Permits - 2259 Lilac Road - 10/15/1997CITY OF SPRING PARK a ` Y C.0. PDX 45 �;
1-
BUILDING PERMIT APPLICATION SI'-'r: G, PARK, MN 553t34-0.1
Building Permit Application Requirments:
1. Application to be filled out & signed
2. Mechanical Permit Application & Calculation filled out
3. Energyy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 Sets of Construction Plans
a. 1 set for City Files
b. 1 set for builder to use on site
c. 1 set for city Building Inspector
Construction Plans should include:
1. First floor plan
2. Footing & foundation plan
3. Elevations of all sides
4. Wall sections & cross sections
5. Details - stairs & any special connections
Date Received:
Date Approved:
Permit No.:
Fees To Be Charged:
Permit $_ sc.:�s
State Surcharge ti
Plan Review 36-t
SAC Charge _
Availability Chrg
TOTAL $ `�`� • �.�—,_.
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) OWNER or CONTRACTOR
JOB SITE ADDRESS '770s'? /4:�'xo'
NAME OF OWNER .—IC-fF tWJffr1nA-' HOME PHONE ui%' �� 0 WORK PHONE 'ISL' 2037
MAILING ADDRESS % Z f >' fL - tLOAc CITY �^f R ZIP 6.iJ� `l�
CONTRACTOR
MAILING ADDRESS
STATE LICENSE NO.
ARCHITECT/ENGINEER
MAILING ADDRESS
NAME
TYPE OF WORK:
PHONE
CITY
PHONE
CITY
REGISTRATION NO..
New _L�L Addition Accessory Structure Move
Remodel/Alteration Renovate Land Alteration .
MOBILE PHONE
Demo
ZIP
ZIP
PROPOSED WORK (Describe in Detail) �U-1 .a go A kdf--w C- "t- — LX-�>7 0 4-
9E1Y1 u L/ a, c N
ZONING DISTRICT
STORIES OP SQ. FEET OR EACH FLOOR NO. OF BEDROOMS
STALLS Z ATT. OR DET._X L W_,Zk HT I�
36x z(- = 436 s4 +-r
7.76 x S 14,31 Pn sq -1-
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ r
GARAGE
CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A.
House 7 �, .a� X 3
S.F.
LengthWi t
X
S. F.
B.
Garage 3(2 X 2,6 e
- S.F.
C.
Driveway 41L ' X /1"
_ &30 S.F.
X
z S. F.
D.
Sidewalk % r x Z "6 ,
e Z- J S.F.
X
S.F.
E.
PatiQ/ T/U f X /b '
- /ZZ - 3Y S.F.
Dec
F.
Other X —
_ S.F.
X
S. F.
1. TOTAL HARDCOVER
�I• 7 S.F.
2. TOTAL PROPERTY AREA
S.F.
1 ?Sc',T 2
X 100 - 5. 'q %
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is
not a permit and work is not to start without a permit;; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE .Z. n, - DATE _/ T
INSPECTION REQUIRED:
Footing before a pour
oc Framing rough -in
Insulation
Wallboard before Taping
(� FINAL before occupancy
WORK REQUIRING SEPERATE PERMITS
Plumbing
Mechanical
Well
Grading & filling
Sewer
Water _
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT TO PENALTY
Electrical from State �
24 HOUR NOTICE REQUIRED
473-7357
ZONING CERTIFICATION
I do hereby certify to the Orono Building Official that the following described work has been reviewed for compliance with
the Zoning Requirements of the City of Spring Park and will be approved for construction upon approval of the
construction plans by the Building Official.
Name
Date
Name Date Ib- !j -S-7
IRONO C0PL.Pi.Nvv tip ***I:U
M MAN
IDENTIFIN4.1 wil OF PA M1311 1191111
ved Addresses Shall Us Dig oy
B,; a
FmMft Tk Poem f'"L OVED WITH, CORtl : ° ,;NNS AS NO i -4i
itiLJI AFF OVED — CORRECT & PESUBIMIT
-•�+ r:(%- cm.-iments are for your inforr<iation. All work shal' M
rili� ccxaapliance wits all a�risic:aUte b:A?°f.,!rsR & Z/3n]m
•r4ifel*nt9 including items not specificaily noted in this rEA4 ,t,
KUR THIS PLAN SLT ON SHE AT ALL I"Ire1
36'
JEFF HOFFMAN
259 LILAC ROAD
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Jeff Hoffman
BOX 1 uu
War -road, MN $6763
1—800-727-7596
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Fax 218-386--3732
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Jeff Hoffmnn
Box 100
Warroad, MN 56703
1-800-727-759a Fax 218-386-3732
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