Permits - Permit# 24SP-00113 - 4234 West Arm Drive - 10/10/2024City of Spring Park Re-Window/Exterior Door
4349 Warren Ave, Spring Park, MN 55384 (Residential)
PRING PARK 24SP-00113
La Mtmuto a Phone: (952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
Date Issued: 10/10/2024 Property Owner: DENNIS E HOLBERT & MELINDA G
Expiration Date: 04/08/2025 HOLBERT ET AL TRUSTEES
Job Site Address: 4234 WEST ARM DR, SPRING PARK, Mailing Address: 1200 FOURTH ST UNIT 305
MN 55384
Category: Residential Miscellaneous KEY WEST, FL 33040
Permit Type: Re-Window/Exterior Door (Residential) Phone: (713) 542-1095
Valuation: Email:
Description of Work:
replace (2) windows
Subdivision: Required Setbacks:
Parcel ID: 18-117-23-43-0179
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary ALL AROUND PROPERTY PRESERVATION State Surcharge (Fixed) $ 1.00
LLC (763) 251-6381
Residential Building Maintenance Permit $ 50.00
Total Fees: $ 51.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
10/10/2024
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRIN Co
On Lakf Wirraaw* 4349 Warren Ave, Spring Paris, MN 55384
POST THIS CARD IN A SAFE COKWICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE WADE AND MWED OFF BY THE APPROPRIATE
AUTHORITY AND THE BUILDWO IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSnE,
APPLICATION NO.: 24SP-00113 TYPE: Re-Window/Exterlor
Door (Residential) ISSUED DATE: 10/10/2024 EXPIRATION DATE: 04l08/2025
18-117-23-
PROJECTADDRESS: 4234 WEST ARM DR, SPRING PARK, MN 55384 PARCEL NO.: 43-0179
DENNIS E HOLBERT & MELINDA G ALL AROUND PROPERTY
OWNER: HOLBERT ET AL TRUSTEES ACTOR: PRESERVATION LLC CONTRACTOR PHONE (763) 251.6381
DESCRIPTION OF WORK: replace (2) windows
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Finavin-Progress
Fire Approval:
PW Approval:
To regmst an Inspectlon: (952) 442-7520
Date: Engineering
Approval:
Date: Other (
Date:
Date:
Page 1 of 1
W
I
CITY OF SPRING PARK
4349 Warren Avenue
Spring Park, MN 55384
Phone: 952-471-9051 Fax: 952-471-9160
PAGE 1
BUILDING PERMIT
EJ Handout Given
Routed to MNSPECT
11 Lead Handout Divan
SITE ADDRESS: ���N fft ' t W. P1D t.j1 `��
1) Was the tome constructed before 19TB? (YES o, continue with line 2, NO Acontinue Without Completing EPA Section)
W HI the work distufi 4 sq ft of klterior painted surfaces or M sq ft of exterior painted surfaces? (YES a go to Ikur 4, NO o line 3)
a} Are there any windows being replaced? (YES a, go to lh% 4. NO o continue without owy plating EPA Section)
4) Has this home been CeMftd Lead Free? (YES ra, you MIDST Attach Certtt]cagon Information, NO o complete lin" 5)
* EPA Contractor Certification Number NAT - (applies to contractor only)
►E OF WORK:
n New Canstruebon
ornmerwat 11 Residential
a Change of Use
E, VALL TOON OF WCf RX
a Finish Basement
n Remodel
ew feet.
o Addition
o Garage-Attached/Delact
aAocesson Shmiure
alled Deserlpfto of Work:
Contact Name:'; -'"'
?None:
u Deck
a Re -Root
o Poo)
❑ Re -Side
a.f Retalnlw Wall
o Fence
n Porch
❑ Shed
.1 Demoblion
�(WindowfDoorRepiacement
o Plurnbirt Wvro.te dakel on Pape 2
O being replaced _
c i�i64tPa8n►CR 4+�ra ids dams on pa �u 9
u M isc cnil3f
WOW of Me appsonon oy paPsry oaafar a a race »w ta�rxtr. R. rro awn oro raprsawfsotfc� p rp esd ens auenoncat 9fa I1mrMfetata ardaat a arq taw Wa M Caarm
dNlprtb ardn upon llr Nalvb b potions nwdtd Lam*_ --,A Fnt7 me f bt- prbr moko. I ton* adm* Wps tit 1 Ifara road /da appkNaf and wau eft! N 4ikarfa11 k irw and
Met In go hot of my afawfadpt, I A* wde w Mut N W rik p"r"rr. d *A t'a la oicealmos eaf gprovW owe, speeftsk n aW eondf re and Is abfds by N ankmxse crew
Weft kwa of ft seals cr Wwrwoea •tyorn Man pWr r ; e ;. pb" I prat b py aN pia nuMre bat Min Ira eboott rlat b pmoaad wiM fin wart Watt ae" Wwf work
not cmvn.c.d aafh 1N0 dtyt hom d�leirpNntN a N ygk la w ord3� 16rntl, , ornot YrpecW l r lM days. work bwprW to adopt of Rio pwwM or wak w11haA t pwM or IrupacNan,
Nhe rAjwto s poneRy.
Noire Or(frwmi In Eft cra VIONDAY - FRIDRY 1Before Tam. and after 10 pm. Weaks KWHoBdafs before Tajo. and af6Nr S p m.
.1 DMIUAE CIF APPLICANT: �t�+�L� �l�!�%%t � @ATE: M
Permit Fee $
Plan Review Fee: $
State Surcharge: $
Site Inspection Fee: S
S.E.C. Fad: 5
Investigation Fee / Other Fee: $
Copan Charge (S.25 per &5 x11 page) 5 '
License Check %5) J Lead Check ($5) S
SUB -TOTAL 5
Plumbing Fee (from Page 2) $
Mechanical Fee (from No 2) $
oeolal Conditions/Reautred Setbacks:
This Is the signature of: o Ovmr or ft0wew s
WAC Chll W 5
Sewer A Winker Hook -Up: $
Sewer & Water Ditxunnect: 5
Wltalaat Metro: $
Muni SE/WP Fee. 5
.m SAC E=scrohhr.
Other S
TOTAL DUC: $
:tYrrt; Co nmaroW ptwfs will be u6nned to UN rat Coundl Ermre rmonW tvas
for &AC datamfinstton. Escrow psynfaat will to rsquhW wbwf pwvfM Is issw& IF
env Met Counelt rwAawr no anC to delarmLfad, a ow with be r0mdad In hate,
Building Approval By. DATE:
Printed Building Approval By: o License Veditcation 11 Lead Verification - Chocked By.
City Approval By: DATE:
Date:
Receipt No.
By.
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
24SP-001131 Re-Window/Exterior Door (Residential)
Payment Amount $51.00
Trensaction Method Payer
Check All Around
Comments
Assessed Fee Items
......... ........ . .............. . ......
o ........ ...
SPRING PA RJOK
On Lake 912innetonb
Receipt Number. 376
October 10, 2024
Cashier Reference Number
Jamie Hoffman 8655
Fee items being paid by this payment
Assessed Fee Item
On Account Code Assessed Amount Paid Balance Due
09/25/24 State Surcharge (Fixed)
$1.00 $1.00 $0.00
09/25/24 Residential Building Maintenance Permit $50.00 $50.00 $0.00
Application Info
Property Address
4234 WEST ARM DR
SPRING PARK, MN 55394
Description of Work
replace (2) windows
Property Owner
DENNIS E HOLBERT &
MELINDA G HOLBERT ET AL
TRUSTEES
Tots/s• $51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address Valuation
1200 FOURTH ST UNIT 305
KEY WEST, FL 33040