Permits - Permit# 24SP-00055 - 4352 West Arm Road - 6/26/2024City of Spring Park
Re -Roof Residential
4349 Warren Ave, Spring Park, MN 55384
fWAK I Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
24SP-00055
Data Issued: 06/26/2024
Property Owner: Ben Stacke
Expiration Date: 12123/2024
Mailing Address: 4352 West Arm Road
Job Site Address: 4352 West Arm Road, Spring Park, MN
55384
Category: Residential Miscellaneous
Spring Park, MN 55384
Phone:
Permit Type: Re -Roof (Residential)
Email:
Valuation:
Description of Work:
Remove and replace roof
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee hems
Amount
Primary ELYSIAN CONSTRUCTION INC (561) 307-
9547
State Surcharge (Fixed)
Residential Building Maintenance Permit
$ 1.00
$ 50.00
Contractor License Look -up
$ 5.00
Total Fees:
$ 56.00
NOTICE
Signature of Applicant(Date
Building Department Signature/Date
06/26/2024
MUST BE POSTED ON JOB SITE
INSPECTION CARD
17kl�
City of Spring Paris
SPRING PARK
OnGakgmnnetonk�z 4349 Warren Ave, Spring Park, MN 55384
POSTTM CARD IN A SAFE OONSPICVOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UKM ALL REQUIRED INSPECTION$ ARE MADE AND SIGNED OFF BYTHE APPROPRIATE
AUTHORRY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSrM.
■
Re -Roof
APPLICATION NO.: 24SP-00055 TYPE: (Residentlal) ISSUED DATE: 06/26/2024 EXPIRATION DATE: 12/23/2024
PROJECT ADDRESS: 4352 West Arm Road, Spring Park, MN 55384 PARCEL NO.:
OWNER: Ben Stacke CONTRACTOR: ELYSIAN CONSTRUCTION INC CONTRACTOR PHONE: (561) 307-9547
DESCRIPTION OF WORK: Remove and replace roof
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Final/In-Progress
Fire Approval: Date: Engineering
Approval:
PW Approval: Date: Other
To request an inspection: (952) 442-7520
Date:
Date:
Page 1 of 1
CITY OF SPRING PARK
PAGE 1
BUILDLNG PERMIT
4349 Warren Avenue
aq6 — & 05
Spring Park, MN 65384
❑ Handout Given
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952471-9160
❑ Lead Handout Given
; Z WI°S+A 5W%
TE ADDRESS: f YIf .
{-&tt _ 14N PID:
i Was the home constructed before 1878? (YES ❑, continue wkh jinqj
NO ❑ continue without completing EPA Section)
I Will the work disturb 26 a9 ft of interior painted surfaces or 220 sq ft of exterior painted surfaces? (YES m go to line 4. NO z. One, 31
I) Are there any windows being replaced? (YES D. go to line 4, NO n
continue without completing EPA Section)
.1) Has this home been Certified Lead Free? (YES c, you MUST Attach Certification Information. NO c Complete line 5)
:I) EPA Contractor Certification Number. NAT -
(applies to contractor only)
PROPERTY OWNER -+ e S—W e
Address.4155z
I,l .Slat@: Zf '
Email
Gontadt me: 0 NJC10
Phone:
#
a:ONTRACTOR:
Address:
r:' $tate: Zi 0�
Phone: SIo1 1-4SU7 Fax:
+3ontractor License No:
Contact Name: Phune
Email:
ikRCH ECT:
Address:
City: State: zip,
Phone: Fax:
1=mail:
Contact Name: Phone:
TYPE OF WORK: = New Construction
o Deck: _. Pool a -Root
= Commercial esidential Change of Use
-. Retaining Wall Porch Re -Side
OF WORK o Finish Basement
-I Demolition � Fence
ICEST.VALUATION
$ to —1 `•f - Remodel
- Fire Sprinkler Shed
Square feet _ Addition
i Fire Alarm ❑ WindowlDoor Replacement
Garage Attached0stach
a Plumbing-woveie a aw or Page 2 # being replaced
I ffiit@d DESCripti0 ftrk: = AkCCeS50Structure
— BChanical-provide oeiad on =ape 2 c Misc Other
■
rrgsraAtfo of bn� epp`ieatbr. by the Isrgei pfoparly owner � rleeneed Y�rlreetor. eethe oynrers rapfoaertall". Is re*Arad and ardhoriaas ere ZCNrtg Admtn'stroor or tlpignee rind um suiA N aiw-
-x deagras to esker upor* re properly to pa*mr needed tisim one. Entry may be a0mut prbr note- I hereby acknnfAdge that I hwa fold this jgftal m and s tatathat all Warmstlod is tree and
orreet to ii-A bast of my mavnedge. I "-or agree that a: work p 0arnsd Veit be in aecerder m w7 approym plena, specMcalim and cand:lio'rs and to abide by at ordhost s of the Munodpallgr
-mo the ism of m Shda of ht�rerade regarc8y aCWm taker purauaM to this permit. I ogre■ to pay all plan r■vlawfeea aran If I ah mas rot to proceed with ft work. Pena expiroe when work
I not Commence! wtovi" .80 deys from dais orpook or IFwaik 4s suspended. obanconed, orfoci Inspected for 180 days. work beyona to scope of tlda permk orwork wMmd a psdmt m inspetfin.
■
.MII be W404t to a penally.
Notes Ordinance In -Effect 1110 DAY - FVDAY Before 7 a.m. and after 10 p.m. Waskends/Holidays before 7 a.m. and after S p.m.
#40NATURE OF AP (CANT•
A E:
PRINTED NAME: 1
This Is the signature ot: _. Owner or Owner's Representative
OCCUP. TYPE: CONST. TYPE: CODE:
BLDG SPRINKLED Yes 1 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: S
Muni SEIWA Fee: S
Investigation Fee l Other Fee: S
SAC Escrow. 92.495
Copy Charge (8.25 per8.5 x11 page) 8
Other. $
Lioor+sa Chock ($6) ! Lead chock ($5) $
TOTAL. DUE:
C
Q
SUB -TOTAL $
�'
�
Plumbing Fee from Page 2 $
g ( 9 )
. CamrnereW plans will be submitted to ttns Met Council EnvlrortrneMal Svcs
v
Mechanical Fee from P e 2 $
For SAC determination. Escrow paymerrt will 6e roqulred when permit Is issued. If
after Met Council review no SAC Isdetermined, escrow will be refunded In full.
u.
Special Conditions/Required Setbacks:
a
Building Approval By:
DATE:
Printed Building Approval By:
0 License Verification ❑ Lead Verification - Checked By:
City Approval By:
DATE:
Paid: Data: Receipt No.
By:
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
Matthew Schafer
Matthew Schafer
prmit@elysianbult.com
4352 W Arm Rd
301 Thomas Ave N
Minneapolis, MN 55405
Permits
6/26/2024 10:31:65 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****7965 84485616 $51.00 $4.50 $55.50
(Permits)
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RECEIPT
City of Spring Paint
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
24SP-00055 I Re -Roof (Residential)
Payment Amount: $56.00
On Lang 911innetonka
Receipt Number: 311
June 26, 2024
Transaction Method Payer
Cashler Reference Number
Credit Card Elysian Construction
Jamie Hoffman 84485616
Comments
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item
On
Account Code Assessed Amount Paid
Balance Due
06/26/24 State Surcharge (Fixed)
$1.00 $1.00
$0.00
06/26/24 Contractor License Look -up
$5.00 $5.00
$0.00
06/26/24 Residential Building Maintenance Permit
$50.00 $50.00
$0.00
Totels: $56.00 $56.00
Previous Payments
$0.00
Remaining Balance Due
$0.00
Application Into
Property Address Property Owner Property Owner Address Valuation
4352 West Arm Road Ben Stacke 4352 West Arm Road
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Remove and replace roof