Permits - Permit# 23SP-00030 - 3920 Sunset Drive - 4/11/2023 City of Spring Park Re-Roof (Residential)
4349 Warren Ave, Spring Park, MN 55384
PRING PARK 23SP-00030
Phone:(952)471-9051 Fax:(952)471-9160
n Lake Yinneton a
For Inspections: (952)442-7520
Date Issued: 04/11/2023 Property Owner: Polly William-Sterne
Expiration Date: 10/08/2023 Mailing Address:
Job Site Address: 3920 Sunset Drive, Spring Park, MN
55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone:
Permit Type: Re-Roof(Residential) Email:
Valuation:
Description of Work:
Re-roof residential home
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: 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
04/11/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
*k=_� City of Spring Park
SPRING PARK
On Lake911innetonka 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-Roof
PERMIT NO.: 23SP-00030 PERMIT TYPE: (Residential) ISSUED DATE: 04/11/2023 EXPIRATION DATE: 10/08/2023
PROJECT ADDRESS: 3920 Sunset Drive,Spring Park,MN 55384 PARCEL NO.:
OWNER: Polly William-Sterne CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: Re-roof residential home
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
CITY OF SPRING PARK PAGE 1 BUILDING PERMIT
4349 Warren Avenue o?3s/_ QQaP
Spring Park, MN 55384 ❑ Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given
SITE ADDRESS: 3`A0 ^ 1V PID:
1)Was the home constructed before 1978?(YES❑,continue with line 2,NOXcontinue without completing EPA Section)
2)Will the work disturb 2:6 sq ft of interior painted surfaces or>_20 sq ft of exterior painted surfaces?(YES❑go to line 4,NOXine 3)
_ 3)Are there any windows being replaced?(YES❑,go to line 4,NO' continue without completing EPA Section)
4)Has this home been Certified Lead Free?(YES❑,you MUST Attach Certification Information,NOYComplete line 5)
5)EPA Contractor Certification Number. NAT-1 &1 �Q - (applies to contractor only)
%• PROPERTY OWNER: / -10 S Address:
r
City: tate: Zip: Email:
Contact Name: Phone:
CONTRA OR: it-.c..G Address:
Ci t V- State: Zi Phone: ��' Fax: �7/
Contractor icense No: Contact Name: 44 - Phone: 6.7
Email: r
ARCHITECT: Address:
city State: zip: Phone: Fax
• Email: Contact Name: Phone:
TYPE OF WORK: New Construction Deck =Pool Xe-Roof
z:Commercial esidential n Change of Use =Retaining Wall -Porch o Re-Side
EST.VALUA// idtsi OF WORK o Finish Basement Demolition ❑Fence
$ �lv e 8� ❑Remodel _Fire Sprinkler ❑Shed
Square feet., 0D ❑Addition -Fire Alarm ❑Window/Door Replacement
3 ". c Garage-Attached/Detach ❑Plumbing-provide detail on page 2 #being replaced
r. Detai d Desc ' tion If Work, AccessoryStructure -Mechanical-provide detail on Page 2 =Misc Other
Al-e - D
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 ac cordance with approved plans,specifications and conditions and to abide by all ordinances of the municipally
and the laws of the State of Minnesota regarding actions taken pursuant to this permit.I agree to pay all plan review fees even If I choose not to proceed with the work.Permit expires when work
rr is not commenced within 180 days from date of permit,or If woke is suspended.abandonmd.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 Ettect:MON -FRIDAY Betoreili a.m.a iter 10 p.m.Weekends/Holidays before 7 a.m.and after 3 p.m.
SIGNATURE OF APPLICANT: DATE: 41-IG-&V
PRINTED NAME: :S This is the signature of: - ner or -Owner's Representative
OCCUP.TYPE CO TYPE: CODE: BLDG SPRINKLED Yes/No
VALUATION:$
Permit Fee: $ .b� WAC Charge: $
Plan Review Fee: $ Sewer&Water Hook-Up: $
State Surcharge: $ • Sewer&Water Disconnect: $
Site Inspection Fee: $ Water Meter, $
S.E.C.Fee: $ Muni SE/WA Fee: $
Investigation Fee/Other Fee: $ %n i 6 SAC Escrow: $2.485
Copy Charge($.25 per 8 5 x11 page) $ Other $
ZO Liccncc Check($5)1 Lead Check($5) $ TOTAL DUE: $
W SUB-TOTAL$ i,:
� 'NOTE:Commercial plans will be submitted to the Mat Council Environmental Svcs
Plumbing Fee(from Page 2) $ for SAC determination. Escrow payment will be required when permit is issued. If
Lu Mechanical Fee from Page 2 $ after Met Council review no SAC Is determined,escrow will be refunded in full.
u, Special Conditions/Required Setbacks:
U.
O
Building Approval By: DATE:
Printed Building Approval B . ❑ License Verification❑ Lead Verification-Checked By:
City Approval By?pm DATE:
Paid: �VV Date: Receipt No.EU2M5 By.
INVOICE I Apr 11, 2023 X�
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051 SPRING PARK
23SP-00030 I Re-Roof(Residential)
On Lake 3finnetonka
Fee Item Account Code Assessed Outstandingpate Balance
Lead Certification Look-up 04/11/2023 $5.00
Residential Building Maintenance Permit 04/11/2023 $50.00
State Surcharge(Fixed) 04/11/2023 $1.00
Total Balance Due $56.00
Permit Info
Applicaton Date: 4/11/2023
Property Address Property Owner Property Owner Address Valuation
3920 Sunset Drive, Spring Polly William-Sterne Spring Park, MN 55384
Park, MN 55384
Description of Work
Re-roof residential home
Payment Confirmation
Payer Information:
Payment Made By: joshua beckey
Payment Made For: Trusted Builders LLC
Email: rick.beckey@gmail.com
Permit Address: 3920 Sunset Dr
Address: 20399 PONDVIEW CIR
Rogers, MN 55374
Payment Description: Permits
Payment Date: 4/11/2023 9:19:11 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****7744 46472815 $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
SPRING PARK
23SP-00030 i Re-Roof(Residential) On Lake Winnetonka
Receipt Number: 160
Payment Amount: $56.00 April 11,2023
Transaction Method Payer Cashier Reference Number
Credit Card Trusted Builders Jamie Hoffman 46472815
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
04/11/23 State Surcharge(Fixed) $1.00 $1.00 $0.00
04/11/23 Residential Building Maintenance Permit $50.00 $50.00 $0.00
04/11/23 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
3920 Sunset Drive Polly William-Sterne
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Re-roof residential home