Permits - Permit# 17-44 - 4325 Channel Road - 1/1/2017CITY OF SPRING PARK
PAGE 1
BUILDING PE IT
4349 Warren Avenue
i ..� � 4
,Handout
Spring Park, MN 55384
Given
Phone: 952-471-9051 Fax: 952-471-9160
Lead Handout Given
Route t MN PECT
a I i
SITE ADDRESS: _) a S 0 h 2'�
ek PID:_ N I I 1 a3 1 ZO OA
1) Was the home constructed before 1978? (YES X, continue with line 2, NO ❑ continue without completing EPA Section)
2) Will the work disturb z6 sq ft of interior painted surfaces or z20 sq ft of exterior painted surfaces? (YES o go to line 4, NO X line 3)
3) Are there any windows being replaced? (YES o, 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)&complete line 5)
5) EPA Contractor Certification Number: NAT -
(applies to contractor only)
PROPERTY OWNER: { `S
Address:
'
Ci :-S lL State: zip,: lgS3 oaq
Email:
Contact ame: S�a�
Phone: -j 3 3qqo
•
CONTRACTOR: t
Address: 4 3 O
city: wv� State: iM 0 Zip:
Phone: Fax: 1 I
Contractor License No: C G ISO (G I
Contact Name: -. �S. Phone: 5a�rv`ti
'
Email: h f-1, 310
s r� I,
ARCHITECT:
Address:
City: State: Zip:
Phone: Fax:
•
Email:
C ntact Name: Phone:
TYPE OF WORK: / ❑ New Construction
Deck ❑ Re -Roof
❑ Commercial l� Residential o Change of Use
❑ Pool ❑ Re -Side
EST. VALUATION OF WORK ❑ Finish Basement
o Retaining Wall ❑ Fence
$ 1( Sao . b O o Remodel
❑ Porch ❑ Shed
Square feet: ❑ Addition
❑ Demolition o Window/Door Replacement
❑ Garage-Attached/Detach
❑ Plumbing -provide detail on Page 2 # being replaced
Detailed Descriptionof Work: ❑ Accessory Structure
❑ Mechanical -provide detail on Page 2 ❑ Misc Other
•
''
Signature of this application by the legal property owner or a licensed contractor, as the owners 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
u
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,
•
will be subject to a penalty.
Noise Ordinance In Effect: MON RIDAY Before I a.m.
nd after 10 p.m. Weekends/Holidays before 7 a.m. and after 8 p.m.
SIGNATURE OF APPLICANT:
DATE: 9 —1 2. 1 1
PRINTED NAME: Z�q,yheA s �4.L
This is the signature of: ❑ Owner or ❑ Owners Representative
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: $
zz
License Check ($5) / Lead Check ($5) $
TOTAL DUE: $
nI
SUB -TOTAL $
Plumbing Fee (from Page 2) $
'NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs
W
Mechanical Fee from Page 2 $
for SAC determination. Escrow payment will be required when permit Is issued. If
v
after Met Council review no SAC Is determined, escrow will be refunded In full.
LL
Special Conditions/Required Setbacks:
O
Building Approval By:
DATE:
Printed Building Approval By:
❑ License Verification ❑ Lead Verification - Checked By:
pproval By:
F
DATE:
Date: Receipt No.
By:
F,
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:
Contact Name:
Email:
Contact 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
Quanity Quanityuani
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: $
❑ Other Other: $
Total Mechanical Permit: $
PLUMBING INFORMATION
Plumbing Contractor: Address:
City: State: Zip: Phone:. Fax:
Plumbers License No:
IState Bond No:
Contact Name:
I 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
Quanity Quanityuani
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 ash Basin Bathtub
Office Use Only:
❑ Replacement (one fixture only, no piping or vent changes)
Plumbing Permit Fee: $
❑ Addition/Remodel
State Surcharge $
❑ New Construction
Other: $
❑ Other
Total Plumbing Permit: $
Poor Quality Document
Disclaimer
The original or copy of a document or page of a document
presented at the time of digital scanning contained within this
digital file may be of substandard quality for viewing, printing or
faxing needs.
SUPPLEMENT to Deck Permit Application
(MUST be included when applying for permit)
The following information is required to be included with a Deck permit application.
1. Footing Diameter:
2. Size of posts: 6 X (a
Depth: A4 8' 1
3. Size of beams: Z )(I 1 o Number of plys: Z--
4. Cantilever on beams: t Z � (cantilevers over 12" require engineering)
5. Size of joists: Z- X S Spacing: V
6. Cantilever on joists:
IL
(cantilevers over 24" require engineering)
7. Species of lumber (please check one): ❑ Southern Yellow Pine ❑ Ponderosa Pine
❑ Spruce Pine Fir ❑ Hemlock Fir ❑ Douglas Fir []Cedar ❑ Composite ❑ Unknown
8. Dimensions of floor boards: Z X (- Type: C e-l-gA
If using composite decking materials please indicate the manufacturer.
9. Height of deck from ground:
10. Height of guardrail:
11. Spacing of spindles:
12. Height of handrail:
13. Dimensions of deck:
i i
X LI o
14. Distance to property lines (also identify on site plan):
a.
Side 1: t o ,
b.
Side 2: I `
c.
Rear:
d.
Other:
Decks Page 3 of 3 Revised May-2016
Minnesota Department of Labor and Industry
Construction Codes and Licensing Division
443 Lafayette Road N
Saint Paul, MN 55155
NOTICES
NOT TRANSFERABLE
CHANGE YOUR BUSINESS STRUCTURE
SUBMIT A NEW APPLICATION FOR NEW ENTITY
RENEW OR REPLACE INSURANCE POLICY
SUBMIT NEW CERTIFICATE OF INSURANCE
Licensing and Certification Services
Phone: 651.284.5034
Email: DLI.License@state.mn.us
Website: www.dli.mn.gov/ccld.asp
REMODELING INC
DBA CONCEPT LANDSCAPING & ROCK CO
PO BOX 430
MOUND, MN 55364
NOTIFY THE DEPARTMENT OF A CHANGE IN YOUR BUSINESS.
Failure to do so, subjects you to administrative penalties of up to $10,000.
15-Day Notice Requirement — Formsavailable online at www:dli.mn aov/CCLD/LWbvidate.asl;
• Change in business' physicaladdress, mailing address -phone number, or email address
• Change in control, owners; officers; directors, members, partners
• Change in business' legal name and/or assumed name
• Loss of or change in QUALIFYING BUILDER
• Change in general liability insurance or workers' compensation insurance coverage
Immediate Notice Requirement— Notification to DLI in writing
Judgment Debtor. A licensed contractor.has 15 days to provide written notice of the finding that it is found to be a judgment
debtor based upon conduct requiring licensure.
Bankruotcv Petition Filed. A licensed contractor has 15 days to provide written notice that'it filed a petition for bankruptcy.
Conviction Notice. A licensed contractor has 10 days to provide written -notice that it has been found -guilty of a felony, gross
misdemeanor, misdemeanor- or any comparable offense related 'to ... the license, . including convictions of fraud,
misrepresentation, misuse of funds, theft, criminal sexual conduct, assault, burglary, conversion of funds, or theft of proceeds
in this or any other state or any other United States jurisdiction.
YOUR CERTIFICATE IS BELOW THE PERFORATION.
'X
WHN0MTADEPMffMMTCiF
ABOR & INDUSTRY
SHOW CERTIFICATE WHEN OBTAINING PERMITS.
RESIDENTIAL 'BCDG CONTRACTOR
Construction Codes and Licensing Division Licensing and Cerlikation Services 443 Lafayette Road N St Paul, MN 55155
Website: www.dlii.mn.aov/cckLaso Email: d1iAoenseCatstate.mn.us Phone: 651284.5034
This is to certify that the certificate holder is licensed as a RESIDENTIAL BUILDING CONTRACTOR in the state of Minnesota and is in
compliance with Minnesota Statutes 32613.805, and may build residential real estate, contract or offer to contract with an owner to build
residential real estate, and contract or offer to contract with an owner to improve. existing residential real estate; provided the
responsible individual is at all times a QUALIFYING BUILDER and the certificate holder maintains compliance with the required general
liability insurance,'• and workers' compensation laws.
License RESIDENTIAL BLDG CONTRACTOR
Lic Number; : BC580661 REMODELING INC
Effective Date : 04/01/2016 DBA CONCEPT LANDSCAPING & ROCK CO
Expiration Date: 03/31/2018 PO BOX 430
MOUND, MN 55364
VERIFY UP-TO-DATE STATUS, BOND, AND`INSURANCE INFO ATwww.dii.mn.bov/ccld/LicVerifv.aso (ENTER NUMBER).
Concept Landscaping
PO Box 430
Mound, MN 55364 952-472-4118
Homeowner;
Steve Meyers
4325 Channel Road
Spring Park, MN 55384
REPLACE EXISTING DECK 8' x 40'
2x6 CEDAR DECKING 1 g, 1
2X8 TREATED 16" OC
2 200 TREATED BEAM
42" FROST FOOTING 10' OC
CONCRETE
z
2 2x10 TREATED BEAM
10-12" PILING 10' OC
MW®Rrom,
0 , e—
r�
- Hennepin County Property Map
Date- 7i2son17
PARCEL ID: 1911723120034
OWNER NAME: Steven J Meyers SubjiL E
PARCELADDRESS: 4325 Channel Rd, Spring Park MN 55384
PARCEL AREA: 0.2 acres, 8,536 sq ft
A-T-B: Abstract
SALE PRICE:
SALE DATA:
SALE CODE:
ASSESSED 2016, PAYABLE 2017
PROPERTY TYPE: Residential Lake Shore
HOMESTEAD: Homestead
MARKET VALUE: $454,000
TAX TOTAL: $5,688.06
ASSESSED 2017. PAYABLE 2018
PROPERTY TYPE: Residential Lake Shore
HOMESTEAD: Homestead
MARKET VALUE: $463,000
Com men ts:
This data () is furnished AS IS' with no
representation as to completeness or
accuracy: (i) m furnished with n o
warranty of any kind: and (ai) is notsuitabie
for legal, engineenrg or survey i :g purposes
Hen nepin County shall not be I iabie fo r a ny
damage, injury or loss resulting from this data.
COPYRIGHT ® HENNEPIN
COUNTY 2017
Hennepin County Property Map
Date: 7/2 512017
No results
Com men ts:
This data (,)is furroshed 'AS IS' with no
representation as to compieleness or
accuracy. (ii) is furnished with no
warranty of any kind; and (ii) is notsuitable
for legal, engineering or surveying purposes
Hennepin County shafl not be I iab{e for any
damage. lnj" or loss re Sul ling from this data.
COPYRIGHT ® HENNEPIN
COUNTY 2017
Office UsMUNICIPAIT
e Only
E.---,!
FILE C>PY Plan Review Comment Sheet
Municipality: Spring Park Permit #:17-44 NAT #: NA
#R17-395
Applicant: Steve Meyers/Concept Landscaping Address: 4325 Channel Rd
Project: Deck
SEC: No
Date Issued:
Valuation: $11520
Is septic an issue? No Owner permission needed? No
Inspector Issued: Ct Number of Days:
ANY SPECIAL INSPECTION REQUIREMENTS ❑ (foundation survey approval, notify fire dept. staff,
monitor SEC, etc.)
Date & Comments
9/12/17
Application and plans received
CJ
12I1A
Qe��.� �s no `ce '%-ecd — v - A
❑ Municipality plans at MNSPECT
CITY OF SPRING PARK
PAGE 1
BUILDING PE IT
4349 Warren Avenue
1 '� .— 4 IT
Handout Given
-
Spring Park, MN 55384
Phone: 952-471-9051 Fax: 952-471-9160
Lead Handout Given
Route t MN PECT
a i
SITE ADDRESS: a
PID: I q 1 a3 ► zo 031
1) Was the home constructed before 1978? (YES X continue with line 2, N co ' ue without completing EPA Section)
2) Will the work disturb z6 sq ft of interior painted surfaces or Z20 sq ft of exta r pain surfaces? (YES ❑ go to line 4, NO 0 line 3)
3) Are there any windows being replaced? (YES ❑, go to line 4, N014continue hout co leting EPA Section)
4) Has this home been Certified Lead Free? (YES o, you MUST Attach Certificat Informs NOAcomplete line 5)
5) EPA Contractor Certification Number: NAT -
applies to contractor only)
PROPERTY OWNER:
Address:
city: -S bh ea&kt State: Zip: S3 ISLJ
Email:
•
Contact"'Name:
Phone: ) ika
CONTRACTOR: 2
Address: 1{
Ci : _d\ awo-d State: MO Zip: S$AAL4
Phone: qs I- NA Fax: 1
Contractor License No: C s $ O (.G ( `
Contact Name: ;AQ one: �E>a'v u .
Email: X S rA t 1'6 310 JL 6L ,
ARCHITECT:
Address:
City: Stat Zip:
Phone: ax:
•
Email:
C ntact ame: hone:
TYPE OF WORK: /
❑ New Const
Deck Re -Roof
❑ Commercial 6Residential
❑ Change o s
❑Pool Re -Side
EST. VALUATION OF WOR
(o O
❑ Finish Ba t
Retaining all ❑ Fence
$ .
❑ Remodel
orch ❑Shed
'
Square feet:
o Addition
❑ D olition ❑ Window/Door Replacement
❑ Garage -Alta ed/Detach
❑ Plu ing-prove detail on Page 2 # being replaced
Detailed Descriptionrr of Work:
❑ Accessory St cture
❑ Mach ical-prov detail on Page 2 ❑ Misc Other
•
Signature of Mils a tion by the legal property owner or need rontrector, the owners representative, Is Ired and authorizes the Zoning Administrator or designee and the Building Official
or designee to enter u the property to perform needed In ctlons. Entry may without prior notice. I hereby sc edge that I have read this application and state that all information Is We and
wrrect to the best of my edge. I further agree that ell adorned will be ccordance with approved plan pecifications and conditions and to abide by all ordinances of the Municipality
and the laws of the State nesota regerding actions taken reuant to this P.I agree to pay all plan revie eas even if 1 choose not to proceed with the work Permit expires when work
�
•
is not commenced within 180 from date of permit, or if vm suspended, aba red, or not Inspected for 180 ys. Work beyond the scope of this permit, or work without a permit or inspection,
Nn11 be subject to a penalty.
Noise Ordinance ffect: MON AY Before m.
nd after 10 p. .Weekends/Holidays before 7 a.m. and after S p.m.
SIGNATURE OF APPLICAN
DATE: 9 —1 L — 1 '7
PRINTED NAME: , Nd,*M Z-4� I N,
This i e signature of: ❑ Owner or ❑ Owner's Representative
OCCUP. TYPE: CONS PE: 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: $
2
License Check ($5) / Lead Check ($5) $
TOTAL DUE: $
w
SUB -TOTAL $
Plumbing Fee (from Page 2) $
'NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs
W
v
Mechanical Fee from Page 2 $
for SAC determination. Escrow payment will be required when permit Is Issued. If
after Met Council review no SAC is determined, escrow will be refunded In full.
M
Special Conditions/Required Setbacks:
LL
Building Approval By:
DATE:
Printed Building Approval By:
❑ License Verification ❑ Lead Verification - Checked By:
pproval By:
FP
DATE:
Date: Receipt No.
By:
Concept Landscaping
PO Box 430
Mound, MN 55364 952-472-4118
Homeowner;
Steve Meyers
4325 Channel Road
Spring Park, MN 55384
REPLACE EXISTING DECK 8' x 40'
_4
WW
Hennepin County Property Map
Date: 7/2512017
n
4333
7 4341
4349 (35-)�
37) (36)
PARCEL ID: 1911723120034
J• ` ..
--" '%
32)"
4317
4325
OWNER NAME: Steven J Meyers Subj/L E
PARCELADDRESS: 4325 Channel Rd, Spring Park MN 55384
PARCELAREA: 0.2 acres, 8,536 sq ft
A-T B: Abstract
SALE PRICE:
SALE DATA:
SALE CODE:
ASSESSED 2016, PAYABLE 2017
PROPERTY TYPE: Residential Lake Shore
HOMESTEAD: Homestead
MARKET VALUE: $454,000
TAX TOTAL: $5,688.06
ASSESSED 2017, PAYABLE 2018
PROPERTY TYPE: Residential Lake Shore
HOMESTEAD: Homestead
MARKET VALU E $463,000
ter;
11
c
r 1�1-u
a
1 inch = 50 feet
Comments:
This data () is flanMed AS IS' with no
represerdation as to completeness or
Bracy: (7 is furnished with n o
warranty of any Undt and (n) is notsuitable
for legak enoneering or stmeybV pxposes.
Hennepin County ahag not beIbble forany
damage, in jury or loss res li ft from this data.
COPYRIGHT ®HENNEPIN
COUNTY 2017
9/14/2017 License lookup
MDEPARTMENT OF
T LABOR AND INDUSTRY
License/Certificate/Registration Detail
Class Type:
RESIDENTIAL BLDG CONTRACTOR Number: BC580661
Application No:
229002 Status: ISSUED
Expire Date:
3/31/2018 Effect Date: 4/1/2016
Orig Date:
5/5/2006 Print Date: 4/11/2016
Enforcement
NO
Action:
Workplace
N/A
Experience:
Name:
REMODELING INC DBA CONCEPT LANDSCAPING & ROCK CO
Address:
PO BOX 430
MOUND, MN 55364
Phone:
952-472-4118 Fax: Other:612-581-1552
Business Relationship Requirements
Name:
SMITH, JARED M Lic/Reg No: QB136182
Status:
ISSUED Application No: 264751
Expire Date:
3/31 /2018 Effect Date: 4/1 /2016
Orig Date:
5/5/2006
;Another Lookup?
hops://secure.doli.state.mn.us/lookup/licensing.aspx 1 /1
2x6 C oAR oEcKING"..l 8' I
L_2x8 TRFATEo 16" oc
2 200 TREATED BEAM
42" FR05T FOOTING 10' OC
CONCRETE
2 2x1O TREATED REAM
10-12" PICNG 10' oc
SUPPLEMENT to Deck Permit Application
(MUST be included when applying for permit)
The following information is required to be included with a Deck permit application.
1. Footing Diameter: 1a Depth:
2. Size of posts: 6 X (a
3. Size of beams: Z )C 1 o Number of plys
Z
4. Cantilever on beams: Zip (cantilevers over 12" require engineering)
5. Size of joists:
zx9
Spacing: ( 6
6. Cantilever on joists: t t„ (cantilevers over 24" require engineering)
7. Species of lumber (please check one): ❑ Southern Yellow Pine ❑ Ponderosa Pine
❑ Spruce Pine Fir ❑ Hemlock Fir ❑ Douglas Fir [Cedar ❑ Composite ❑ Unknown
8. Dimensions of floor boards: z X (— Type: Gdl&A
If using composite decking materials please indicate the manufacturer.
9. Height of deck from ground:
10. Height of guardrail: 1T%AS1 "-
11. Spacing of spindles:
12. Height of handrail:_
13. Dimensions of deck: $ X o
14. Distance to property lines (also identify on site plan):
a. Side 1: t o
b. Side 2: ► o `
c. Rear:
d. Other:
Decks Page 3 of 3 Revised May-2016