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Permits - Permit# SP-2021-00071 - 4360 Channel Road - 7/19/2021
City of Spring Park Permit 1�IIy01 R I 'R 'K To Schedule an Inspection Call: 952-442-7520 Details Permit Number: SP-2021-00071 Issue Date: 7/19/2021 Zoning Type: RESIDENTIAL Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS Site Address: 4360 CHANNEL ROAD, SP, MN 55384 Description: Replace 7 existing windows, no structural change Permit Granted To: Champion Window Co. Homeowner's Name: STEVEN MICHAEL & GARRETT RIFFE THYKEN Phone Number: Parcel #: 1911723120120 Permit Type: BLDG - Window/Door Replacement Permit Exp: 1/15/2022 Valuation: $0.00 Fees Receipt # Product Sale Date Quantity Date Paid Status Pmt Info Amount 13093 License Lookup 7/19/2021 1.00 7/19/2021 Paid Visa: ****-****-****9118 $5.00 13093 Residential - Re -Window 7/19/2021 1.00 7/19/2021 Paid Visa: ****-****-****9118 $50.00 13093 State Surcharge Flat Fee - $1.00 7/19/2021 1.00 7/19/2021 Paid Visa: ****-"***- ***9118 $1.00 Total: $56.00 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! Scott Qualle, Building Official City of Spring Park +4349 Warren Avenue ♦ 55384 Copyright ©2021 INSPECTION RECORD 2020 MN State Building Code Citv of Sprincl Park Permit Number: SP-2021-00071 Issue Date: 7/19/2021 SITE ADDRESS: 4360 CHANNEL ROAD, SP, MN 5S384 pescriution: PERMIT TYPE: BLDG - Window/Door Replacement Replace 7 existing windows, no structural change ZONE/USE TYPE: RESIDENTIAL APPLICANT: Champion Window Co. OWNER: STEVEN MICHAEL & GARRETT RIFFE THYKEN 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 l Water -Resistive Barrier 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! llIIY0I (j, City of Spring Park 4349 Warren Avenue SP MN,55384 Ph:952-442-7520 Transaction ID: 13093 $56.00 Transaction Number: Transaction Type: Payment Tent: Contractor Date: 7/19/2021 Recipient: Method: Visa: ****-****-****9118 Notes: Paid Online — J Address: 4360 CHANNEL ROAD, SP, MN 55384 Reference: Permit Number: SP-2021-00071 Type: BLDG - Window/Door Replacement for Champion Window Co. Fees Product: License Lookup Paid 1.00 $5.00 $5.00 Residential - Re -Window Paid 1.00 $50.00 $50.00 State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $1.00 Total Amount: $56.00 Page 1 of 1 Printed on: 7/19/2021 Payment Confirmation Payer Information: Payment Made By: Payment Made For: Email: Address: Payment Description: Payment Date: Business Name City of Spring Park (Permits) Jonathan Taylor Jonathan Taylor khubbard@championwindow.com 3341 Purnell Wake Forest, NC 27587 Permits 7/19/2021 1:02:04 PM Payment Payment Confirmation Amount Method Account Number VISA ****9118 86971367 $56.00 Convenience Total Fee $2.40 $58.40 This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. Thank you for using PSN. NOTE: While credit and debit cards generally are immediately approved, the transaction is not considered "paid" until the credit or debit card company has "settled" the payment which occurs most often within 24 hours. If there are any issues with your payment, PSN will send an email to the address you provided. To check on the progress of your payment, you can log into your profile. Thanks for using PSN. Contact Us PSN Customer Support Submit your question and get a response within one business day. Payment Processing Powered by Payment Service Network (PSN) THIS COMMUNICATION IS INTENDED ONLY FOR THE ADDRESSEE(S) AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED AND CONFIDENTIAL. YOU ARE HEREBY NOTIFIED THAT, IF YOU ARE NOT AN INTENDED RECIPIENT LISTED ABOVE, OR AN AUTHORIZED EMPLOYEE, OR AGENT OF AN ADDRESSEE OF THIS COMMUNICATION RESPONSIBLE FOR DELIVERING E-MAIL MESSAGES TO AN INTENDED RECIPIENT, ANY DISSEMINATION, DISTRIBUTION, OR REPRODUCTION OF THIS COMMUNICATION (INCLUDING ANY ATTACHMENTS HERETO) IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMMEDIATELY BY A REPLY E-MAIL ADDRESSED TO THE SENDER AND PERMANENTLY DELETE THE ORIGINAL E-MAIL COMMUNICATION AND ANY ATTACHMENTS FROM ALL STORAGE DEVICES WITHOUT MAKING OR OTHERWISE RETAINING A COPY. CiTY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue Spring Park, MN 55384 ❑ Handout Given Routed to MNSPECT Phone: 952-471-9051+ Fax: 952-471-9160 ❑ Lead Handout Given SITE ADDRESS: y3l.[ 14 1Q;1nal Q.Ot7Ud• PID: ig 1 I�'d3-12`g2b 1) Was the home constructed before 1978? (YES o, continue with line 2, NO Weontinue without completing EPA Section) 2) Will the work disturb a6 sq ft of interior painted surfaces or Z20 sq ft of exterior painted surfaces? (YES c go to line 4, NO w1ine 3) 3) Are there any windows being replaced? (YES V go to line 4, NO o continue without completing EPA Section) 4) Has this home been Certified Lead Free? (YES o, you MUST Attach Certification Information, NO o complete line 5) 5) EPA Contractor Certification Number. NAT - ONS- ?A to O (applies to contractor only) • PROPERTY OWNER: t r Address: 4S60 C1go►onQ t ' Ci ]rill k State: tA Zi : %4 Email: Contact Name: Phone: lo I Q,- V11 S- 9i 14 CONTRACTOR: N Address: 510 w Ibq N Ci QW NO Q State: MW Zi . SS4 n Phone: Fax:::>� r•" Contractor License No: 2, Contact Name: hone Email: d Q clmampionmovj- Coro ARCHITECT: Address: City: State: Zip: Phone: Fax: • Email: Contact Name > `-., Phone: TYPE OF WORK: o New Construction o Deck a Pool a Re -Roof ❑ Commercial tw�esidential o Change of Use o Re ta W Porc o Re -Side EST. VALUATION OF WORK o Finish Basement It ❑ Fence $ 45s3 o Remodel o Fir prin . ' o Shed Square feet. ❑ Addition o lane vWindow/Door Replacement a Garage-Attached/D PIumbing-provide detal on Page 2 # being replaced 'I - Detailed Description of Work: o Acces cture o Mechanical -provide detai on Page 2 o Misc Other i 1 Signature of this appleatkin by the legal property owner oFltr atsed cdti iclor as the ciiA'wfs representative. Is roqutred and authorizes the ZoNng Administrator or deslgnaa and the Su:Jing official r designee to enter upon the property to peKorm needed wi�* brrs Entry may ba4+Ar Vt prior notice I hereby acknowledge that I have read this application and state that as Infatuation Is true and Cornett to the bast of my knoW&Vs. I further agree that all w&i;). ff0lmad yt�hy{sitbccoldance with approved plans, specifications and conditions; and to ai>Ide by al ofdirenices of the Municipality and the laws of the State of Mtnnasote ?itxats takenp erm W S pit. I agree to pay all plan ravleweas taver If t choose not to proceed with the work. Permit expires when work Is not commenced within 180 days from tlpe`ent4 t Ix lYapended abandoned. a not kpec statl for 180 nays Work beyond the scope of this pemtk. a wok witFraA a panni or inspection. VA be "Oct to a penalty Noise Ordinartoa l Effecl "iWONDAY - FRIDAY Before 7 am. and after 10 p.m. Weekends[Holidays before 7 a.m. and after 8 p.m. SIGNATURE OF AP 1C DATE: `I 81 PRINTED This is the signature of; o Owner or e'Owner's Representative OCCUP. TVIRE: ...;" CONST. TYPE: CODE: BLDG SPRINKLED Yes / No ^. VALUATION: $_ Permit Fee: $ ` • CX� WAC Charge: $ Plan Review Fee: $ Sewer & Water Hook -Up: $ State Surcharge: $ I- oO Sewer & Water Disconnect: $ Site Inspection Fee: $ Water Meter. $ S.E.C. Fee: $ Muni SE/WA Fee: $ Investigation Fee / Other Fee: $ *2016 SAC Escrow: 19.4115 Copy Charge ($.25 per 8.5 x11 page) $ Other $ z0 Liecnse Cheek (SS) / toad Check %6) $ C-,Xn TOTAL DUE: $ CXD Uj SUB -TO TAL $ �%n • a7 rn 'NOTE: Commercial plans will be submitted to the Met Council Environmental Svcs Plumbing 9 Fee (from Page 9 2 ) $ for SAC determination. Escrow payment will be required when permit Is Issued. if V Mechanical Fee from Page 2 $ after Met Council review no SAC is determined, estlrow will be refunded In full. u. Special Conditions/Required Setbacks: O Building Approval By: DATE: Printed Building App y. ❑ License Verification ❑ Lead Verification - Checked By: City Approval By: DATE:42 Paid: 04-1; K Date: -( y'- Receipt No.63 (� Q 7i3(o 7 By: ,tip tJ