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Permits - Permit# 22SP-00057 - 4512 West Arm Road - 12/1/2022 City of Spring Park Re-Window/Exterior Door (Residential 4349 Warren Ave, Spring Park, MN 55384 PRING PARK 22SP-00057 n Lake Yinneton ka (952)471-9051 (952)471-9160 For Inspections: (952) 442-7520 Date Issued: 12/01/2022 Property Owner: John Oppenheimer Expiration Date: 05/30/2023 Mailing Address: 4512 West Arm Road Job Site Address: 4512 West Arm Road, Spring Park, MN 55384 Spring Park, MN 55384 Category: Residential Miscellaneous Phone: Permit Type: Re-Window/Exterior Door(Residential) Email: Valuation: Description of Work: Replace one window in master BR Subdivision: Required Setbacks: Parcel ID: Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount Primary Pella Northland (763)745-1400 State Surcharge (Fixed) $ 1.00 Lead Certification Look-up $ 5.00 Residential Building Maintenance Permit $ 50.00 Total Fees: $ 56.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 12/01/2022 MUST BE POSTED ON JOB SITE 4k "r INSPECTION CARD r�' City of Spring Park SPRING PARK On Lake!1finnetonlp 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-00057 PERMIT TYPE: Door(Residential) ISSUED DATE: 12/01/2022 EXPIRATION DATE: 05/30/2023 PROJECT ADDRESS: 4512 West Arm Road,Spring Park,MN 55384 PARCEL NO.: OWNER: John Oppenheimer CONTRACTOR: Pella Northland CONTRACTOR PHONE: (763)745-1400 DESCRIPTION OF WORK: Replace one window in master BR 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 Paae 1 of 1 BUILDI G PERMIT CITY OF SPRING PARK PAGE 1 o�$I�NOGb.S''J 4349 Warren Avenue Spring Park, MN 55384 ❑ Handout Given Routed to MNSPECT Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given SITE ADDRESS:4512 W Arm Rd Spring Park,MN 55384-9705 PID: 1)Was the home constructed before 1978?(YES o,continue with line 2, NO V continue 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 d line 3) 3)Are there any windows being replaced?(YES d,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) 3)EPA Contractor Certification Number: NAT- NAT-F151782-2 (applies to contractor only) • PROPERTY OWNER: John Oppenheimer Address: 4512 West Arm Road City: Spring Park State: MN Zip: 55384 Email: johnopenhouse@gmail.com r Contact Name: John Oppenhe mer Phone: • CONTRACTOR: Pella Northland Address: 15300 25th Ave N Suite100 City: Plymouth State: MN Zip: 55447 Phone: 763-355-1334 Fax: Contractor License No: BC645090 Contact Name: Jacey Berens Phone: 763-355-1334 Email: berensj@pellamn.com ARCHITECT: N/A Address: City: State: Zip: Phone: Fax: • Email: Contact Name: Phone: TYPE OF WORK: ❑New Construction ❑Deck ❑Pool ❑Re-Roof ❑Commercial dResidential ❑Change of Use ❑Retaining Wall ❑Porch ❑Re-Side EST.VALUATION OF WORK ❑Finish Basement o Demolition ❑Fence $ 9,400.00 ❑Remodel ❑Fire Sprinkler ❑Shed Square feet: ❑Addition ❑Fire Alarm ZWindow/Door Replacement ❑Garage-Attached/Detach ❑Plumbing-provide detail on Page 2 #being replaced 1 rr Detailed Description of Work: ❑Accessory Structure ❑Mechanical-provide detail on Page 2 ❑Misc Other Replacing 1 window in master bedroom-no new or enlarged openings • signature of this application by the legal property owner or a licensed Contractor,as the owners representative.Is required and authorizes the Zoning Administrator or designee and the Building Official 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.speclflcatlons and conditions and to abide by all ordinances of the Municipality and the laws of the State of Minnesota regartfing actions taken pursuant to this perm A.I 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 permit or work without a permit or inspection. • will be subject 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 8 p.m. SIGNATURE OF APPLICANT: AC'eY aep'E-us DATE: 11/25/22 PRINTED NAME: Jacey Berens This is the signature of: o Owner or VOwner'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: $ Is F5 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 License Check($5)/Lead Chock($5) $ TOTAL DUE: $ p. OLU SUB-TOTAL $ A Jp (n 'NOTE:Commercial plans will be submitted to the Met Council Environmental Svcs Plumbing F f Page 2 $ � gee from g ) 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 ILL Special Conditions/Required Setbacks: tL O Building Approval By: DATE: Printed Building Approval By: ❑ License Verification ❑ Lead Verification-Checked By: City Approval By: DATE: 19- I Paid: ,� Date: �� � �—Receipt No. J? By: eb 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: Cit : State: Zip: 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: IState Bond No: Contact Name: I Contact Phone: Email Detailed Descri 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: chad wittmer Payment Made For: pella northland Email: berensj@pellamn.com Permit Address: 4512 West Arm RdSpring Park,MN 55384 Address: 15300 N 25th Ave Plymouth, MN 55447 Payment Description: Permits Payment Date: 11/30/2022 3:45:20 PM Payment Payment Confirmation Convenience Business Name Method Account Number Amount Fee Total City of Spring Park VISA ****8445 13795827 $56.00 $4.65 $60.65 (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-00057 I Re-Window/Exterior Door(Residential) On Lake 9bfinnetonka Receipt Number:91 Payment Amount: $56.00 December 1, 2022 Transaction Method Payer Cashier Reference Number Credit Card Pella Northland Jamie Hoffman 13795827 Comments Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Code Assessed Amount Paid Balance Due 11/28/22 State Surcharge(Fixed) $1.00 $1.00 $0.00 11/28/22 Lead Certification Look-up $5.00 $5.00 $0.00 11/28/22 Residential Building Maintenance Permit $50.00 $50.00 $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 4512 West Arm Road John Oppenheimer 4512 West Arm Road Spring Park, MN 55384 Spring Park, MN 55384 Description of Work Replace one window in master BR