Permits - Permit# 06-25 - 2406 Black Lake Road - 1/1/2006No. 06-25
City of Spring Park
Building Permit
PINS:19-117-23-12-0005 ADDRESS: 2406 Black Lake Road
Permission is hereby granted to: Clark Kent Homes
to install or construct the improvements applied for. This permit is granted upon
the condition that the person to whom it is granted, and his agents, employees
and workmen, shall conform in all respects to the Ordinances of the City of
Spring Park and to the Statutes of the State of Minnesota in such cases made and
provided; this permit may be revoked at any time upon violation of any of the
provisions of said Ordinances, Statutes, or for any misrepresentation in the
application.
Approved by Lyle Oman
Date: June 19, 2006
NOTE: This Card must be placed in a conspicuous place at the address
which work is to be performed.
CITY OF SPRING PARK
INSPECTION RECORD
PINS 19-117-23-12-0005
Building Inspections — Permit No. 06-25
DATE INSPECTOR
Footings X
Framing X
Insulation X
Final X
Other: Wallboard
ADDRESS 2406 Black Lake Road
Plumbing Inspections — Permit No.
DATE INSPECTOR
Rough In
Air Test
Final
PERMIT # DATE INSPECTOR
Sewer
Water
Electric
Note: Contractor is responsible to call for these inspections. This card must be placed in a
conspicuous place on the premises on which work is to be performed. 952-249-4625
Bldg Permit Checklist
Prop Address:-ItfC)( &lam - W
Applicant C �ak 1Z 1t' aA PS
Signed?
Survey
Lakeshore? Ye/no ❑
- driveway? GI-1,
- Accessory strucs? Yes/co) ❑
- 10 ft setbacks? Ok� ❑
- Variance needed? Ye no ❑
- Hardcover figured? ❑
Energy Calc figured? A
Other permits required? Yes/no ❑
Mech ❑ Plumb o
PID# 167 , M . 23 IZ DOOf
Give to Bill for consideration 5.10.0(,❑
Call Lyle for P.U. date .s � / O ❑
Back from Lyle date ❑
Type permit ❑ Type site card ❑
Copies:
- 2 building permit o
- 1 property card o
- 1 inspection page o
- Record on log o
Call applicant date ❑
Phone #
Notify costs ❑ check made to CoSP ❑
Applicant receives:
- Original BP U ❑
Site card of ❑
Inspection page Q/V- � 'k a.�o-
Site copy
Copy of survey s
- White copy of receipt
a
Endorse check ❑
Check to Bill ��� .� or-, e,4 �o=�
1
a.c .®
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. Details - stairs & any special connections
Date Received S 1 0' D L
Date Approved / 7 . o /
Permit No.
Fees To Be Charged:
Permit
State Surcharge
Plan Review
1-SAC Charge
L—Ava)lability Chrg
r�c.�ord,h� f ez_
TOTAL
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS (CIRCLE ONE)
JOB SITE ADDRESS 2 7o 0
OWNER OR
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fa'°° `HOME G �1 J/32 5-�SZ-
NAME OF OWNER Ii
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MAILING ADDRESS
CITY ZIP
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CONTRACTOR (! 1
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PHONE 6,t Z 7y 1 2 J31-MOBILE PHONE
MAILING ADDRESS
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[ Al CITY I�Lv �-v� ZIP W 3 & 7
STATE LICENSE NO.
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MAILING ADDRESS
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NAME
REGISTRATION NO.
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TYPE OF WORK: NEWADDITON
ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION RENOVATE LAND ALTERATION
PROPOSED WORK (Describe In Detail) mee ✓ 7� �
ZONING DISTRICT (,�
STORIES `t- SQ. FEET OR EACH FLOOR 0 ( o NO.OF BEDROOM`S' -2— GARAGE STALLS �—
ATTACHED ✓ OR DETACHED BLDG. SIZE: LENGTH 1 WIDTH !�() HEIGHT Z7
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ ow
�)dL '11- ►'V-, -(;/
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U-&4— I6,1+A.-A .16L ,
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A. House
Length
WIdth
x =S.F.
B. Garage x = I—S.F.
C. Driveway Li 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
2. TOTAL PROPERTY AREA
DIVIDED BY 2 X 100
-],hereby apply for a building permit and i-ackfid de ttf&,ffie Ifif,6rrfiatIdii-above Ii complete and accurate; Wf&- milt 4I;jjj'j 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 tj DATE I h o)Q2
INSPEC)3ON REQUIRED: WORK REQUIRING SEPARATE PERMITS:
Footing beforea our -Plumbing
ior I Framing rough_In Mechanical —
j� LInsulatlon ___Well -
:,Z_Wallboard before taping �e Grading &filling —
FINAL before occupancy V7 ewer -
w; ew
er
WORK BEYOND OR WITHOUT A REQUIRED Water -
INSPECTION WILL BE SUBJECT TO PENALTY y-"'Electrical from State
24 HOUR NOTICE REQUIRED CALL 952-249-4600
ZONING CERTIFICAT
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 C�Z (44 Date 6- 046
$ Permit: 1609.75
Plan Review: 1046.34
State: 105.00
SAC Chg 1550.00
WAC Chg 2752.89
Recording Fee 92.00
Total: $7155.98
State of Annitoota
Valuation $208,000.00 ,moo. 06 -25
County of Hennepin I
City of Spring Park
Office of Building Inspector
J'Suffbtug Vermft
IN CONSIDERATION OF The statements and representations made by Clark Kent Homes
in application therefore duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said Clark Kent Homes as owner
to construct a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
New construction of single family dwelling per application
Front of 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
2406 Black Lake Road Spring Park MN
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and their contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the City of 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 following
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the Building Inspector of said City and its corporate seal and
attested by its Clerk this 19th day of June Year 2006
Attest:
Sarah Friesen, Administrator Lyle Oman
Clerk Building Inspector