Permits - Permit# 25SP-00048 - 2424 Black Lake Road - 7/17/2025LING PARK
c-If innetonka
City of Spring Park I Re-Window/Exterior Door
(Residential)
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
25SP-00048
Date Issued:
07/17/2025
Property Owner: Karissa Callis
Expiration Date:
01/13/2026
Mailing Address: 2424 Black Lake Road
Job Site Address:
2424 Black Lake Road, Spring Park,
MN 55384
Spring Park, MN 55384
Category:
Residential Miscellaneous
Phone:
Permit Type:
Re-Window/Exterior Door (Residential)
Email:
Valuation:
Description of Work:
Replace 4 windows
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Actual Setbacks:
Lot:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
State Surcharge (Fixed)
$ 1.00
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
07/17/2025
MUST BE POSTED ON JOB SITE
INSPECTION CARD
4, City of Spring Park
SPRING PARK
OnGakf9dinnetonka 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE
AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE.
Re-Window/Exterior
PERMIT NO.: 25SP-00048 PERMIT TYPE: Door (Residential) ISSUED DATE: 07/17/2025 EXPIRATION DATE: 01/13/2026
PROJECT ADDRESS: 2424 Black Lake Road, Spring Park, MN 55384 PARCEL NO.:
OWNER: Karissa Callis OWNER PHONE:
CONTRACTOR: CONTRACTOR PHONE:
APPLICANT: Window Nation APPLICANT PHONE: (860) 952-4112
DESCRIPTION OF WORK: Replace 4 windows
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Final/In-Progress 1
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
BUILDING PERMIT
4349 Warren Avenue
Spring Park' MN SS384
-1 Handout Given
Routed t0 SAFEt;uilt
Phone: 952-471-9051 Fax: 952-471-9160
❑ Lead HandoutQMretn
SITE AwRm5 2424 Black Lake Rd
PID:
1) Was the home constructed before 1978? (YES❑, continue with line 2, NO ❑ conwx* without completing EPA Section)
2) Will the work disturb z6 sq ft of interior painted surfaces or a20 sq
It of exterior painted surfaces? (YES ❑ go to line 4. NO❑line 3)
3) Are there any windows being replaced? (YES 0. go to line 4. NO ❑continue without completing EPA Section)
) Has this home been Certified Lead Free? (YES C3. you MUST Attach Certification Information. NO s complete line S)
S) EPA Contractor Certrfication Number NAT - NAT-21505-4
PROPERTY OWNER: Ross Wieneke
Address:2424 Black Lake Rd
City:Sprinq Park slate: MN zip: 55384
Ermil: rsk96521 1,5,mail.com
Contact Norm: David Friesorger
Phone:(763) 913-1478
CONTRACTOR: t:NIt1i olv Nxio,1 LLC
Address.8110 'Maple Lawn Blvd., #335
City: Fulton State: MN zip:20759
Phone:860-952-4112 Fax:
Contractor License No. BC791991
Contact Narr*: BC79 1991 Phone. 860-952-4 1 12
Ernai :
CFYTECT:
Address:
City: State: MN zip:
Phone Fax.
Emai :
Contact Name: Phone:
TYPE OF WORK: ❑Mew Construction
L-Deck ❑Re -Roof
❑C.ommerc-la! ❑Residential ❑Change of Use
❑Purl ❑Re-Sde
EST. VALUATION OF WORK ❑Finish Basement
❑Retaining Wall ❑Fence
5 12009 ❑Remodel
❑Porch ❑Shed sq ft
Square fleet 13Addrtion
❑Demoirton i oVindow0oor Replacement
0 OGarage-At1sctxd,D,atach
❑Plumbing-prvhee crate ar page z # being replaced 4
Detailed Description of Work: C]Acce;sory Structure
❑Mectialrecal-proocedetar cc. =ao-z ❑Mrsc Other
t.iioveNfplaCe 4 wildaw9; no structural changes
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Zv%al of dolipnaa to afw U00 tM pow, ry N palm In "wdwr ffspa[OUM. Eroy f wv W niff" of*( m,14 . 1 hwalf, iCah)da{t1 Val 1 haw faad Ta apid cateo and sun flat of 01a/fl101r0n
r Vua.and C*ff*d15 v* bell or fri Antsw� I lanho Oil" Chu all wort"fiU.,Ya WI ea in a[oafdanfl wQf ap#o++� pa►n► soaefrCOdLlfs and tao:kfaro alit b alSi91 try al ddylafYyi d Pia
le.rfcipally aM1 die lava d Pr slap ar vR f*wle r67l(dne W.Lam demon pnsuart 10 0" almt. 1-0 P« ar pun nlrlow Im livea / I ehea" nal to proud wfslho work. Pafrna
r{sfas wild: wirk m foot CLWHMhLVd 9911n 11110 dart ftm dim or vafml of r aafk is auWwrowt. aLonexnd. Co nN inwatlad for Iw 91Y6 IYorA W'Idod ro u0tra d iris vwftt of work wilrofr
;�fn.t of rsPacK� wit l9a sfrofti:t W a yiful!/.
SIGNATURE OF APPLICANT: Scott Doughman
DATEt7115125
PRINTED NAME: Scott Doughman
This ib the signature of: 00aner or E]Ownet's Representative
OCCUP. TYPE CONST. TYPE: CODE:
BLDG SPRINKLED Yes! No
VALUATION: S
Permit Fee. $
Park QEdrration: S
Plan Review Fee. S
SAC Charge: S
State Surcharge: $
WAC Charge: $
Site Inspection Fee: $
Sewer Hook -Up: $
S.E.C. Fee: $
Water Hook -Up: S
Investigation fee 1 Other Fee. S
Sewer Trunk: $
a per 8.Sxl 1 pate) $
Water Trunk: $
Lilxnse Che ) : Lead Check (SS) $ 15. 70
Weller Meter $
SUB -TOTAL $ 05IO r VD
City Fee: S
Plumbing Fee (Fmm Page 2) $
Other. $
Mechanical Fee (from Page 2;1 S
TOTAL DUE: $ D
IL
Special CondrtionsfRegwred Setbacks.
it
Building Approval By
DATE:
Printed Building al By.
License Verification C Lead VerficatNDn - Checked By:
City Approval By
DATE: 17 1-1 arJ
Paid: Date
j (D Receipt Nb.
X� By
Go Permits, LLC
105 Buttonball Lane
Glastonbury, CT 06033
Scott Doughman
Phone: 860-952-41 12
Fax: 860-430-6719
scottdoughman@gopermits.org
To Whom It May Concern,
If you have any questions or require any further information regarding this building
permit application, feel free to call me at your convenience and I would be happy to
assist you.
Once the permit is ready:
1. You can call me at 203-507-5576 to process the credit card payment.
(If applicable)
2. Please mail the original permit to
➢ Scott Doughman
➢ Go Permits LLC
➢ 105 Buttonball Lane
➢ Glastonbury, CT 06033
3. Also, please email or fax a copy of the permit and receipt to:
➢ Email: WindowNation@aopermits.org
➢ And SuzannaObert@gopermits.ora
Thank you!
Suzanna Obert, Permit Expediter
Go Permits, LLC
Phone: 203-507-5576
SuzannaObert@gopermits.org
Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 www.gopermits.org
Double Hung Window:
Argon and Low-E-
4SO
I 028
028
Argon and Low-E with Intem itm-E'
4S0
024
0.28
NC
Triple
4SO
0.22
0.22
N. NC. SC. S
Triple SMrn with Solar Clear*
4SG
029
0.21
SC, S
Triple Silver with Internal Low-E'
4SO
024
0.21
NC. SC. S
An vaaraa are lor'A' M+wkmbd glen waiaut gd t. Exceedt AAk1A Standard Air t.eekage Raft of d. 0.03_
'Ndea Redut lime Glen (OSO-'Ail Glen option available wah Low-E/Argm ward -• : Sava.
Sliding class Door.
Argon and Low-E-
Black Endur
0.30
027
N. NC
Argon and Low-E with Id and Low-E' Black Endur 0.26
0.26
Triple
Black Endur
0.23
021
N. NC. SC. S
SC. S
Triple SiNer with Solar Clean' Black Endur 0.29
0.20
Triple Starer wth Internal Low-E-
Black Endur
0.25
0.20
N. NC. SC. S
AN vr® we low 'A" krWtted glaaa wdhout WMiL Eaceeda A AMA Snrderd Air Leakage Ra* of 4- 0-M
-Nokia Reduction Glue PSS-VQ GLm option avaaabb with Lew-E/Argon and Trip* Silver.
Jamie Hoffman
From: payment3@thepaymentgroup.com
Sent: Tuesday, July 15, 2025 2:06 PM
To: Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: SCOTT DOUGHMAN Permit Payment to Spring Park, MN - Permits & Licenses from TPG
Dear Spring Park, MN - Permits & Licenses,
SCOTT DOUGHMAN has made a web Payment through The Payment Group for:
Date Paid:
Confirmation:
Credit Card Number (last 4
digits):
Credit Card Type:
SCOTT DOUGHMAN
Tuesday, 15 July 2025 14:06:05 CT
Q6AMXK
5230
Visa
Businjess
GO PERMITS
GLASTONBURY 2424 BLACK LAKE $56.00
RD
SCOTT DOUGHMAN can be reached at: 860-952-4112 or Windownation@gopermits.org if there
are any questions regarding this payment.
Click hereto login to your The Payment Group ad min account
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1
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
25SP-00048 I Re-Window/Exterior Door (Residential)
Payment Amount: $56.00
SPRING PARK
On Lake Minnetonka
Receipt Number: 457
July 17, 2025
Transaction Method Payer
Cashier Reference Number
Credit Card Go Permits
Jamie Hoffman Q6AMXK
Comments
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item
On
Account Code Assessed Amount Paid
Balance Due
07/15/25 State Surcharge (Fixed)
$1.00 $1.00
$0.00
07/15/25 Contractor License Look -up
$5.00 $5.00
$0.00
07/15/25 Residential Building Maintenance Permit
$50.00 $50.00
$0.00
Totals: $56.00 $56.00
Previous Payments
$0.00
Remaining Balance Due
$0.00
Application Info
Property Address Property Owner
Property Owner Address Valuation
2424 Black Lake Road Karissa Callis
2424 Black Lake Road
Spring Park, MN 55384
Spring Park, MN 55384
Description of Work
Replace 4 windows