Permits - Permit# 03-13 - 2401 Black Lake Road - 1/1/20039?-- . Nr. 2 4 Q 1 71 919 Q n
Election Systems and Software 1-800-800-8225
Permit $ 1,441.75
State 90.00
.-PT-Rev....... 937.14
Total $ 2,468.89
Nt1..03-13.........
` tP of Minnesota, ..... �i.ty... of .... Spring Park.........
County of... County Office of Building Inspector
Nut"'Ibing Ikermit
IN CONSIDERATION OF The statements and representations made by ......................
Graham Neve
.....................................................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said .......G.rah....
am Neve ................................................................ as owner
to ....Construct a .house per application and variance . .....a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be) approval
....................................................................................................
front or width in feet ................ : side or length in feet ................ ; height in feet ................ ;
number of stories ............... : contents ............... cubic feet; ............... square feet, upon that
tract of land described as follows: Lot ................ Block ................ ; plat or addition ................
2401 Black Lake Road 18-117-23-43-0185
....................................................................................................
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and hi s ... contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the ...City ............. o f ..Spring .Park .......
that it does not cover the use of public property, such as streets, sidewalks, alleys, etc., for which special permits must
be secured; and that it does not cover the following: ..None of the fo11 owi ng ................................
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the .Bui.l.di.ng Inspector.. of said ..City ......... and its corporate seal and
attested by its .... Gl Qr. k .............. thUth ..................... day of May................ Year.2003... .
Attest:
William ... Weeks .................(jJ�'�,,,,,
Clerk
Lyle Oman......(" .............
Building Inspector
..............
CITY OF SPRING PARK
4349 WARREN AVENUE
SPRING PARK, MN 55384
952-471-9051 FAX 952-471-9160
BUILDING PERMIT APPLICATION
Building Permit Application Requirements:
1. ,Application to be filled out & signed
2. Mechanical Permit Application & Calculation filled out
3. Energy 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 D4'1 t' & 11 t'
Date Received slz'/o 3
Date Approved is/e3
Permit No.
Fees To Be Charged:
Permit ILIH I.'15
State Surcharge cio.00
Plan Review 93-7.1'•1
SAC Charge
Availability Chrg
TOTAL Z'M``b-bF
e al s "a airs any SpeCla COnneC Ions
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED 1 '65o x t $ • `�
13c1.533• (on
34�to3.2�
I-N
THE APPLICANT IS (CIRCLE ONE) OWNER R CONTRACTOR
JOBSITEADDRESSgl„ac,k t_.g(Ce, fZ,oad Ap-117-.;>.3-�i3
NAME OF OWNER GrrAka.M e.yC,, HOME PHONE 9SZ-947-7873 WORK PHONE lol2-24S-1111
MAILING ADDRESS SS (o Q 9&54 v I C u A✓ G CITY Im d u K of., MN Zip g53 (v 4
CONTRACTOR ('7Ct\\LVL PHONE MOBILE PHONE W2- 070- 9111
MAILING ADDRESS 5S 60 'C-R-54V1 e N RyG CITY M o V h I� , M j\I ZIP S.S3 61-
STATE LICENSE NO.
ARCHITECTIENGINEER re�� Am jai -ve, PHONE (o la J 4S- 7111
MAILING ADDRESS SS& a EaS f v v q r*- CITY r'-0 v v\d , M t4 Zlp SS 3 b 4
NAME (• K A AA\ A M E V E REGISTRATION NO.
TYPE OF WORK: NEW X ADDITION ACCESSORY STRUCTURE MOVE DE.Rj!O ,)C
REMODELIALTERATION RENOVATE LAND ALTERATION
PROPOSED WORK (Describe in Detail) Mao 60I)II1^VGJ Ioh Oh eXl_ 4l h 4 foofv n
Acc. &.xad.1 FomdthdYi d Y,(o f-xL-Onr 00hS7r- iza'/1 F(C, ld x 4now_
o,r,rJ 6e.dar -1p 51od/r7o - ehglhcer_cl 4YuSSeS �.,t17 4.sph,l7,C -rA, S
Luood Floors olyd ctirpe.t w /fh cer4MIc &,-r Floors m b,YAro6,.L •
ZONING DISTRICT Rj-
STORIES �2 SQ. FEET OR EACH FLOOR 1886 NO. OF BEDROOMS S GARAGE STALLS
ATTACHED -' OR DETACHED '-' BLDG. SIZE: LENGTH 2 8WIDTH a 8 ' HEIGHT 3-'
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ �8
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A. House ;k8� X R 5 1 _
784 S.F.
Length Wig
X -7' = 56 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 c 9 a 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 In accordance with a approved plan.
APPLICANT'S SIGNATURE DATE
INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS:
X Footing before a pour ,c Plumbing
2e Framing rough -in d Mechanical
Y' Insulation Well
Wallboard before taping Grading 8 filling
FINAL before occupancy X Sewer
WORK BEYOND OR WITHOUT A REQUIRED oc Water
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
Date S- /Ll- 0-3