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Permits - 4177 Shoreline Drive - 4/24/2001 CITY OF SPRING PARK P. O. BOX 452 4349 WARREN AVENUE SPRING PARK, MN 55384 952-471-9051 FAX 952-471-9160 BUILDING PERMIT APPLICATION Building Permit Application Requirements: Date Received 1. Application to be filled out&signed Date Approved 2. Mechanical Permit Application &Calculation filled out Permit No. 3. Energy Calculations filled out 4. Furnish a Certificate of Survey -See Attached 5. Furnish 3 sets of Construction Plans Fees To Be Charged: _ a) 1 set for City files Permit 91•Z5 b) 1 set for builder to use on site State Surcharge Z.0 O c) 1 set for City Building Inspector Plan Review N/►4 Construction Plans should include: SAC Charge 1. First floor plan Availability Chrg 2. Footing Moundation plan 3. Elevations of all sides TOTAL �I`1 • LS 4. Wall sections &cross sections 5. Details -stairs &any special connections ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED THE APPLICANT IS (CIRCLE ONE) OWNER OR CONTRACTOR JOB SITE ADDRESS 4 17 7 S mono-wc Dki uc NAME OF OWNER MI-VIV&TM)(<A I�L-���I e ��TS W�.CiM PHONE �yL� WORK PHONE`ri�Z"4�� lC • MAILING ADDRESS -T 7 7 ! RCXCUA.t Pr, CITY S7P' �iAJ�- Pfl<< ZIP _1,-S 3&4 CONTRACTOR 13%'J QLf-'r t, Lu<16NT' PHONE 763`4 n,16'7 7 MOBILE PHONE MAILING ADDRESS 18 2 6( NNbv SFKc=r J_ CITY /"PC PL- 11 c 0/t) ZIP �'9,53-57-7 STATE LICENSE NO. ARCHITECT/ENGINEER PHONE MAILING ADDRESS CITY ZIP NAME REGISTRATION NO. TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO REMODELIALTERATION RENOVATE LAND ALTERATION PROPOSED WORK(Describe in Detail) et PL^4CF wilt( MjC<(3L 4,IJ q5 St IFIEr� t; JJ SU���I�tZ ZONING DISTRICT STORIES Sa FEET OR EACH FLOOR NO.OF BEDROOMS GARAGE STALLS ATTACHED OR DETACHED BLDG.SIZE: LENGTH WIDTH HEIGHT ESTIMATED CONSTRUCTION VALUATION (excluding land) $ BUILDING PERMIT APPLICATION PAGE 2 HARDCOVER CALCULATION WORKSHEET A. House X = S.F. Length Width X = S.F. B. Garage X = S.F. C. Driveway X = S.F. X = S.F. D. Sidewalk X = S.F. / X = S.F. E. Patio/Deck ! X = S.F. F. Other X = S.F. 1. TOTAL HARDCOVER S.F. 2. TOTAL PROPERTY AREA S.F. / 1 DIVIDED BY 2 X 100 = % I hereby apply for a building permit and 1 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 ap roved plan. / X APPLICANT'S SIGNATUREC✓ DATE i Z3 �Za Cl INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS: Footing before a pour Plumbing Framing rough-in Mechanical Insulation Well Wallboard before taping Grading &filling FINAL before occupancy Sewer Water WORK BEYOND OR WITHOUT A REQUIRED INSPECTION WILL BE SUBJECT TO PENALTY Electrical from State 24 HOUR NOTICE REQUIRED CALL 249-4600 ZONING CERTIFICATE 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 BUILDING C D EVIEW Name Date 4 f)7- 4-4 r - ni a z 4-1 �C =i � 'fj, cmn > R• o -TI � r n ' a r "Ic � al 4 �. D M03 MONO