Permits - Permit# 23SP-00062 - 4238 West Arm Drive - 7/13/2023 City of Spring Park Re-Window/Exterior Door
(Residential)
4349 Warren Ave, Spring Park, MN 55384
PRING PARK 23SP-00062
Phone:(952)471-9051 Fax:(952)471-9160
hi Lake Yinneton a
For Inspections: (952) 442-7520
Date Issued: 07/13/2023 Property Owner: Terrie Myers
Expiration Date: 01/09/2024 Mailing Address: 4238 West Arm Drive
Job Site Address: 4238 West Arm Drive, Spring Park, MN
55384 Spring Park, MN 55384
Category: Residential Miscellaneous Phone: (612)554-2900
Permit Type: Re-Window/Exterior Door(Residential) Email:
Valuation:
Description of Work:
Replace Existing Entry Door
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary Window Concepts of Minnesota (651) 604- State Surcharge(Fixed) $ 1.00
8276 Residential Building Maintenance Permit $ 50.00
Total Fees: $ 51.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
07/13/2023
MUST BE POSTED ON JOB SITE
*ji=ula
INSPECTION CARD
City of Spring Park
SPRING PARK
On Lake Minnetonka 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.: 23SP-00062 PERMIT TYPE: Door(Residential) ISSUED DATE: 07/13/2023 EXPIRATION DATE: 01/09/2024
PROJECT ADDRESS: 4238 West Arm Drive,Spring Park,MN 55384 PARCEL NO.:
OWNER: Terrie Myers CONTRACTOR: Window Concepts of Minnesota CONTRACTOR PHONE: (651)604-8276
DESCRIPTION OF WORK: Replace Existing Entry Door
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 c9JS �
P=
Spring Park, MN 55384 El Handout Given
Routed to MNSPECT
Phone: 962-471-9061 Fax: 952-471-9160 ❑ Lead Handout Given
SITE ADDRESS:4238 West Arm Drive Spring Park MN 55384 PID:
1)Was the home constructed before 1978?(YES❑,continue with line 2,NO 0 continue without completing EPA Section)
2)Will the work disturb>_6 sq ft of interior painted surfaces or>_20 sq ft of exterior painted surfaces?(YES o go to line 4,NO o line 3)
3)Are there any windows being replaced?(YES o,go to line 4,NO❑continue without completing EPA Section)
4)Has this home been Certified Lead Free?(YES a,you MUST Attach Certification Information,NO o complete line 5)
5)EPA Contractor Certification Number. NAT- (applies to contractor only)
• PROPERTY OWNER: Terrie Myers Address: 4238 West Arm Drive
City: Spring Park State:MN Zip: 55384 Email:
rr Contact Name: Terrie Myers Phone: 612-554-2900
• CONTRACTOR: Window Concepts of Minnesota Address: 291 Eva St
City:St Paul State: MN Zip: 55107 Phone:651-604-8276 Fax:
Contractor License No: BC163493 Contact Name: Steve Mickelson Phon051-604-8276
Email: steve.mickelson@wc-mn.com
ARCHITECT: Address:
City: State: Zip: Phone: Fax:
• Email: Contact Name: Phone:
TYPE OF WORK: n New Construction ❑Deck ❑Pool ❑Re-Roof
❑Commercial Xi Residential ❑Change of Use ❑Retaining Wall ❑Porch ❑Re-Side
EST.VALUATION OF WORK ❑Finish Basement o Demolition ❑Fence
$ 4400.00 ❑Remodel ❑Fire Sprinkler ❑Shed
Square feet: ❑Addition o Fire Alarm X Window/Door Replacement
u Garage-Attached/Detach ❑Plumbing-provide detail on Page 2 #being replaced 1
r� Detailed Description of Work: I❑Accessory Structure o Mechanical-provide detail on Page 2 o Misc Other
•
Replacing existing entry door
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 Ortklal
or designee to enter upon the property to perform needed inspections.Entry may be wtthout prior notice.1 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,specifications 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.I agree to pay all plan review fees ever It 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 work is suspended,abandoned,a 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 `
... ,�' r; r/:.... -.... DATE- 7/7/2023
PRINTED NAME: Steve Mickelson ' This is the signature of: ❑Owner or ❑Owner's Representative
OCCUP.TYPE: CONST.TYPE: CODE: BLDG SPRINKLED Yes/No
VALUATION:$
Permit Fee: $ a WAC Charge: $
Plan Review Fee: $ --- Sevier&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: $ "216 SAC Escrow: $2.485
Copy Charge($.25 per 8.5 x11 page)$ Other. $
ZO License Check(%5)/Load Chock($6)$ TOTAL DUE: $
Lu SUB-TOTAL$ 195 1.
N 'P10TE:Commercial plans will be submitted to the Met Council Environmental Svcs
:3 Plumbing Fee(from Page 2) $ for SAC determination. Escrow payment will be required when permit is issued. If
V Mechanical Fee from Page 2) $ after Met Council review no SAC is determined,escrow will be refunded in full.
M Special Conditions/Required Setbacks:
U.
0
Building Approval By: DATE:
Printed Building Approval By: ❑ License Verification❑ Lead Verification-Checked By:
City Approval By: DATE: 1 Qjj.3
Paid site: 37 ea Receipt No.10601931*)I By:
a► CITY OF SPRING PARK ❑ MECHANICAL PERMIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL • ' •
Mechanical Contractor: Address:
City: State: 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: $
FORMATION
Plumbing Contractor: Address:
City: State: Zi : Phone: Fax:
Plumbers License No: State Bond No:
Contact Name: lContact 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 Piping System
Water Closet(Toilet) Hose 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: greg ramel
Payment Made For: window concept
Email: steve.mickelson@wcmn.com
Permit Address: 4238 west arm dr
Address: 291 eva st
st paul, MN 55107
Payment Description: Permits
Payment Date: 7/13/2023 9:46:48 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****7876 10602301 $51.00 $4.50 $55.50
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
23SP-00062 I Re-Window/Exterior Door(Residential) On Lake Minnetonka
Receipt Number:214
Payment Amount: $51.00 July 13,2023
Transaction Method Payer Cashier Reference Number
Credit Card Window Concepts of MN Jamie Hoffman 10602301
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
07/10/23 State Surcharge(Fixed) $1.00 $1.00 $0.00
07/10/23 Residential Building Maintenance Permit $50.00 $50.00 $0.00
Totals- $51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4238 West Arm Drive Terrie Myers 4238 West Arm Drive
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Replace Existing Entry Door