, Is required and authorizes the Zoning Administrator or designs* and the Building Offtial
„r dasgnesto arter upon the property to pedoml nestled Irnpections. Entry may tie with6ul prior notice. I hereby ar:knowlsdga lhat l have read this applleatim and state that all Information Is tnrs and
onect to Moe beat of my knowledge. I further agree that all work parbened vA be In iccordanco wbh approved piano, specMcatlam and conditions and to abide by el ordinances of the Municipality
nd the laws of Mrs State of Minrosote regarding actions taken pumuart ro thispermit I agree to pay all plan rwlawfess oven If 1 choose not to procsad with the work. Permit sores when work
■ � ncl commenced wtihln 180 days from deb of parmt orM work is suspended, amridoned, ornot Inspected for 180 days. Work beyond the scope ofthispermit, or work wlthaut a panne or Inspsctlm,
s
Al be subject to a Dowry.
Noise Ordinance In Effect- MONDAY - FRIDAY 7 am. and after 10 pm. WeeleendsfFlofidays before 7 a.m. and after 8 p.m.
nBefore
;SIGNATURE OF APPLICANT. 74
_ DATE: 49!2W022
PRINTED NAME,: Enc Tuttle
This Is the signature of: :: owner or it 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 SENVA Fee: $
Investigation Fee 1 Other Fee: $
•2016 SAC Escrow: p 2.485
Copy Cha a 25 per 8.5 x11 page) $
Other. $
z0
pre` ock ($5 Load Chock ($5) $
TOTAL DUE: $
SUBTOTAL $
fn
—
Plumbing Fee from Page g 2 ) $
*NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs
for SAC determination. Escrow payment will be required when permit Is Issued. If
W
Mechanical Fee from Page 2 $
after Mat Council review no SAC is determined, escrow will be refunded In full
M
LL
Special Conditions/Required Setbacks:
Building Approval By:
DATE:
Printed Building Approval By:
❑ License Verification ❑ Lead Verification -,Checked By:
City Approval By'
DATE: A a�
Paid: .V Date: Receipt No.
O /pP3By:
CITY OF SPRING PARK
D MECHANICAL PERMIT
❑ PLUMBING PERMIT
PAGE 2
FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL
INFORMATION
Mechanical Contractor:
Address.
city: State: 7r :
Phone: Fax:
State Bond No:
Contact Name:
Phone:
Email'. lContact
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 RXTURES
Quantity Quantity
GAS LINES p
Quantity
Furnace Kitchen Fan
Furnace
Air Conditioning System Bath Fan
Air Exchanger _ Grill
Fireplace _
Unit Heater
Fireplace
Water Heater
Unit Heater
Grill
In Floor Heat
Dryer
Gas Log
Stove �
Ofte 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. $
Ce
Total Mechanical Permit: $
PLUMBING INFORMATION
Plumbing Contractor:
Address:
C ftT. State: zip: ' ""' "
Phone: Fax:
Plumbers License No:
18tate Bond No:
Contact Name:
Contact Phone:
Email:
Detailed Descrlpfl6n of Work:
Indicate type of project and fixtures you will be installing or replacing (include count for each type of fixture):
PLLAWBING FIXTURES
Quantity Quantity
Quantity
Water Heater Shower
Laundry Tub
❑ Gas ❑ Electric Dishwasher
Roughan Future Fixture
Water Softener Clothes Washer
Sump
Lawn Sprinkler System Ice Maker Line
Water Piping System
Water Closet (Toilet) nose Bib
Floor Drain
Lavatory ash 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:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
Eric Tuttle
Eric Tuttle
e.tuttle@northfaceconstruction.com
2429 Black Lake Rd
18332 Joplin St Nw
ELK RIVER, MN 55330
Permits
9/23/2022 8:37:36 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****5228 47096823 $56.00 $2.40 $58.40
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
22SP-00033 I Re -Roof (Residential)
Payment Amount:
Transaction McLhood
Credit Card
Comments
$56.00
Payer
Northface Construction
P3� %.m
On Lakf 914innetonk§
Receipt Number: 66
September 23, 2022
Cashier Reference Number
Jamie Hoffman 47096823
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item
Account Cowie Assessed
Amount Paid
Balance Due
09/21/22 State Surcharge (Fixed)
$1.00
$1.00
$0.00
09/21/22 Contractor License Look -up
$5.00
$5.00
$0.00
09/21/22 Residential Building Maintenance Permit
$50.00
$50.00
$0.00
Tom $56.00
$56.00
Permit Info
Property Address
2429 Black Lake Road
Spring Park, MN 55384
Description of Work
Re -roof house and garage
Properly Owner
Sherrie Bartolotto
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address Valuation
2429 Black Lake Road
Spring Park, MN 55384