Permits - Permit# 24SP-00020 - 4744 West Arm Road - 3/28/2024A
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
Phone: (952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
Re-Window/Exterior Door
(Residential)
24SP-00020
Data Issued:
0312M024
Property Owner: Jim O'Heam
Explmdon Date:
09/24/2024
Mailing Address: 4734 West Arm Rd.
Job Site Address:
4734 West Arm Rd., 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 2 patio doors within existing openings
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fim Items
Amount
State Surcharge (Fixed)
$ i.00
Residential Building Maintenance Permit
$ 50.00
Total Fees:
$ 51.00
NOTICE
Signature of Applicant(Date
Building Department Signature/Date
03/28/2024
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City c f Spring Park
SPRANG PARK
OnLalg'Winnetonka 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 SION15D OFF Sy THE APPROPRIATE
AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE .IOBSITE.
Re-Window/Exterior
APPLICATION NO.: 24SP-00020 TYPE: Door (Residential) ISSUED DATE: 03/28/2024
PROJECTADDRESS: 4734 West Arm Rd., Spring Park, MN 55384
OWNER: Jim O'Heam
CONTRACTOR:
DESCRIPTION OF WORK: Replace 2 patio doors within existing openings
EXPIRATION DATE: 09/24/2024
PARCEL NO.:
CONTRACTOR PHONE:
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
FinaVin-Progress
Fire Approval: Date: Engineering Date:
Approval:
PW Approval: Date: Other ( ): Date:
To request an inspection: (952) 442-7520
Page f of 1
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CITY OF SPRING PARK PAGE 1 BUI gNMPER6
4349 Warren Avenue I Y
Spring Park, MN 55384 ❑ Handout Given
p 9 Routed to MNSPECT
Phone:952-471-92051 Farx-:952-447r1-9160 ❑ Lead Handout Given
SITE ADDRESS: PID:
1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO o continue without completing EPA Section)
2) Will the work disturb z6 sq ft of interior painted surfaces or a2D sq ft of exterior painted surfaces? (YES ❑ go to line 4, NO a line 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, NO a complete line b)
5) EPA Contractor Certification Number: NAT - (applies to contractor only)
tTYOWNER: Address:
State: Zip: Email: _
Name: Phone: C✓ pc_ �% 51
5k u
ACTOR: Address: j Zip � . nGi t•
State: (hri3 Zip: S57113 Phone: & - at0-400 6 F
,tor License No: G (pet F 2 3 Contact Name: F
,% Sri r.,4 ,4 t_ Scri ry-k e _ r . CD 01
4RCHITECT:
State_
=mail:
TYPE OF WORK:
:3 Commercial ';Il Residentiai
EST. VALUATION OF WORT
� lso
Square feet:
Detailed Description of Work:
Zip:
Phone:
Fax:
Contact Name:
Phone:
❑ New Construction
❑ Deck
❑ Re -Roof
❑ Change of Use
❑ Pool
❑ Re -Side
❑ Finish Basement
❑ Retaining Wall
❑ Fence
❑ Remodel
❑ Parch
❑ Shed
❑ Addition
o Demolition
2 (WindowfDoor Replacement
n Garage-Attached/Detach
o Plumbing -provide detail on Page 2
# being replaced
❑ Accessoa Structure
o Mechanical -provide detail on Page 2
❑ Misc Other
v-vfr- Wi:n PjV:C -M rMe.�r►:n.A��
ignaerre of this appSication by the legal property owner or a licensed contractor, as the owners representative, is required and authorizes the zoning Administrator or assignee ano me summg umun
r 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 ad Information is true and
orrect to the best of my knowledge. I further agree that all work performed u.N be in accordance with approved plans, specifications and condltims and to abide by all ordinances of the Municipality
nd the Irws of the State of Minnesota regarding actions taken pursuant to this permit. I agree to pay all plan review fees even if 1 ehoose not to proceed with the work. Permit expires when work
r not commenced wilYdn 180 days from date of permit, or IT work Is suspended, abandoned, or not inspected for 180 days. Work beyond the scope of this permit or work without a permit or inspection,
rill be subject to a penally.
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.
51GNATURE OF APPLICANT: 0.� _ DATE:42k2lr 1144oIG17
PRINTED NAME: This is the signature of: ❑ Owner or $Owner's Representative
CONST. TYPE:
kLUATION: $
Permit Fee: $
Plan Review Fee: $
State Surcharge: $
Site inspection Fee: $
S.E.C. Fee, $
Investigation Fee / Other Fee: $
Copy Charge ($.25 per 8.5 x11 page) $
License Check ($5) / Lead Check ($5) $
SUB TOTAL $
Plumbing Fee (from Page 2) $
Setbacks:
BLDG SPRINKLED Yes 1 No
WAC Charge: $
Sewer & Water Hook -Up: $
Sewer & Water Disconnect: $
Water Meter: $
Muni SENVA Fee: $
SAC Escrow: $2,485
Other. $
TOTAL DUE: $
Commercial plans will be submitted to the Met Council Environmental Svcs
for SAC determination. Escrow payment will be required when permit is issued. If
after Met Council review no SAC is determined, escrow will be refunded In full.
Building Approval By: DATE:
Printed Building Approval By: ❑ License Verification ❑ Lead verification - Checked
City Approval By. DATE:
Paid: Date: Receipt No. By:
rc
BY ANDERSEN"
window replacement
W S & D Permit Service
P.O. Sox 250
Scandia, MN 55073-0250
Phone: 651-433-4250 Fax: 651-433-3539
To Wham It May Concern:
I am an authorized agent by Renewal by Andersen to pull, pay for, and obtain their building
permits. I have enclosed a self addressed stamped envelope for your convenience to mail the
permit back to me. If there is a problem with this please feel free to give me a call at
651-433-4250.
Thank you for you assistance,
Kara Benson
WS&D Permit Service
651433-4250
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
24SP-00020 1 Re-Window/Exterior Door (Residential)
Payment Amount:
Transaction Method
Check
Comments
Assessed Fee Items
$51.00
Payer
WSBD Permit Service
G"fi ,fir 1 \f'��1
U j`��i�'u4 On Lake Winnetonb
Receipt Number. 281
Cashier Reference Number
Jamie Hoffman 36166
March 28, 2024
Fee items being paid by this payment
Asse-swed Fee Item Account Code Assessed Amount Paid Balance Due
On
03/28/24 State Surcharge (Fixed)
$1.00 $1.00 $0.00
03/28/24 Residential Building Maintenance Permit
$50.00 $50.00 $0.00
Tohrk. $51.00 $51.00
Appkatlon Info
Property Address Property Owner
4734 West Arm Rd. Jim O'Hearn
Spring Park, MN 55384
Description of Work
Replace 2 patio doors within existing openings
Prooms Payments $0.00
Remaining Balance Due $0.00
Property Owner Address Valuation
4734 West Arse Rd.
Spring Park, MN 55384