Permits - Permit# 25SP-00099 - 4742 West Arm Road - 11/20/2025'?- I City of Spring Park I Plumbing (Residential)
SPRING PARK
?rr Lczie 1linnetonk,i
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
25SP-00099
Date Issued: 11/20/2025
Property Owner: JAMES D SELLNOW
Expiration Date: 05/19/2026
Mailing Address: 4742 WEST ARM RD
Job Site Address: 4742 WEST ARM RD, SPRING PARK,
MN 55384
SPRING PARK, MN 55384
Category: Residential Miscellaneous
Phone: (405) 535-6241
Permit Type: Plumbing (Residential)
Email: sellnowl8@gmail.com
Valuation:
Description of Work:
Install new water heater
Subdivision: SETON VILLAGE TOWNHOUSES
Required Setbacks:
Parcel ID: 1811723320005
Filing:
Actual Setbacks:
Lot: 5
Block: 1
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary APPLIANCE CONNECTIONS INC (952) 445-
State Surcharge (Fixed)
$ 1.00
4803
Residential Plumbing Permit
$ 75.00
Plumbing APPLIANCE CONNECTIONS INC (952) 445-
4803
Total Fees:
$ 76.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
11/20/2025
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
OnGakfNinnetonka 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.
Plumbing
PERMIT NO.: 25SP-00099 PERMIT TYPE: (Residential) ISSUED DATE: 11/20/2025 EXPIRATION DATE: 05/19/2026
1811723320
PROJECT ADDRESS: 4742 WEST ARM RD, SPRING PARK, MN 55384 PARCEL NO.: 005
OWNER: JAMES D SELLNOW OWNER PHONE:
CONTRACTOR: APPLIANCE CONNECTIONS INC CONTRACTOR PHONE:
APPLICANT: Appliance Connections APPLICANT PHONE:
DESCRIPTION OF WORK: Install new water heater
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE
INSPECTION INSP PASSED COMMENTS INSPECTION
Underground Plumbing Plumbing Rough -In
Plumbing Final
Fire Approval: Date: Engineering
Approval:
PW Approval: Date: Other
To request an inspection: (952) 442-7520
(405) 535-6241
(952) 445-4803
(952) 445-4803
DATE
INSP PASSED
Date:
Date:
COMMENTS
Page 1 of 1
CITY OF SPRING P
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4349 Warren Avenue
Spring Park, MN 55384
Phone: 952-471-9051
Email: ikhoffmanQci.spring-park.mn.us
PAGE 1
❑ Email completed form to City of
Spring Park to the attention of;
ikhoffman@ci.spring-park.mn.us
BUILD" G PERMIT
p5D(�09 4
Routed to SAFEbuilt
SITE ADDRESS:4742 W ARM ROAD SPRING PARK. MN 55384 PID:
1) Was the home constructed before 1978? (YES El, continue with line 2, NO❑continue without completing EPA Section)
2) Will the work disturb 26 sq ft of interior painted surfaces or >20 sq fl 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: DEREK SELLNOW Address:4742 WARM RD
City:SPRING PARK state: MN zio:55384 P-0
Contact Name: Phone:
CONTRACTOR: APPLIANCE CONNECTIONS Address:12850 LOUISVILLE RD
cty:SHAKOPEE State: MN Zip:55379 Phone:952-445-4803 Fax
Contractor License No:PM057209 Contact Name:JAMIE RIPPEL Phone:952-445-4803
Email: OFFICE@APPLIANCECONNECTIONSINC,COM
HITECT:
City.
State: MN zip:
Email:
TYPE OF WORK:
❑Commercial 0 Residential
EST. VALUATION OF WORK
s 1200
Square feet:
Detailed Description of Work:
INSTALL WATER HEATER
Address:
Phone;
Contact Name:
❑New Construction
❑Deck
❑Change of Use
❑Pbol
❑Finish Basement
❑Retaining Wall
❑Remodel _•
❑Porch
❑Addition
',❑Demolition
❑Garage-Attached/Detach [R]Plumbing-provide detail on Page 2
[]Accessory Structure
❑Mechanical -provide detail on Page 2
Fax:
Phone:
❑Re -Roof
❑Re -Side
❑ Fence
❑Shed sq ft
❑Window/Door Replacement
# being replaced
❑Mist Other
�Niarialure of th•s application by the legal property owner or a Ilcensca contractor, as the owner's representative, Is required and authorizes the Zoning Administrator or designee and the Building
Official or designee to enter upon the property to perform needed Inspections. Entry may be ailhout prior notice. I hereby acknoWedge that I have read this application and state that all information
is true and correct to the best of my knowledge. I further agreo that all work performed will be In accordance wth 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 oven If I choose not to proceed with tho work. Permit
expires when work Is net commenced Within lap days from dale of parnit, or If k Is suspended, ab .a nod, or not inspected for 1a0 days. Work beyond the scoDo of this permit, or work without
d Dermlt or Inspection, will be sub act to a coal
SIGNATURE OF APPLICAN DATE: 11I2O/25
PRINTED NAME: JAM L This Is the slgnature of: pOwner or
OCCUP. TYPE: C ST. TYPE: ❑Owner's Representative
OD BLDG SPRINKLED Yes / No
VALUATION: $
Permit Fee: $ 1^15�—
Plan Review Fee: $
State Surcharge: $ .
Site Inspection Fee: $
S.E.C. Fee: $
Investigation Fee / Other Fee: $
Copy Charge ($.25 per 8.5x11 page) $
License Check ($5) / Lead Check ($5) $
SUB -TOTAL $
Plumbing Fee (from Page 2) $
Mechanical Fee (tram Page 2) $
Special Conditions/Required Setbacks:
Building Approval By:
Printed Building Approval By-
City Approval By:
Paid: '1 fp , i3b Date: I a b Receipt No.
Park Dedication: $
SAC Charge: $
WAC Charge: $ _
Sewer Hook -Up: $
Water Hook -Up: $
Sewer Trunk: $
Water Trunk: $
Water Meter $
SAC or City Fee:S
Other: S
TOTAL DUE: S '-((p . 0--0
DATE:
❑ License Verification ❑ Lead Verification - Checked
DATE: I I I - Za f --
L-Q'F74 By:
CITY OF SPRING PARK
Mechanical Contractor:
PAGE 2
State:
State Bond No:
Email:
Detailed Description of Work:
❑ MECHANICAL PERMIT
❑ PLUMBING PERMIT
FOR PERMIT ISSUANCE
PAGE 1 and PAGE 2 should be complete
Address:
Phone:
Contact Name:
Contact Phone:
Fax:
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 Quantlity Quantity
Furnace Kitchen Fan Furnace
Air Conditioning System Bath Fan Fireplace
Air Exchanger Grill U 't H
Fireplace
Unit Heater
In Floor Heat
Gas Loa
❑ Replacement (one fixture only, no piping or vent changes)
❑ Addition/Remodel
❑ New Construction
❑ Other
ni eater
Water Heater
Grill
Dryer
Stove
Office Use Only.
Mechanical Permit Fee: $ _
Gas Line Permit Fee: $
State Surcharge: $ 1.00
Other: $ _
Total Mechanical Permit: $
Plumbing Contractor: APPLIANCE CONNECTIONS Address 12850 LOUISVILLE RD
city:SHAKOPEE State:MN zip:55379 Phone:952-445-4803 Fax
Plumbers License No: PM057109 State Bond No:
Contact Name:JAMIE RIPPEL lContact Phone:
Email:
Detailed Description of Work:
INSTALL WATER HEATER
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
0Gas ❑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) Bathtub
Office Use Only:
❑Replacement (one fixture only, no piping or vent changes) Plumbing Permit Fee: $
❑Addition/Remodel
❑New Construction State Surcharge $ 1.00
❑Other Other: $
-- Total Plumbing Permit: $
Jamie Hoffman
From: payment@thepaymentgroup.com
Sent: Thursday, November 20, 2025 3:12 PM
To: Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: JAMIE RIPPEL Permit Payment to Spring Park, MN - Permits & Licenses from TPG
ATTENTION: if you need assistance with this payment, please FORWARD this email to
tpgcher_dsuppQr- a�nmv_ei.c-om and include your request. Your client manager will respond.
Dear Spring Park, MN - Permits & Licenses,
JAMIE RIPPEL has made a web Payment through The Payment Group for:
Payment Information
Date Paid: Thursday, 20 November 2025 15:11:56 CT
Confirmation: MJLQF4
Credit Card Number (last 4 0099
digits):
Credit Card Type: Visa
Business Full Address - Permit or payment
First Name Last Name Name City, State & License Amount
Zip Number
JAMIE RIPPEL APPLIANCE SHAKOPEE $76.00
CONNECTIONS
JAMIE RIPPEL can be reached at: 952-445-4803 or office@applianceconnectionsinc.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-00099 I Plumbing (Residential)
Payment Amount:
Transaction Method
Credit Card
Comments
$76.00
Payer
Appliance Connections
SPRING PARK
On Lake Minnetonka
Receipt Number: 508
November 20, 2025
Cashier Reference Number
Jamie Hoffman MJLQF4
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item Account Code Assessed Amount Paid Balance Due
On
11/20/25 State Surcharge (Fixed) $1.00 $1.00 $0.00
11/20/25 Residential Plumbing Permit $75.00 $75.00 $0.00
Application Info
Property Address Property Owner
4742 WEST ARM RD JAMES D SELLNOW
SPRING PARK, MN 55384
Description of Work
Install new water heater
Totals. $76.00 $76.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address
4742 WEST ARM RD
SPRING PARK, MN 55384
Valuation