Permits - Permit# 06-11M - 2406 Black Lake Road - 1/1/2006$ Permit: 41.25 Valuation $ 3,300 ,00. 06-11A
Plan Review:
State: 1.65
Total: 42.90
btatt of At tttoota City of Spring Park
County of Hennepin } Office of Building Inspector
Aetbanftal hermit
IN CONSIDERATION OF The statements and representations made by Countryside Heating and Cooling
in application therefore duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said Countryside Heating and Cooling as contractor
to install to a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
a fireplace per application dated 8-24-06
Front of width in feet ; side or length in feet
number of stories ; contents cubic feet;
tract of land described as follows: Lot Block
Black Lake Road
which tract is of the size and area specified in said application.
height in feet ;
square feet, upon that
plat or addition
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 1 Ith day of September Year 2006
Attest:
Sarah Friesen, Administrator
Clerk
Lyle Oman
Building Inspector
CITY OF SPRING PARK
4349 WARREN AVENUE
SPRING PARK, MINNESOTA 55384
952-471-9051
APPLICATION FOR MECHANICAL PERMIT
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each
heating, ventilation, humidification -dehumidification, and air conditioning installation including heat
loss/heat gain calculation, design temperatures, equipment ratings and identification as to type,
manufacturer and model. Data shall be presented on form provided. Identification of and
specifications for water heating equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough -in and final). Call 952-249-4600. A 24 hour notice is required.
7. House Heating Test Record must be submitted before final.
INSTRUCTIONS Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WI.LI. NOT BE PROCESSED. If you have questions,
call 952-249-4600 or 952-471-9051.
Please cheek one: New Addition Repair Replace
Residential x— Commercial
JOB SITE a1-lo6 13)a�k fake, Rd
Owner's Name Cla ok 1Ccn+ Ho of Phone Numbers
Mailing Address
Contractor's Name Phone Number 76 f- y-213 �
Mailing Address �; i� I1►'% 1 a i►'�a�l F .. n/ SS1't 4
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity
Make
Model
Fuel
.Flue Size
Input BTUs
Output BTUs
CFM
COOLING SYSTEMS
Quantity
Make
Model
Tons
H. Power
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add -on
Factory fireplace with flu
Factory fireplace(s) / ��us
Wood Stove (s)
Brand name
Mfgr's Min., Clearances, side
Mechanical Permit
Freestanding
Franklin, other
rear
Masonry
Model No
min. flue dia.
Total
VENTILATION
No. Kitchen exhaust - ducted recirculating
No. Bath exhaust (must be ducted outside)
No. Other fans: Locations
cfm
chn
cfm
Total
FUEL. STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
Installation Removal
Fuel Oil gallons underground inside outside
LP Gas gallons
Other gas opening
PERMIT FEE CALCULATION(S
2002 State Statute
Yes, This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of $500.00 or less excluding the cost of the fixture or appliance; and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ $.15.00
State Surcharge $ .50
Mail In Fee $ 1.50
1. 1.25% of Contract Price * or Minimum Fee ($35.00
", 33 00 _ x .0125
(Contract Price)
2. State Surcharge ** Add the State Building Code Division
Surcharge to each permit. if- 33yd w x .0005
(Contract Price)
or $.50, whichever is greater
3. Postage and Handling (Only mail -in applications)
2
$ 1.50
Mechanical Permit
�a`x'i
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor, or installation are furnished by
the owner, tenant, or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event there is a dispute on the amount
of the job cost, the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50. whichever is
greater. For valuations over $1,000,000 cidl the Department of Inspectional Services for the
price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work
in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building
Code, and certifies that all statements made on this application are complete, true and correct.
Applicant's Signature
Date 5 a y—Ur
Approved By ( I J_M,e Date . f I, 0 &
COUNTRYSIDE/FIREPLACE
CREATI ON S 3°A�
PERMIT APPLI CATON N OTl CE
�jcpr/ HOME OWNER : C619-i2k-
ADDRESS : o� vD� /f?'cc CPlc-e "wv't�
CITY
r. .
t �^
PHONE # HOME: 0�L 3.77
WORK: PAGER:
JOB # : (f A22,9'91 CUSTOMER NUMBER: CLyo 3
EQUIPMENT (MODEL; SIZE, QUANTITY):
9— // u- 7-P /to,
WORK TO BE DONE:
PERMIT APPLIED FOR BY:
ti-_ I 'A -A Gd K eG'Fc w�
TOTAL JOB AMOUNT: $
DATE: DATE OF 1N SPECTI ON (S) :
5/24/04 PH
Ser , > �y
fQ r C
y9e�� qo-
Bldg Permit Checklist
Prop Address: Z (104 �(V L ''
KA
Applicant Q `&_(�.o 4,1.-4 4"XI f5
• Signed? U
❑
Survey e. V i U1.�5
❑
Lakeshore? Yes/r�
❑
- driveway?
❑
- Accessory strucs? Yes/no
❑
- 10 ft setbacks?
❑
- Variance needed? Yes/no
❑
- Hardcover figured?
❑
Energy Calc figured?
❑
Other permits required? Yes/no
❑
Mech ❑ Plumb ❑
PID#
Give to -Mr si eration 'q'*' 040
Call Lyle for P.U. date �7 -.�1 Crb
❑
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 oSP
❑
Applicant receives:
- Original BP
❑
- Site card r'
- Inspectign page iI1 ���
❑
❑
- Site -copy V'
d
❑
- C Oy of survey
❑
- (White
copy of receipt
❑
Endorse check ❑
Check to Bill 0
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
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS (CIRCLE ONE) OWNER OR
Date Received G%, /& ` D (-P
Date Approved 17. A 8
Permit No.
Fees To Be Charged:
Permit
State Surcharge
Plan Review
SAC Charge
Availability Chrg
TOTAL
� 3-S . 2 0
JOB SITE ADDRESS //��
NAME OF OWNER l✓I� !� Lam/ �^�/JIHOME PHONE ✓/� T% Z'5-Vg' WORK PHONE(2Z- Zo3 Z 33
MAILING ADDRESS / V ) A LI /ri/ i' L �� CITY u���jf�ZIP G
CONTRACTOR 614,12 15—le-VI ✓ PHONE MOBILE PHONE
MAILING ADDRESS - jd � ) j e CITY'
STATE LICENSE NO. --2 0 / 6 Z7 7 !—
ZIP
ARCHITECTIENGINEER PHONE
MAILING ADDRESS QA1 2-6✓6a CITY ZIP
NAME
REGISTRATION NO.
TYPE OF WORK: NEW I"*" ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION RENOVATE LAND ALTERATION
PROPOSED WORK (Describe In Detail) _ 19:::� A-11 Sw
-.0- Ll / / /1 T-% -
ZONING DISTRICT
STORIES 2 I/2,sQ. FEET OR EACH FLOOR �QQt:� NO. OF BEDROOMS GARAGE STALLS Z
ATTACHED OR DETACHED BLDG. SIZE: LENGTH WIDTH HEIGHT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CAL ULATION 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
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 Infomtat lon 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 the approved plan.
APPLICANT'S SIGNATURE DATE .�
INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS:
Footing before a pour Plumbing +,
Framing rough -in Y Mechanical Y
Insulation i/' 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 952-249-4600
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 Date
September 22, 2006
Lyle, the builder to 2406 Black Lake Road has come in to get a finish -basement
permit. We are concerned and would like you to check on what size window
ended up going in the basement bedroom. We believe the window is located on
the side of the house wherein some grading might have to be done in order to
make sure this house isn't three stories high. If the window went in that was
called for on the plan, we're wondering if this window will have to have a window
well in order to accommodate the grading plan.
Thanks Lyle.
Wendy
6" MA$. R.A.'
6, S" MII .
AT LEASE GN[
0 Type X
4
iy
UNEX
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16X7 O.H. DOOR
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------------- ------------------------------------------
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