Permits - Permit# 25SP-00064 - 4201 Sunset Drive #503 - 8/25/2025City of Spring Park
Plumbing (Commercial)
PARK
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
25SP-00064
Date Issued: 08/25/2025
Property Owner: KATHRYN POLAKIEWICZ
Expiration Date: 02/21/2026
Mailing Address: 4201 SUNSET DR
Job Site Address: 4201 SUNSET DR #N503, SPRING
#N503
PARK, MN 55384
SPRING PARK, MN 55384
Category: Commercial Miscellaneous
Phone:
Permit Type: Plumbing (Commercial)
Email:
Valuation: $800.00
Description of Work:
Replace shower valve and tub valve
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Actual Setbacks:
Lot:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary ROCK SOLID PLUMBING LLC (763) 213-
State Surcharge
$ 0.40
7931
Commercial Plumbing Permit
$ 75.00
Total Fees:
$ 75.40
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
08/25/2025
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
OnGakf%innetonka 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.
PERMIT NO.: 25SP-00064 PERMIT TYPE: Plumbing (Commercial) ISSUED DATE: 08/25/2025 EXPIRATION DATE: 02/21/2026
PROJECT ADDRESS: 4201 SUNSET DR #N503, SPRING PARK, MN 55384 PARCEL NO.:
OWNER: KATHRYN POLAKIEWICZ OWNER PHONE:
CONTRACTOR: ROCK SOLID PLUMBING LLC CONTRACTOR PHONE: (763) 213-7931
ROCK SOLID PLUMBING LLC -
APPLICANT: Bethany APPLICANT PHONE: (763) 213-7931
DESCRIPTION OF WORK: Replace shower valve and tub valve
CONSTRUCTION TYPE:
OCCUPANTLOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Underground Plumbing Plumbing Rough -In
Rain Leader Rough -In Plumbing Final
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 1
BUILDING PERMIT
4349 Warren Avenue
Spring Park, MN 55384
❑ Handout Given
Routed to S
Phone: 952-471-9051 Fax: 952-471-9160
❑ Lead Handout Given
SITE ADDRESS: 4201 Sunset Drive
PID:
1) Was the home constructed before 1978? (YES ❑, continue with line 2, NO ❑ continue without completing EPA Section)
2) Will the work disturb >:6 sq ft of interior painted surfaces or >_20 sq
ft of exterior painted surfaces? (YES ❑ go to line 4, NO❑line 3)
3) Are there any windows being replaced? (YES ❑, go to line 4, NO❑continue without completing EPA Section)
4) Has this home been Certified Lead Free? (YES ❑ , you MUST Attach Certification Information, NO ❑ complete line 5)
5) EPA Contractor Certification Number: NAT -
PROPERTY OWNER: Kathryn POlakiewicz
Address: 4201 Sunset Drive
city. Spring Park State: MN zip 55384
Email:
Contact Name:
Phone: 763-464-4984
CONTRACTOR: Rock Solid Plumbing, LLC
Address: 2941 305th Ave NE
city: Cambridge State: MN zip: 55008
Phone: 763-213-7931 Fax:
Contractor License No: PC645902
Contact Name: Bethany Phone: 763-213-7931
Email: plumbing.rocksolid@gmail.com
ARCHITECT:
Address:
city: State: MN zip
Phone: Fax:
Email:
Contact Name: Phone:
TYPE OF WORK: []New Construction
[]Deck []Re -Roof
❑Commercial ElResidential ❑Change of Use
❑Pool ❑Re -Side
EST. VALUATION OF WORK ❑Finish Basement
❑Retaining Wall []Fence
$ 800 pRemodel
❑Porch ❑Shed sq ft
Square feet. ❑Addition
❑Demolition ❑Window/Door Replacement
❑Garage-Attached/Detach
t]Plumbing-provide detail on Page 2 # being replaced
Detailed Description of Work: ❑Accessory Structure
❑Mechanical -provide detail on Page 2 ❑Misc Other
Replace shower valve and tub valveF
Signature of the application by the legal property owner or a licensed contractor, as the owners representative. is required and authorizes the Zoning Adrtrmstrator or destgnee and the Building
official or designee to enter upon the property to perform needed inspections Entry may be without prior notice I hereby acknowledge that I have read this application and state that all information
is true and correct to the best of my knowledge. I further agree that all work performed will be in accordance with approved plans, specifications and conditions and to abide by all ordinances of the
Municipality and the laws of the State of Minnesota regarding actions taken pursuant to this permit I agree to pay all plan review fees even if I choose not to proceed with the work. Permit
expires when work is not commenced within 180 days from date of permit, or if work is suspended, abandoned, or not inspected for 180 days Work beyond the scope of this permit, or work without
a permit or inspection wN he subject to a penalty
SIGNATURE OF APPLICANT:
DATE: 8/21 /2025
PRINTED NAME: Bethany Haugen
This is the signature of: []Owner or []Owner's Representative
OCCUP TYPE: CONST. TYPE: CODE:
BLDG SPRINKLED Yes / No
VALUATION: $
Permit Fee: $
Park Dedication: $
Plan Review Fee: $
SAC Charge: $
State Surcharge: $
WAC Charge: $
Site Inspection Fee: $
Sewer Hook -Up: $
S.E.C. Fee: $
Water Hook -Up: $
Investigation Fee / Other Fee: $
Sewer Trunk: $
Copy Charge ($.25 per 8.5x11 page) $
Water Trunk: $
Z
O
License Check ($5) / Lead Check ($5) $
Water Meter $
W
SUB -TOTAL $
City Fee: S
fn
:3
Plumbing Fee (from Page 2) $
Other: $
V
Mechanical Fee (from Page 2) $
TOTAL DUE: $ 7S.
LL
Special Conditions/Required Setbacks:
O
Building Approval By
DATE.
Printed Building Appr I By:
❑ License Verification ❑ Lead Verification - Checked By:
City Approval By:
DATE: g 011015 1 za
Paid: �.LYD Date: S as Receipt No_C—_,C -
By:
CITY OF SPRING PARK ❑ MECHANICAL PERMIT
❑ PLUMBING PERMIT
PAGE 2 FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
MECHANICAL INFORMATION
Mechanical Contractor: Address:
City: State: Zip: 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):
MECHANICAL FIXTURES GAS LINES
Quantity Quantity Quantity
Furnace Kitchen Fan Furnace
Air Conditioning System Bath Fan Fireplace
Air Exchanger Grill Unit Heater
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: $
❑ Addition/Remodel Gas Line Permit Fee: $
❑ New Construction State Surcharge: $ 1.00
❑ Other Other: $
Total Mechanical Permit: $
PLUMBING INFORMATION
Plumbing Contractor: Rock Solid Plumbing Address: 2941 305th Ave NE
city: Cambridge State: MN zip: 55008 Phone: 763-213-7931 Fax:
Plumbers License No: PC645902
State Bond No: W150108821
Contact Name: Bethany Haugen JContact
Phone: 763-213-7931
Email: plumbing. rocksolid@gmail.com
Detailed Description of Work:
Replace shower valve and tub valve
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 ❑Electric Dishwasher Rough -In Future Fixture
Water Softener Clothes Washer Sump
Lawn Sprinkler System Ice Maker Line Water Piping System
Water Closet (Toilet) Hose Bib Floor Drain
Lavatory (Wash Basin) 1 Bathtub
Office Use Only:
❑Replacement (one fixture only, no piping or vent changes)
Plumbing Permit Fee: $
❑Addition/Remodel
State Surcharge $ 1.00
❑New Construction
Other: $
[]Other
Total Plumbing Permit: $
Jamie Hoffman
From: payment5=thepaymentgroup.com@mg.thepaymentgroup.com on behalf of payment5
@thepaymentgroup.com
Sent: Monday, August 25, 2025 3:32 PM
To: Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: BETHANY HAUGEN Permit Payment to Spring Park, MN - Permits & Licenses from TPG
Dear Spring Park, MN - Permits & Licenses,
BETHANY HAUGEN has made a web Payment through The Payment Group for:
Payment Information
Date Paid:
Confirmation:
Credit Card Number (last 4
digits):
Credit Card Type:
BETHANY HAUGEN
Monday, 25 August 2025 15:31:33 CT
GCGYE4
5032
Visa
ROCK SOLID 4201 SUNSET DRIVE
PLUMBING #503, SPRING PARK
F--I
$75.40
BETHANY HAUGEN can be reached at: 763-213-7931 or plumbing.rocksolid@gmail.com if there
are any questions regarding this payment.
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1
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
25SP-00064 I Plumbing (Commercial)
Payment Amount: $75.40
SPRING PARK
On Lake Minnetonka
Receipt Number: 470
August 25, 2025
Transaction Method Payer Cashier Reference Number
Credit Card Rock Solid Plumbing Jamie Hoffman GCGYE4
Comments
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item Account Code Assessed Amount Paid Balance Due
On
08/22/25 State Surcharge $0.40 $0.40 $0.00
08/22/25 Commercial Plumbing Permit $75.00 $75.00 $0.00
Totals. $75.40 $75.40
Previous Payments $0.00
Remaining Balance Due $0.00
Application Info
Property Address Property Owner Property Owner Address Valuation
4201 SUNSET DR #N503 KATHRYN POLAKIEWICZ 4201 SUNSET DR #N503 $800.00
SPRING PARK, MN 55384 SPRING PARK, MN 55384
Description of Work
Replace shower valve and tub valve