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Permits - 4254 Shoreline Drive - 7/6/2000 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 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 Charaed: a) 1 set for City files Permit b) 1 set for builder to use on site State Surcharge ').o0 c) 1 set for City Building Inspector Plan Review t 5 4• 2.1 Construction Plans should include: SAC Charge 1. First floor plan Availability Chrg 2. Footing &foundation plan 3. Elevations of all sides TOTAL 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 CR CONTRAC TOR 7`JCB SITE ADDRESS 2 S// /- //,7F _Dle NAME OF OWNER TCs BL)1-7-SA //0/c/- HOME PHONE 9 W C R K PHC`.E 7 9C _ MAILING ADDRESS 1212 C C' f,P/dJV!'F l9Lltil. S • CITY ZIP CONTRACTOR r1-91,Z, PHONE Z/oo1x MOBILE PHCNE 4i�z/C, 'RAILING ADDRESS /�� S�S%. �J=S T CITY //_1/-'��r/L//iq ZIP STATE LICENSE NO. ARCHITECTIENGiNE=_R L)- J Cif�t.'SCir. PHCNE `^S/ '.1AIL!NG ADDRESS %// 31 7;" ��/L� � CITY _ZIP NAME REGISTRATION NO. /e% TYPE OF WORK: NEW ADDITION / ACCESSORY STRUCTURE MOVE DEMO REVICDE!JALTERATION 1 RENOVATE LAND ALTERATION PRCPCSED WORK(Describe in Detail) /P xya4(/,X' C'O/_ell-V/IJ %S 5W6:1N:F&e1 t)6 zf-oW y rv�tiD o cvS' ZONING DISTRICT STORIES SQ.FEET OR EACH FLOOR NO.OF BEDROOMS GARAGE STALLS ATTACHED OR DETACHED BLDG.SIZE: LENGTH WIDTH HEIGHT ESTIMATED CONSTRUCTION VALUATION (excluding land) $ /c3 O ©o 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 Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be. ccordanc with the a roved pl APPLICANT'S SIGNATUR DATE oa 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 CODE PLAN REVIEW Name J ��-- Date -7 ' ' 3 Cc