Permits - Permit# 24SP-00063 - 4165 Shoreline Drive - 8/29/2024-VOIDEDCITY OF SPRING PARK
PAGE 1
B IILQING PERMIT
4349 Warren Avenue
a af'— poo
Spring Park, MN 55384
El Handout Given
Phone: 952-471-9051 Fax: 952-471-9160
El Lead Handout Given
Route o�Q_
4165 Shoreline Dr Spring Park, MN
55384 1811723440022
MITE ADDRESS:
PID: ___ _ _ _
t) Was the home constructed before 1978? (YES % continue with line 2. NO ontinue witho t: coinpieting EPA Section 1 _ '
::) Will the work disturb :gib sq ft of interior painted surfaces or >24 s_q
ff f exterior painted surfaces^ BYES c go to line 4, NO�Ir+e :i i
+
3) Are there any windows being replaced? (YES ❑, go to line 4, NtTt�continue
without completing FFAfecuon)
il) Has this home been Certified Lead Free? (YES o, you MUST Attach Certification Information. NO .. compiete iine E.
40
Lu
')EPA Contractor Certification Number. NAT -
(applies to contractor on)y)
•
I>ROPERTYOVMER: Yachtzee Holdings Llc
Address: 4165 SHORELINE DR
CL
city. Spring Park state: MN zip 55384
Email: N/A
.r
c;ontact Name Kelly Olsen
Phone: NIA
Z
c*NTMCTOR: Mint Roofing
Address: 2285 baniels St
rag: Long Lake State: MN Zip:
Phone: 952.473-8080 Fax:
Contractor License No: IR657481
Contact Name: Michael Laurila Phone: 920-544-7729
CL
_mail: michael mintroofin .coon
UJI
ARCHITECT: Doran Architecture
Address: 7803 GlenrGy Road suite 200
c;ity: Bloomington state: MN zip: 55439
Phone: 952-288-2000 Fax:
,_mail:
Contact Name: John Ferrier Ph ne:
7E OF WORK: = New Construction
Z Deck `='Re -Roo`
Commercial _ Residential Change o` Use
- Pool - Re -Side
EST. VALUATION OF WORK - Finish Basement
Retaining Wali =Fence
Remodel
r Porrh Shed
0.
_iquafe feet - Addition
Demolition Window!Door Replacement
100 S . Ft. - Garage-Attacli Detach
Plumbing-provaa oetad on "age 2 # being replaced _
,r
Oetailed Description of Work. Accesso Structure
Mechanicar-provoe Cetaa -�„ Page 2 - Misc Other
Commercial Reroof,
Ballast EPDM
uj
�ignsuue of this application by the ksgel p Warty owner or a kensed emkvm ector, as the oarn reprnd seentaWs. is required awthar4as the Zoning Administrator or deslgwee and the Buk" Ot11elal
cr deslgnse to smer upon the property to perform needed Inepectlan. Entry may be Wmut prior notke. I hereby ackrauladgo that I have read this •opYcatlon and state That ail Information Is tnu and
wed to the beat of my knowledge. I further agree that at work performed will be In accordance with approved plans, specMcatlons and conditions and to abide by all ordinances cf the Munlcpally
and the laws of the State of Liinnesota regardng actions taken puracent to this permit f agres to pay all plan review here eve it I choose not to proceed with the waft Permit expkes vilmn work
in
If not cirri meiieid wlthK-i 1 GC dsya tfum date of pai or If N'Gk la sual icl, 4i ijovd, or not
tnspected for 180 dhy%. Wv il( twyuod ifid kope orthls parnh, u) wwrh wNhout a permC or ktspecikn,
e
be $ub,'ect to a penalty.
in Noise Ordinance In Effect MONDAY - FRIDAY Galore 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. and after B p.m.
NGNATURE OF APPLICANT:
DATE: _7/1 1 /2024
PRINTED NAME: pn
This Is the signature of: _ Owner or V Owner's Representative
OCCUP. TYPE: CONST. TYPE: CODE:
BLDG SPRINKLED Yes / No
VALUATION: $ $20,000
Permit Fee:
WAC Charge: $
Plan Review Fee: $ 9
Sewer & 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: $
SAC Escrow. $2,4$.5
>_
J
Copy Charge ($.25 per 8.5 x11 page) $
License Check ($5)/Lead Check ($5) $
Other. $
TOTAL DUE: $
C� •
w
SUB -TOTAL a � iq �+ _
j
Plumbing Fee (from Page 2) $
Commercial plans will be submitted to the fiat Council Emlronmentai beta
v
Mechanical Fee from Page 2 $
for SAC determination. Escrow payment will be required when permit Is Issued. If
after Net Council review no SAC is determined, escrow will be efunded In full.
LL
Special Conditions/Required Setbacks:
/
U.
0
0 • ^1 �^
1
Building Approval By:
DATE:
Printed Building Approval BY
❑ License Verification 0 Lead Verification - Checked By:
City Approval By:
DATE:
Paid: • a Date: Receipt No.
By:
Commercial Application/Plan Review Submittal Checklist
The following check list has been compiled to assist in expediting the commercial plan review
and permit issuance process. Please take a moment to review these submittal requirements
and to verify all of the necessary documentation prior to submitting your project.
COMMERCIAL ADDITIONS, NEW CONSTRUCTION, REMODELS, ETC.
V Provide co pleted permit application including:
to
ite Address
wrier
wner Address
elephone Number
ontractor Information
escription of work being performed
aluation of work being performed
signature of applicant
❑ 2 (two) sets of SIGNED Architectural and Structural drawings are required on all
commercial projects unless other arrangements or agreements between the submitting
party and the building inspection department have been made.
❑ Submitted Plans will include, a Code Analysis Including:
❑ Which Code and Edition (i.e.: 2006 IBC, 2007 MSBC)
❑ Occupancy Classification
❑ Fire separation requirement (separated/non-separated)
❑ Fire Sprinkler system requirements
❑ Fire alarm system requirements
❑ Construction Type
❑ Allowable area
❑ Proposed actual area
❑ Allowable height
❑ Proposed height
❑ Proposed area and height increases if applicable
❑ Occupant load
❑ Exiting requirements
❑ Plumbing Fixtures Requirements
❑ Provide project manual or; door hardware and window schedules, wall section and wall
construction details
❑ Complete and Sign Special Inspections Worksheet (see attached)
❑ Complete and provide Minnesota Energy Code compliance forms (see attached)
❑ Building Envelope or ComCheck for building envelope; AND
❑ Lighting or ComCheck for lighting; OR
❑ Energy Cost Budget Method; OR
❑ Building Performance Rating Method
❑ Projects must comply with the Minnesota Accessibility Code including:
❑ Parking
❑ Accessible route
❑ Ramps
❑ Door width, swing and hardware
❑ Bathroom requirements
❑ Access between floors
❑ Countertop heights
❑ Provide site plan including parking lots, fire apparatus access roads/lane etc.
❑ Provide Utility and/or Civil plan including fire hydrant locations
8/29/24, 10:14 AM
Message from www.PaymentServiceNetwork.com
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
Kevin Krolczyk
Merritt Cook
Merritt@mintroofing.com
4165 Shoreline Drive
2285 Daniels St
Long Lake, MN 55356
Permits
8/27/2024 12:33.18 PM
Business Payment Payment Confirmation Convenience
Name Method Account Number Amount Fee Total
City of
Spring Park AMEX ****2001 15420654 $274.30 $8.09 $282.39
(Permits)
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about:biank
1/1
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
24SP-00063 I Re -roof (Commercial)
Payment Amount $274.30
Transaction Method Payer
Credit Card Mint Roofing
Comments
Contractor was not awarded job. Only Plan Review fee is due.
Assessed Fee Items
Ai
SPRING PARK
On Lake 94inneton(a
Receipt Number: 334
Cashier Reference Number
Jamie Hoffman 15420654
August 29, 2024
Fee items being paid by this payment
Assessed Fee Item
On Account Code Assessed Amount Paid Balance Due
07/18/24 Commercial RIS/W/D Plan Review $274.30 $274.30 $0.00
Totals. $274.30 $274.30
Previous Payments $0.00
Remaining Balance Due $0.00
Application Info
Party Address Property Owner Property Owner Address Valuation
4165 SHORELINE DRIVE Yachtzee Holdings, LLC - Kelly 3066 Island View Drive $20,000.00
SPRING PARK, MN 55384 Olsen Mound, MN 55364
Description of Wont
Commercial re -roof, Ballast EPDM