Permits - Permit# 24SP-00056 - 4360 West Arm Road - 6/27/2024City of Spring Par Re -Roof Residential
4349 Warren Ave, Spring Park, MN 4
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777;;;M�(;� ARK
24SP-00056
La�[inneto Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
Date Issued: 06/27/2024
Property Owner: Gina Roberts
Expiration Date: 12/24/2024
Mailing Address: 4360 West Arm Road
Job Site Address: 4360 West Arm Road, Spring Park, MN
55384
Spring Park, MN 55384
Category: Residential
Miscellaneous 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 Items Amount
State Surcharge (Fixed) $ 1.00
Residential Building Maintenance Permit $ 50.00
Total Fees: $ 51.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
06/27/2024
MUST
BE POSTED ON JOB SITE
ka
INSPECTION CARD
City of Spring Paris
SPRING PARK
OnGa4Winuetang 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE is NOTICE UNTIL ALL REQUIRED INSPECrIONS ARE MADE AND SIGNED OFF BYTHE APPROPRIATE -
AUniORnYArD THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSIM
APPLICATION NO.: 24SP-ON56 R
TYPE: (Reesideside
ntial) RUED DATE: 06/27l2024 EXPIRATION DATE: 1212412024
PROJECTADDRESS: 4364 West Arm Road, Spring Park, MN 55384
OWNER: Gina Roberts CONTRACTOR:
DESCRIPTION OF WORK: Remove and replace roof
PARCEL NO.:
CONTRACTOR PHONE:
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION WSP PASSED COMMENTS
Final/in-Progress
Fire Approval:
PW Approval:
To request an inspection: (9M 442-7526
Date: Engineering Date:
Approval:
Date: Other ( ): Date:
Page 1 of 1
CITY OF SPRING PARK
PAGE 1
BUILDING PERMIT
4349 Warren Avenue
�p— �
Spring Park, MN 56384
❑Handout Given
"�
Phone: 952-471-9061 Fax: 952-471-9160
❑ Lead Handout Given
Routed to MNSPECT
31TE ADDRESS: 4 71f� 0 l QeS+ � (2J . „ �][ r 1f/1
i fill. P M PID:
1) Was the home constructed before 19787 (YES ❑, Continue with lind
2, NO ❑ continue without completing EPA Section)
.I) Will the work disturb 26 sq ft of interior painted surfaces or 220 sq
ft of exterior painted surfaces? (YES c go to litre 4. NO o line 3)
:1) Are there any windows being replaced? (YES =. go to line 4, NO c
continue without completing EPA Section)
d) Has this home been Certified Lead Free? (YES you MUST Attach Certification Information, NO a complete line 5)
.rl) EPA Contractor Cardfication Number NAT -
(applies to contractor only)
l°ROPERTY OWNER:
Address 4UID
t;i State: ZI
Email: 10,a54mbi Ed #Deon&l • l`OIK4
contact Name. kA "I
Phone: y cl 9141
a
t,ONTRACTOR: M1 iSliiAftsiyudum
Address: � i13
r•cI f
s i ; State: '' 11 N Zi : YNDS
Phone: 5101 '367 — 5SWI Fax;
{.ontractor License No:
Contact Name: lihones • I a % II%-
I:rnaii:
.
ARCHI CT•
Address:
rN : State: zip,
Phone: Fast:
Email:
Contact Name: "One:
.r1E OF WORK, r New Construction
: Deck 7 Pool Re -Roof
= Commercial esidential = Change of Use
z3 Retaining Wall n Porch _Re -Side
EST.. VALUAtIdN OF WORK Finish Basement
= Demolition _ Fence
inl o . 63 w Remodel
_ Fire Sprinkler 3 Shed
;square feet r Addition
f
_ FireAlann = Window/Door Repiacernent
Is—c Garage-ArtachedlDetach
o Plumbin"mviae driati on Page 2 9 tieing replaced
I tailed Description of rk: Aceesso Structure
❑ Machanical-provide detaa on Page 2 Misc Other
EVArlure ofthis OR-catior, by Eire legal properlyowner are ficensed coniractor, ssthe owneYa reprasaftft.Is rend and authorizes the Zoning AdmMkbaW or deign andthe Ou"Offtlal
c r designee tb via, upc r the property to perfosn needed irepa65tons, rtby mov b* W t A prior notice. I hereby ackwaledge that l hate med tills app"rcation and state that all nfbnnafbr, la true and
c enact to sew bast of my krowtetip. l further agree that or workparformad wlr be In accordance w'?h approved plans. apacitieaCom and condhIM and to atlitle by al ordinances at the 6Pvnlefpeay
a no the lawn of the State of Minmofe -parrI g actlom !even praeuent to 9wi pamrt. I agree to pay all plan rsviewfees aver If I Choose rM to proaeed with the worlr Pamlit expires whin work
r
e; notcornmencec %mnir t89 bays Aom dim ofpump, atlhwakk %anspended. abandoned. or not
Inspected for IM says. Wo* beyond the scdpe ofthla permit. orwork wIlhout a penal orhmpaetlon.
r,?rI E» s.:bJectto a aera:r.
Noise Ordinance;ln Effect: NDAY - FPDAY Before 7 am. and after 10 p.m. Weekends/Holidays before, 7 a.m. and after 8 p.m.
UIGNATURE OF ICANT:
DATE: - 7-- ZLI
]PRINTED NAME: V%Alr O
This Is the signature of::; Owner or ees Representative
OCCUP. TYPE; CONST. TYPE: CODE:
BLDG SPRINKLM Yes 1 No
VALUATION: $
}}��,�
zv
Permit Fee_ $
WAC Charge; $
Plan Review Fee: S
Sewer & Water Hook -Up: S
State Surcharge: S
Sewer & Water Disconnect $
Site inspection Fee: S
Water Meter $
S_E.C. Fee: $
Muni SE1WA Fee: S
Investigation Fee ! Other Fee. $
SAC Escrow: $2.495
Copy Charge (S.25 per 8.5 x11 per) S
Other. $
0
Liconw Check ($6)1 Load Chock ($6) $
TOTAL DUE: $
W
SUB -TOTAL
Plumbing Fee (from Page 2) $
'NOTE.: Commercial plans wili be suimlimad to the Mat council Divironmental !Svcs
Mechanical Fee from Plge 2 $
for SAC detarmkutlan, Esarew payment will be required when permit Is issued. If
after Met Council review no SAC is datermined, *screw will he refunded In full.
LL
Special CondidonwRequired Setbacks:
O
Building Approval By.
DATE:
Printed Building A roval By.
C3 License Verification O Lead Verification - Checked By:
City Approval By:
DATE:
Paid: I. Date: Receipt No.
By.
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: Zilz
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):
MECHAMICAL FIXTURES
GAS LINES
Quantity QuanML
Quantity
Furnace Kitchen Fan
Furnace
Air Conditioning System Bath Fan
Air Exchanger Grill
Fireplace
Unit Heater 40
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: $
c Addition/Remodel
Gas Line Permit Fee: $
* New Construction
State Surcharge: $
e Other
Other. $
Total Mechanical Permit: $
PLUMBING INFORMATION
Plumbing Contractor:
Address:
C' Zi :
Phone: Fax:
Plumbers License No:
State Bond No:
Contact Name:
Contact 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 u Electric Dishwasher
Rough4n Future Fixture
Water Softener _ Clothes Washer
Sump
Lawn Sprinkler System Ice Maker Line
Water Pipina System
Water Closet (Toilet) Hose Bib
Floor Drain
Lavatory ash Basin Bathtub
Office use Only:
r3 Replacement (one fixture only, no piping or vent changes)
Plumbing Permit Fee: $
❑ Addition/Remodel
State Surcharge $
Q New Construction
Other: $
❑ Other
Total Plumbing Permit: $
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
MATTHEW SCHAFER
MATTHEW SCHAFER
permit@eiysianbuilt.com
4360 WARM RD, Spring Park, MN
55384
301 THOMAS AVE N
Minneapolis, MN 55405
Permits
6/27/2024 9:29:59 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****7965 38229025 $51.00 $4.50 $55.50
(Permits)
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City c f Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
24SP-00056 I Re -Roof (Residential)
Payment Amount:
Transaction Method
Credit Card
Comments
Assessed Fee Items
$51.00
Payer
Elysian Construction
SPRING PARK
On Lake Xinneton�u
Receipt Number: 312
Cashier Reference Number
Jamie Hoffman 38229025
June 27, 2024
Fee items being paid by this payment
Assessed Fee Item Account Code Assessed Amount pajd Balance Due
on
06/27/24 State Surcharge (Fixed)
$1.00 $1.00 $0.00
06/27/24 Residential Building Maintenance Permit $50.00 $50.00 $0.00
Applicatlon Info
Property Address Property Owner
4360 West Arm Road Gina Roberts
Spring Park, MN 55384
Descdption of Work
Remove and replace roof
TOM• $51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address Valuation
4360 West Arm Road
Spring Park, MN 55384