The URL can be used to link to this page

Permits - Permit# SP-2020-00007 - 2424 Black Lake Road - 1/1/2020CITY OF SPRING PARK PAGE 1 BUILDING PERMT 4349 Warren Avenue S19_ aDab- ate% Spring Park, MN 55384 Handout Given Routed to MIVSPECT Phone: 962-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given "�-. SITE ADDRESS: PtD:,-1' 1) Was the home constructed before 1978? (YES)( continue with line 2, NOo 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 o go to line 4; NO o line 3) 3) Are there any windows being replaced? (YES' o, go to line 4; No"Xcontinue without completing EPA Section) 4) Has this -home been Certified Lead Free? (YES of you MUST Attach Certification Information, NO ❑ complete line 5) 5) EPA Contractor Certification Number. NAT -1K_ __t \5- . (applies to contractor only.) ! PROF ERTY OWNER: ,k In It t Address: ICAA�:��,'Vt, 0 city State: - zip:,,Email:' S- Q o - d Contact Name: r M ' Phone:' ' • CONTRACTOR: Yi Address: Ci State: Zip: Phone: Fax Contractor License No: U L4 5Contact Name: one Email: -Can'1 ARCHITECT: Address: City: State: r Zip: Phone: • Email: Contact Namea, g one: TYPE OF WORK:rz c ,a'n ut °.. ❑ New Construction o Deck :�. �.; �,.-,�r�Fte-Roof. o Commercial lResidential ❑ Change of Use n Poor; a Re -Side EST. VALUATION OF WORK rj. Finish. BasemerltFa,�taln a Fence �� $t Y� o Remodels oro Shed sqla.Le feet;.: oAddition Q i'i�olition I ❑ Window/Door Replacement mac; , -. ' o Garage-Attached/De�h urnbing-p►oviae detail on Page 2 # being replaced Detailed D ptio of Work: ❑Accesso , .' cture e a Mect►anlcal vrovide detail on Page z o Misc Other . w_ DL Signature of this application by the legal property owner orb ensaId as the ers representative, is required and authorizes the Zoning Administrator or designee and the BuWtng Official or designee to enter upon the property to perform needed i Dons Entry may De ut prior notice. 1 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 a ormedivj tfGr l cordance with approved piarss, spacMcatimns and conditions and to abide by a0 ordinances of the Municipality Y..h and the laws of the State or Minnesota regard actions taken �Yi�uant lc-UAi§ pemit. I agree to pay all plan review fees ever If I choose not to proceed with the work. Permit expires when work Is not commenced within 180 days from &W t%ar*wor 1Q*spended, 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 penalty. fee .M*u Noise Ordinart ;iz� Effecq ON - FRIDAY Before 7 a/nl. and after 10 p.m. Weekends/Holidays before 7 a.m, and after 8 p.m. SIGNATURE OF AP . IC ' DATE: PRINTED' ,! s This is the signature of: Owner or ❑ Owner's Representative OCCUP... 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 SENVA Fee: $ Investigation Fee / Other Fee: $ *2016 SAC Escrow: Copy Charge ($.25 per 8.5 x11 page) $ Other. 0 License Check ($5) / Lead Check ($5) $ TOTAL DUE: $ w SUB -TOTAL $ S I M � 'NOTE: Commercial plans will be submitted t e Met Council Environmental Sus Plumbing Page 9 Fee (from 2 $ 9 ) for SAC determination. Escrow payment will be wired when pemrrit is issued. If ul Mechanical Fee from Page 2 $ after Met Council review no SAC is determined, escr II be refunded in full. rU U. Special Conditions/Required Setbacks: u_ O Building Approval By: DATE: Printed Building Approval By: ❑ License Verification ❑ Lead Verification - Checked By: City Approval By: DATE: Paid: 1SI,pD Date: 1 �(� Z6j,0 Receipt No. 5 By: Q,i INSPECTION RECORD x 2015 Minnesota State Building Code City of Spring Park Permit Number: SP-2020-00007 Issue Date: 1/14/2020 SITE ADDRESS: 2424 BLACK LAKE ROAD, SP, MN SS384 Description: PERMIT TYPE: MAINT - Roofing Replacement Re -roof house ZONE/USE TYPE: Residential APPLICANT: Ross Herman OWNER: Ross Herman No inspection will be performed, and a re -inspection fee will be charged, if this "Inspection Record", the "City of Spring Park Permit', and, when applicable, the approved plans are not available to the inspector. This permit expires if construction activity does not commence within 180 days from obtaining this permit; when construction activity has been suspended or abandoned for at least 180 days; or the work has not been inspected within 180 days from the last documented activity. IF SEPARATE PERMITS ARE REQUIRED, REFER TO THE "SEPARATE PERMITS REQUIRED FOR:" STAMP ON YOUR APPROVED PLANS/CONSTRUCTION DOCUMENTS TO IDENTIFY WHAT SEPARATE PERMITS ARE REQUIRED. ALL REQUIRED ROUGH -IN INSPECTIONS, NOTED ON SEPARATE PERMITS, MUST BE COMPLETED PRIOR TO SCHEDULING A FRAMING INSPECTION. ALL REQUIRED FINAL INSPECTIONS, NOTED ON SEPARATE PERMITS, MUST BE COMPLETED PRIOR TO SCHEDULING A BUILDING FINAL INSPECTION. DO NOT COVER ITEMS TO BE INSPECTED. Permit Card Inspection Inspector's Response Approval Date Comments or Corrections Required , -.. -. Final Required MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS DAY PRIOR TO THE INSPECTION DAY: 8:00 A.M. TO 4:30 P.M. MONDAY THRU FRIDAY. PHONE NUMBER TO CALL: 952-442-7520 When a Certificate of Occupancy is needed, return this card and the approved final inspection notice to the City of Spring Park office. Thank you for your Payment! Transaction ID: 7060 Transaction Number: Transaction Type: Payment Recipient: property owner Notes: «rY ot� Cj" A_�� City of Spring Park 4349 Warren Avenue SP MN, 55384 Ph: 952-442-7520 $51.00 Date: 1/14/2020 Method: Check: 5943 Address: 2424 BLACK LAKE ROAD, SP, MN 55384 Reference: Permit Number: SP-2020-00007 Type: MAINT - Roofing Replacement for Ross Herman Product: Status: Quantity: Price: Tax Amount: Total Amount: State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $0.00 $1.00 Total Amount: $51.00 Page 1 of 1 Printed on: 1/14/2020 CITY OF _ P RIF, if NAINN ISOT A j City of Spring Park Permit Permit Number. SP-2020-00007 Issue Date: 1/14/2020 Zoning Type: Residential Use Type: To Schedule an Inspection Call: 952-442-7520 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS Details Site Address: 2424 BLACK LAKE ROAD, SP, MN 55384 Description: Re -roof house Permit Granted To: Herman Homes Inc Permit Type: MAINT - Roofing Replacement Homeowners Name: Ross Herman Permit Exp: 7/12/2020 Phone Number: 763-533-8459 Valuation: $4,500.00 Parcel #: 1911723120007 Fees 7060 Residential - Re -Roof 1/14/2020 1:00 1N4/2020 Paid Check' 5943 $50.00 7060 State Surcharge Flat Fee - $1.00 1/14/2020 1.00 1/14/2020 Paid Check: 5943 $1.00 Total: $51.00 Notes • This permit is issued in accordance with and subject to all provisions of Ordinances and policies governing building and zoning in City of Spring Park. • Permit Holder/Contractor/Owners Agent is responsible to call for the inspections! • Permit Packet, including approved plan, and this inspection record must be posted in an accessible location before calling for inspection. Maintain this inspection record until work is complete. • No deviations from the approved plans are allowed without prior consent from the building inspections department. • To Owner, Occupant, or Contractor. It is ILLEGAL TO OCCUPY this area/building until all required final inspections have been made, approved, signed, and certificate of occupancy issued! M, Scott Qualle, Building Official City of Spring Park #4349 Warren Avenue ♦ 55384 Copyright ©2020 LICENSE/CERTIFICATE/REGISTRATION DETAIL RESIDENTIAL Class Type: BLDG Number: BC468439 CONTRACTOR Application 225854 No: Expire Date: 3/31/2020 Orig Date: 8/12/2004 Enforcement NO Action: Workplace N/A Experience: Status: ISSUED Effect 4/1 /2018 Date: Print 2/5/2018 Date: Name: HERMAN HOMES INC Address: 3539 DOUGLAS DR N ROBBINSDALE , MN 55422 Phone: 763-533-8459 Business Relationship Requirements Name: HERMAN, ROSS S Lic/Reg No: QB131711 Status: ISSUED Expire Date: 3/31/2020 Orig Date: 7/23/2004 �__ Another Application 261607 No: Effect Date: 4/1 /2018