Permits - Permit# 26SP-00087 - 4010 Sunset Drive - 9/22/2026'r' I City of Spring Park I Re -Roof (Residentia)
PARK
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
26SP-00087
Date Issued: 09/22/2026
Property Owner: SHERRIE L & FRANK C WILSON
Expiration Date: 03/21/2027
Mailing Address: 4010 SUNSET DR
Job Site Address: 4010 SUNSET DR, SPRING PARK,
MN 55384
SPRING PARK, MN 55384
Category: Residential Miscellaneous
Phone:
Permit Type: Re -Roof (Residential)
Email:
Valuation:
Description of Work:
Replace roof
Subdivision: SKARP AND LINDQUIST'S
Required Setbacks:
HAZELDELL ADD TO MINNETONKA
Parcel ID: 17-117-23-33-0032
Filing:
Actual Setbacks:
Lot: 14
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary PROMINENT CONSTRUCTION LLC (612)
State Surcharge (Fixed)
$ 1.00
345-4799
Building PROMINENT CONSTRUCTION LLC (612)
345-4799
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
09/22/2026
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
On Gakf_%finnetonkg 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 -Roof
PERMIT NO.: 26SP-00087 PERMIT TYPE: (Residential) ISSUED DATE: 09/22/2026 EXPIRATION DATE: 03/21/2027
17-117-23-
PROJECT ADDRESS. 4010 SUNSET DR, SPRING PARK, MN 55384 PARCEL NO.: 33-0032
OWNER: SHERRIE L & FRANK C WILSON OWNER PHONE:
CONTRACTOR: PROMINENT CONSTRUCTION LLC CONTRACTOR PHONE: (612) 345-4799
APPLICANT: Prominent Roofing - Tabitha APPLICANT PHONE: (612) 345-4799
DESCRIPTION OF WORK: Replace roof
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Final/In-Progress
Fire Approval: Date: Engineering Date:
Approval:
PW Approval: Date: Other( ): Date.
To request an inspection: (952) 442-7520
Page 1 of 1
CITY OF SPRING PARK
BUILDING PERMIT
4349 Warren Avenue
PAGE 1
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: jkhoffman@ci.spring-park.mn.us
SITE ADDRESS: 4010 Sunset Ufiye
PID:
1) Was the home constructed before 1978? (YES❑, continue with line 2, NO continue without completing EPA Section)
2) Will the work disturb 2:6 sq ft of interior painted surfaces or 2:20
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: Sherrie Wilson
Address:4010 Sunset Drive
city: Spring Park State: MN zip: 55384
Email:
Contact Name: Tabitha Jeurissen
Phone: 612-345-4799
CONTRACTOR: Prominent Roofing
Address:14525 Highway 7, Suite 150
city: Minnetonka State: MN zip: 55345
Phone: Fax:
Contractor License No: BC660493
Contact Name: Tabitha Phone:
Email: tabitha@prominentroofingmn.com
ARCHITECT:
Address:
Cit : State: MN zip:
Phone: Fax:
Email:
Contact Name: Phone:
TYPE OF WORK: ❑New Construction
[]Deck E]Re-Roof
❑Commercial [H]Residential []Change of Use
❑Pool ❑Re -Side
EST. VALUATION OF WORK ❑Finish Basement
❑Retaining Wall ❑Fence
$ 14000 ❑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: I ❑Accessory Structure
[]Mechanical -provide detail on Page 2 ❑Misc Other
Tear off and reroof the residential house.
Signature of this application by the Legal property owner or a licensed 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 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 peirmit or inspection. will be subject to a penalty
SIGNATURE OF APPLICANT: Tabitha Jeurissen
DATE: 9/17/26
PRINTED NAME: TABITHA jEURISSEN
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: $ 1 . aL7
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: $
harge 5 per 8.5x11 page) $
Water Trunk: $
p
License Check ($5 /Lead Check ($5) $
Water Meter $
W
SUB -TOTAL $
SAC or City Fee:$
to
D
Plumbing Fee (from Page 2) $
Other: $
v
Mechanical Fee (from Page 2) $
TOTAL DUE: $
LL
Special Conditions/Required Setbacks:
O
Building Approval By:
DATE:
Printed Building Appr By:
❑ License Verification ❑ Lead Verification-- Checked By:
City Approval By:Wu
DATE:
Paid: fl.
goDate: 1151, Receipt No.
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:
JContact Name:
Email:
lContact 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: Address:
City: State: Zip: Phone: Fax:
Plumbers License No:
IState 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 $ 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: Tuesday, September 22, 2026 12:41 PM
To: Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: TABITHA JEURISSEN Permit Payment to Spring Park, MN - Permits & Licenses from TPG
ATTENTION: if you need assistance with this payment, please FORWARD this email to
tpgclientsupnort@nuvei.com and include your request. Your client manager will respond.
Dear Spring Park, MN - Permits & Licenses,
TABITHA JEURISSEN has made a web Payment through The Payment Group for:
Date Paid: Tuesday, 22 September 2026 12:41:05 CT
Confirmation:
UTOWV3
Credit Card Number (last 4 2073
digits):
Credit Card Type: American Express
Full Address - Permit or
First Name Last Name Business Name City, State & License Payment
Amount
Zip Number
14525
PROMINENT HIGHWAY 7,
TABITHA JEURISSEN ROOFING SUITE 150, BC660493 $81.00
MINNETONKA,
MIN 55345
TABITHA JEURISSEN can be reached at: 612-345-4799 ortabitha@prominentconstructionllc.com
if there are any questions regarding this payment.
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
26SP-00087 I Re -Roof (Residential)
Payment Amount: $81.00
SPRING PARK
On Lake 5Winnetonka
Receipt Number: 599
September 22, 2026
Transaction Method Payer
Cashier
Reference Number
Credit Card Prominent Roofing
Jamie Hoffman
UTOWV3
Comments
Assessed Fee Items
Fee items being paid in this transaction
Assessed Fee Item Account Code
On
Assessed
Amount Paid waived or
Discounted
Balance Due
09/22/26 State Surcharge (Fixed)
$1.00
$1.00 $0.00
$0.00
09/22/26 Contractor License Look -up
$5.00
$5.00 $0.00
$0.00
Residential Building Maintenance
09/22/26 Permit
$75.00
$75.00 $0.00
$0.00
Totals:
$81.00
$81.00 $0.00
Previous PaymentsMaivers
$0.00
Remaining Balance Due
$0.00
Application Info
Property Address Property Owner Property Owner Address Valuation
4010 SUNSET DR SHERRIE L & FRANK C 4010 SUNSET DR
SPRING PARK, MN 55384 WILSON SPRING PARK, MN 55384
Description of Work
Replace roof