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Permits - 4164 Shoreline Drive - 9/22/2022
CITY OF SPRING PARK P. O. BOX 452 SPRING PARK, MN 55384 471-9051 FAX 471-9160 BUILDING PERMIT APPLICATION Building Permit Application Requirements: Date ReceivedS C!� 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 �j►Z•ZS b) 1 set for builder to use on site State Surcharge 11 . DO c) 1 set for City Building Inspector Plan Review ZOZ.^1(o Construction Plans should include: SAC Charge 1. First floor plan Availability Chrg 2. Footing &foundation plan 3. Elevations of all sides TOTAL SZ(o.Z 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`N OWNER OR CONTRACTOR ` JOB SITE ADDRESS _Dl . NAME OF OWNER 'TOIE�- eC)77Z�'/ IYOFf HOME PHONE WORK PHONE quirt 7 90 �; � 5�•i',2 MAILING ADDRESS 12fJ F-C) F00CIe9 tJ�'F /44 1N. S - CITY /J9�2/! �;QPGG/S ZIP SS�s/3 CONTRACTOR .SrI21LZ T7` _PHONE 5 - ��l« MOBILE PHONE MAILING ADDRESS '_S 7- CITY ZIP 2 17 STATE LICENSE NO. 00 7 S" ARCHITECTfENG1NEER�7 �/�/� L�- TG'%f/1..�C/L PHONE MAILING ADDRESS 911E 13y r� .q�i� lZ�' CITY ZIP S-S-fl� 7 NAME e—ozo - .7 0 REGISTRATION NO. TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEN10 REVIODELJALTERATION RENOVATE LAND ALTERATION PROPOSED WORK(Describe in Detail) ZONING DISTRICT STORIES I SQ.FEET OR EACH FLOOR NO.OF BEDROOMS GARAGE STALLS ATTACHED OR DETACHED BLDG.SIZE: LENGTH WIDTH HEIGHT ESTIMATED CONSTRUCTION VALUATION (excluding land) S �/� Ste© `— 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 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 Co0e;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 pla . APPLICANT'S SIGNATUR a ik f DATE �S� INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS: Footing before a pour Plumbing Framing rough-in Mechanical Insulation Well Wallboard before taping Grading & filling t�= 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 471-7357 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 CODE PLAN REVIEW Name Date !0