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Permits - Permit# 26SP-00071 - 4234 West Arm Drive - 8/26/2026';- I City of Spring Park I Mechanical (Residential) PARK 4349 Warren Ave, Spring Park, MN 55384 Phone:(952) 471-9051 Fax: (952) 471-9160 For Inspections: (952) 442-7520 26SP-00071 Date Issued: 08/26/2026 Property Owner: DENNIS E HOLBERT & MELINDA G Expiration Date: 02/22/2027 HOLBERT ET AL TRUSTEES (Mindy Holbert) Job Site Address: 4234 WEST ARM DR, SPRING PARK, MN 55384 Mailing Address: 1200 FOURTH ST UNIT 305 Category: Residential Miscellaneous Permit Type: Mechanical (Residential) KEY WEST, FL 33040 Valuation: Phone: (713) 542-1095 Email: Description of Work: Replace heater, gas line, and existing venting Subdivision: WEST ARM TOWNHOMES ON LAKE Required Setbacks: MINNETONKA Parcel ID: 18-117-23-43-0179 Filing: Actual Setbacks: Lot: 9 Block: 1 Total Sq Ft: Contractors: Fee Items Amount Primary FLARE HEATING & AIR CONDITIONING State Surcharge (Fixed) $ 1.00 INC (763) 542-1166 Residential Mechanical Permit $ 105.00 Mechanical FLARE HEATING & AIR CONDITIONING INC (763) 542-1166 Total Fees: $ 106.00 NOTICE Signature of Applicant/Date Building Department Signature/Date 08/26/2026 MUST BE POSTED ON JOB SITE INSPECTION CARD City of Spring Park SPRING PARK OnGake9btinnetonka 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. Mechanical PERMIT NO.: 26SP-00071 PERMIT TYPE: (Residential) ISSUED DATE: 08/26/2026 EXPIRATION DATE: 02/22/2027 18-117-23- PROJECT ADDRESS: 4234 WEST ARM DR, SPRING PARK, MN 55384 PARCEL NO.: 43-0179 DENNIS E HOLBERT & MELINDA G OWNER: HOLBERT ET AL TRUSTEES (Mindy OWNER PHONE: (713) 542-1095 Holbert) FLARE HEATING & AIR CONTRACTOR: CONDITIONING INC CONTRACTOR PHONE: (763) 542-1166 APPLICANT: Flare Heating and AC APPLICANT PHONE: (763) 542-1166 DESCRIPTION OF WORK: Replace heater, gas line, and existing venting CONSTRUCTION TYPE: OCCUPANTLOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Mechanical Rough -In Air/Hydrostatic Test Reports Mechanical Final Fire Approval: PW Approval: To request an inspection: (952) 442-7520 Date: Engineering Approval: Date: Other ( Date: Date: Page 1 of 1 CITY OF SPRING PARK PERMIT 4349 Warren Avenue PAGE 1 /B��//U,�,,ILDING se— M Spring Park, MN 55384 ❑ Email completed form to City of `-"" Spring Park to the attention of; Phone: 952-471-9051 jkhoffman@ci.spring-park.mn.us Routed to SAFEbuilt Email: jkhoffmanQci.spring-park.mn.us SITE ADDRESS:4234 West Arm Dr 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: Mindy Holbert Address:4234 West Arm Dr cit :Spring Park State: MN zip: 55384 Email: Contact Name: Phone: CONTRACTOR: Flare Heating and Air Conditioning Address:9303 Plymouth Ave N cit :Golden Valley State: MN zip: 55427 Phone:7635421166 Fax: Contractor License No: MB005424 Contact Name: Dustin S Phone: 7635421166 Email: info@flareheating.com ARCHITECT: Address: City: State: MN zip: Phone: Fax: Email: Contact Name: Phone: TYPE OF WORK: ❑New Construction []Deck []Re -Roof ❑Commercial EIResidential ❑Change of Use ❑Pool ❑Re -Side EST. VALUATION OF WORK []Finish Basement ❑Retaining Wall ❑Fence $ 3095.00 ❑Remodel []Porch ❑Shed sq ft Square feet: ❑Addition ❑Demolition ❑Window/Door Replacement ❑Garage-Attached/Detach []Plumbing -provide detail on Page 2 # being replaced Detailed Description of Work: ❑Accessory Structure OMechanical-provide detail on Page 2 ❑Misc Other Replace Unit heater, gas line and venting are existing Signature of this application byft legal property owner or a licensed contractor, as the owner's representative, is required and authorizes the Zoning Adniinistrator or designee and the Building Official or designee to enter upon thepropertyto perfgirn 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 beat 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 regar actions lake rwanI 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 d om to of if is suspended, abandoned, or not inspected for 180 days work beyond the scope of this permit, or work without a permit or inspection, will be subject to a enalt DATE:8/18/2026 SIGNATURE OF APPLICANT: PRINTED NAME: Dustin S de a This is the signature of: []Owner or pOwner's Representative OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED Yes I No VALUATION: $ Permit Fee: $ Park Dedication: $ Plan Review Fee: $ SAC Charge: $ State Surcharge: $ Ub 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: $ p License Check ($5) / Lead Check ($5) $ Water Meter $ w Cn SUB -TOTAL $ M76 SAC or City Fee:$ Plumbing Fee (from Page 2) $ Other: $ UJI v Mechanical Fee (from Page 2) $ TOTAL DUE: $ LL Special Conditions/Required Setbacks: O Building Approval By: DATE: Printed Building App I ❑ License Verification ❑ Lead Verificati n - Checked By: City Approval By:Am DATE: Paid Date: 141,31plouReceipt No. CITY OF SPRING PARK ❑ MECHANICAL PERMIT ❑ PLUMBING PERMIT PAGE 2 FOR PERMIT ISSUANCE PAGE 1 and PAGE 2 should be complete MECHANICAL•' • Mechanical Contractor: Flare Heating and Air Conditionir Address: 9303 Plymouth Ave N city: Golden Valley State: MN zip: 55427 Phone:7635421166 Fax: State Bond No: MB005424 lContact Name: Dustin S Email: info@flareheating.com Contact Phone:7635421166 Detailed Description of Work: Replace Unit Heater, gas line and venting existing 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 1 Unit Heater Grill In Floor Heat Dryer Gas Log Stove 0liice Use Only: El 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: Address: City: State: Zip: Phone: Fax: Plumbers License No: State Bond No: Contact Name: Contact Phone: Email: Detailed Description of Work: 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) Bathtub Office Use Only: []Replacement (one fixture only, no piping or vent changes) Plumbing Permit Fee: $ ❑Addition/Remodel State Surcharge S 1.00 ❑New Construction Other: $ ❑Other Total Plumbing Permit: $ Jamie Hoffman From: payment=thepaymentgroup.com@mg.thepaymentgroup.com on behalf of payment@thepaymentgroup.com Sent: Wednesday, August 26, 2026 8:57 AM To: Jamie Hoffman Cc: payment@thepaymentgroup.com Subject: RICHARD GUERRE Permit Payment to Spring Park, MN - Permits & Licenses from TPG ATTENTION: if you need assistance with this payment, please FORWARD this email to tpgclientsupport@nuvei.com and include your request. Your client manager will respond. Dear Spring Park, MN - Permits & Licenses, RICHARD GUERRE has made a web Payment through The Payment Group for: ayment Information Date Paid: Wednesday, 26 August 2026 08:57:10 CT Confirmation: Credit Card Number (last 4 2405 digits): Credit Card Type: Visa Full Address Permit or First Name Last Name Business City, State & License Name Zip ,Number FLARE RICHARD GUERRE HEATING AND 4234 WEST 26SP-00071 AIR ARM DR CONDITIONING aymen mount $106.00 RICHARD GUERRE can be reached at: 763-542-1166 or INFO@FLAREHEATING.COM if there are any questions regarding this payment. Click here to login to your The Payment Group admin account Thank you once again for choosing The Payment Group! 1 RECEIPT City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952) 471-9051 26SP-00071 i Mechanical (Residential) Payment Amount: $106.00 Transaction Method Credit Card Comments Payer Flare Heating and AC Assessed Fee Items Fee items being paid by this payment SPRING PARK On LakeWinnetonka Receipt Number: 594 August 26, 2026 Cashier Reference Number Jamie Hoffman 48133QP Assessed Fee Item Account Code Assessed Amount Paid Balance Due On 08/18/26 State Surcharge (Fixed) $1.00 $1.00 $0.00 08/18/26 Residential Mechanical Permit $105.00 $105.00 $0.00 Totals: $106.00 $106.00 Previous Payments $0.00 Remaining Balance Due $0.00 Application Info Property Address Property Owner Property Owner Address Valuation 4234 WEST ARM DR DENNIS E HOLBERT & 1200 FOURTH ST UNIT 305 SPRING PARK, MN 55384 MELINDA G HOLBERT ET AL KEY WEST, FL 33040 TRUSTEES (Mindy Holbert) Description of Work Replace heater, gas line, and existing venting