Permits - Permit# 26SP-00074 - 4202 West Arm Drive - 8/25/2026PARK
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
26SP-00074
Date Issued: 08/25/2026
Property Owner: JOYCE L ROCKVAM REV TRUST
Expiration Date: 02/21/2027
Mailing Address: 4202 WEST ARM DR
Job Site Address: 4202 WEST ARM DR, SPRING PARK,
MN 55384
SPRING PARK, MN 55384
Category: Residential Miscellaneous
Phone: (952) 454-4681
Permit Type: Re-Window/Exterior Door (Residential)
Email: captcliff6l@gmaii.com
Valuation:
Description of Work:
Replace (10) windows & (1) patio door w/i existing openings
Subdivision: WEST ARM TOWNHOMES ON LAKE lRequired
Setbacks:
MINNETONKA
Parcel ID: 18-117-23-44-0058
Filing:
Actual Setbacks:
Lot: 25
Block: 1
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary RENEWAL BY ANDERSEN LLC (651) 264-
State Surcharge (Fixed)
$ 1.00
4088
Building RENEWAL BYANDERSEN LLC (651) 264-
4088
Contractor License Look -up
Residential Building Maintenance Permit
$ 5.00
$ 75.00
Total Fees:
$ 81.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
08/25/2026
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
OnGakeMinnetonka 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.: 26SP-00074 PERMIT TYPE: Door (Residential) ISSUED DATE: 08/25/2026 EXPIRATION DATE: 02/21/2027
18-117-23-
PROJECT ADDRESS: 4202 WEST ARM DR, SPRING PARK, MN 55384 PARCEL NO.: 44-0058
OWNER: JOYCE L ROCKVAM REV TRUST OWNER PHONE: (952) 454-4681
CONTRACTOR: RENEWAL BYANDERSEN LLC CONTRACTOR PHONE: (651) 264-4088
APPLICANT: RENEWAL BY ANDERSEN - KARA APPLICANT PHONE:
DESCRIPTION OF WORK: Replace (10) windows & (1) patio door w/i existing openings
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Final/In-Progress
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
BUILDING PERMIT
PAGE 1
afs P-0-Po1y
4349 Warren Avenue
❑ Handout Given
Spring Park, MN 55384
Routed to MNSPECT
Phone: 952-471-9051 Fax: 952-471-9160
0 Lead Handout Given
LA go l"") N( m —b 'C PID•
SITE ADDRESS: Qf
1) Was the home constructed before 1978? (YES r— continue with line 2, NO : continue without completing EPA Section)
2) Will the work disturb >_6 sq ft of interior painted surfaces or Z20 sq ft of exterior painted surfaces? (YES a go to line 4, NO :i line 3)
3) Are there any windows being replaced? (YES u, go to line 4, NO
:- continue without completing EPA Section)
4) Has this home been Certified Lead Free? (YES o, you MUST Attach Certification Information, NO i complete line 5)
5) EPA Contractor Certification Number: NAT -
(applies to contractor only)
• PROPERTY OWNER: UL V
\
Address:
City State: Zip
Email
Phone: 1�,5 • Li 5 QU
Contact Name:
CONTRACTOR
Address: I LO CO • RCI tLr� �� 5+
City: ';1 t State: 1 f\_ Zip: SS 113
Phone: (o -Q& -405 Fax:
+
Contractor License No: 0 G Caq 9 R 3 7
Contact Name. Phone:
Ema11 W SC' d E '�fcU R L f• co ('-
ARCHITECT:
Address:
city StateZip
Phone Fax:
• Email:
Contact Name. Phone:
TYPE OF WORK:
❑ New Construction
❑ Deck ❑ Re -Roof
❑ Commercial yr Restaential
❑ Change of Use
❑ Finish Basement
❑ Pool ❑ Re -Side
❑ Retaining Wall ❑ Fence
ES AL TION OF WORK
$ f Lf. o o
❑ Remodel
❑ Porch ❑ Shed
Square feet:
❑ Addition
❑ Demolition ,7<Window/Door Replacement
❑ Garage-Attached/Detach ❑ Plumbing -provide detail on Page 2 # being replaced
Detailed Description of Work:
: AccessoryStructure
-I Mechanical -provide detail on Page 2 ❑ Misc Other
S It I 'a
<-etc+s ;
,R 16 wi
Sgnmure of m , apPl¢atron by the legal property owner or a IKensed contractor. as the owner's representative. is required and authorizes the Zoning Administrator or designee and the w: i^0 ,.,e.a.
the to perform needed inspections. Entry may be without prior notice. I hereby acknowledge that 1 have read this application and state that all information 1s true and
r designee to enter upon property
correct to the best of my knowledge I further agree that al work performed will be In accordance with appmved plans, specifications and conditions and to abide by all ordinances of the Municipality
the laws of the State of Minnesota regarding actions taken pursuant to this permit. 1 agree to pay all plan review fees even If I choose not to proceed with the work. Permit expires when work
nd
.� 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,
• 11 be subject to a penalty
Noise Ordinance In Effect: MONDAY - FRIDAY Before 7 a.m.
and after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m.
SIGNATURE OF APPLICANT:
DATE:
PRINTED NAME: Y-ckl c, 1� In SO
This is the signature of: ❑ Owner or O)Owner s RepresLintative
OCCUP. TYPE: CONST. TYPE: CODE:
BLDG SPRINKLED Yes/No
vALUATION: $ _
Permit Fee: $
WAC Charge: $
Plan Review Fee: $ _
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: $
"2016 SAC Escrow: $2,485
Copy Charge ($.25 per 8.5 x11 page) $
Other: $
J
z
License Check ($5) / Lead Check ($5) $
TOTAL DUE: $
ul
SUB -TOTAL
=NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs
N
Plumbing Fee (from Page 2) $
for SAC determination. Escrow payment will be required when permit is issued. If
w
Mechanical Fee (from Page 2) $
after Met Council review no SAC Is determined. escrow will be refunded in full
V
LL
Special Conditions/Required Setbacks:
tL
O
Building Approval By:
DATE
Building Approv I y
❑ License Verification ❑ Lead Verification - Checked By
kPdnted
pproval By:
DATE: 8110
Paid �b (•iM Date Receipt No
19 BY
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
26SP-00074 I Re-Window/Exterior Door (Residential)
Payment Amount: $81.00
SPRING PARK
On Lake 5Winnetonka
Receipt Number: 591
August 25, 2026
Transaction Method Payer
Cashier Reference Number
Check WS & D Permit Service
Jamie Hoffman 39869
Comments
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item
On
Account Code Assessed Amount Paid
Balance Due
08/25/26 State Surcharge (Fixed)
$1.00 $1.00
$0.00
08/25/26 Contractor License Look -up
$5.00 $5.00
$0.00
08/25/26 Residential Building Maintenance Permit
$75.00 $75.00
$0.00
Totals.- $81.00 $81.00
Previous Payments
$0.00
Remaining Balance Due
$0.00
Application Info
Property Address Property Owner Property Owner Address Valuation
4202 WEST ARM DR JOYCE L ROCKVAM REV 4202 WEST ARM DR
SPRING PARK, MN 55384 TRUST SPRING PARK, MN 55384
Description of Work
Replace (10) windows & (1) patio doorw/i existing openings