Permits - Permit# 24SP-00064 - 4516 West Arm Road - 7/22/2024City of Spring Park Re -Roof (Residential)
4349 Warren Ave, Spring Park, MN 55384
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24SP-00064
Ifinneto Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
Date Issued: 07/22/2024
Property Owner: John Perry
Explration Date: 01/18/2025
Mailing Address: 4516 West Arm Road
Job Site Address: 4516 West Arm Road, Spring Park, MN
55384
Category: Residential
Spring Paris, MN 55384
Miscellaneous
Phone:
Permit Type: Re -Roof (Residential) Email:
Valuation:
Description of Work:
Tear off and re -roof house
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary PRIME PROJECT
MANAGEMENT INC (612) State Surcharge (Fixed)
$1 00
991-8912
Contractor License Look -up
$ 5.00
Residential Building Maintenance Permit
$ 50.00
Total Fees:
$ 56.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
07/22/2024
MUST
BE POSTED ON JOB SITE
.I"
*k:::: INSPECTION CAR®
City of Spring Park
SPRING PARK
On LaKg _%finnetonkp 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATON. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BYTHE APPROPRUITE -
AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBS .
APPLITYPE: CATION NO.: 24SP-00064 Re -Root
(Residential) ISSUED DATE: 07/22/2024 EXPIRATION DATE: 01/19/2025
PROJECT ADDRESS: 4516 West Arm Road, Spring Park, MN 55384 PARCEL NO,:
OWNER: John Perry CONTRACTOR: PRIME PROJECT MANAGEMENT
INC CONTRACTOR PHONE: (612) 991-8912
DESCRIPTION OF WORK: Tear of! and re -roof house
CONSTRUCTION TYPE: OCCUPANT LOAD:
INSPECTION DATE DATE
INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Finallln-Progress
Fire Approval: Date: Engineering
Approval: Date:
PW Approval: Date: Other ( ): Date:
To request an inspection: (952) 442-7520
Page 1 of 1
CITY OF SPRING PARK PAGE 1
4349 Warren Avenue
jamw
Spring Park, MN 55384 ❑ Handout Given
Phone: 952-471-9059 Fax: 952,471-9160 El Lead Handout Given
Routed to MNSPECT
SITE ADDRESS.4 1� 1.1 (;i WE5 Y$uy_� Q0AID }r `j ,A94K PID:J�'I I.7"2j—99
1) Was the home constructed before 1978? (YES D, continue with line 2, NOA,continue without completing EPA Section)
2) Will the work disturb ?6 sq ft of interior painted surfaces or 2:20 sq ft of exterior painted surfaces? (YES -� go to line 4. NOXline 3)
_
2) Are there any windows being replaced? (YES D, go to line 4, NO'�4,continue without completing EPA Section)
4) Has this home been Certified Lead Free? (YES ❑, you MUST Attach Certification Informatiun. NO - atmpiete tine 5)
5) EPA Contractor Certification Number- NAT - (applies to contractor only)
PROPERTYQWNER, .7nkd err Address: 516 WCSt' r^ J?UAb
Ci : %Fe1X1w4 PAkK State: /hN Zip: f Ernail%�_O►rQ Q C,
Contact blame: U-Qh&) Ptlry Phone: of Z - 571• 3975- -
CONTRACTOR: P&I, 1ic; Pa:rtCT fv1413R Gt LIt".ac; � Jt Address: I pt_�iF- /✓
:(YG�tt ."ve— State: Zip: tf Phone: 1�I 2-99t - S9 1 z Fax:
ContractLicense No: � �0 contact Name:__TQ 9eP_LL i 21rt'Q pre b1 Z l '%`
-ror
Email: I Wy% *irrvarki ,_o Ci4%4. Lw1K
ARCHITECT: Address:
City. State: Zip: Phone: Fax:
•
Email: Contact Name- Phone:
TYPE OF WORK: o New Construction n Deck - Pool '-Re-Koof
o Commerclai Y. Residential c Change of Use o Retaining Wall : Porch o Re•Side
EST. VALUATION OF WORK ❑ Finish Basement ❑ Demolition o Fence
a �. 1, .1�e)C ❑ Remodel _: Fire Sprinkler n Shed
Square feet a Addition c Fire Alarm ❑ WindowfDoor Replacement
❑ Garage-Attached/Detach 71 Plumbing -provide detai or page : # being replaced
••
_
Detailed Description of Work: re, Accesso Structure o Mechanical -provide delau on page 2 a Misc Other
01r " Xjr i2�L'- t� ck - = -t R_ ?WtPz - �gfttN6cc=
:mature of this application by the algal property mvrw ora Rensed eantramt , as time owners represarrtauve, is required and aidhoran ttte Zoning Ac rdnitrator or design" and the Building 0lTiclal
ciesl "to anter upon the property to pertorm needed UapectIons. entry may be xtmout prior no&e. i hersby acknomeoge that I have read this awcardon anal etata that an hbrmelbn Is true are
omact to the beet of my krwAbcige. ' further agree that as workperforrsd w4 be In sccoaiance with approved plars, specittestlons and conditions end to abide by al ordhances ofthe hturJcbaity
the laws of the State of 1Alnnosata regaaeting actions taken purwart to this permit I agree to pay all glen review bss avert It i choose, not to proceed with tie waft Pwmn erpkm xtten wok
r
ei not commenced wlthh 180 days from daft of pecmli, ar N %W Is fuapendad abandoned. or not Inspected for 190 days. worst beyond a* scope of title pwmft orwxk without a pane! a hspecton.
•
via be subject to a penalty.
Noise Ordinance h Effect MON DAY - FRIDAY Before 7 a.m. and after 10 pm. WeekendatHolidays before 7 a.m. and after 6 p.m.
SIGNATURE OF APPLICANT: � -'� a te` :• �r y ��1
I1,RINTED NAME: ' ►' n�� L i 17_(S-E v This Is the signatum of: ❑ Gunner ur f''Owner's Representative
OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes / No
VALUATION: 3
Permit Fee: $ w,
WAC Charge: $
Plan Review Fee: $ Sewer & Water Hook -Up- $
State Surcharge: _.
$ Sewer & Water Disconnect
Site Inspection Fee: $ Water Meter. S
S.E.0 Fee: $ Muni SE/WA Fee: $
Investigation Fee / Other Fee: $ *2016 SAC Escrow: $2-485
Copy Charge ($.25 per x11 page) $ Other. $
Lioonco Chock ($6) I Load Chock lio
0
($6) $ Zft TOTAL DUE: $
"111110
W
SUB -TOTAL $
to
Plumbing Fee (from Page 2) $ NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs
W
9
for SAC determination. Escrow payment will be required when permit Is issued. If
Mechanical Fee from Page 2 $ after Met Council review no SAC Is determined, escrow will be refunded in full.
U.
Special Conditions/Required Setbacks:
O
Building Approval By. DATE:
Printed Building Approval By: ❑ License Verification ❑ Lead Verification - Checked By:
City Approval By o "� DATE r7
Paid: Date: t Receipt No.
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description
Payment Date:
Thomas A HERLITZKE
Thomas A HERLITZKE
tom@primeprojectmn.com
4516 West Arm Roaad
15553 68th Place N
Maple Grove, MN 55311
Permits
7/22/2024 12:11:10 PM
Business Name Payment Payment Confirmation Convenience
Method Account Number Amount Fee Total
City of Spring Park AMEX ****1001 75271282 $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
24SP-00064 i Re -Roof (Residential)
Payment Amount:
Transaction Method
Credit Card
Comments
Assessed Fee Items
$56.00
Payer
Prime Project Management
SPRING PARK
4n Lang 3finnetonk¢
Receipt Number: 329
Cashier Reference Number
Jamie Hoffman 75271282
July 22, 2024
Fee items being paid by this payment
Assessed Fee Item
On Account Code Assessed Amount Paid Balance Due
07/17/24 State Surcharge (Fixed) $1.00
$1.00 $0.00
07/17/24 Contractor License Look -up $5.00 $5.00
$0.00
07/17/24 Residential Building Maintenance Permit $50.00 $50.00
$0.00
Application Info
Property Address Property Owner
4516 West Arm Road John Perry
Spring Park, MN 55384
Description of Work
Tear off and re -roof house
Totals" $56.00 $56.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address Valuation
4516 West Arm Road
Spring Park, MN 55384