Permits - Permit# SP14-010 - 2412 Black Lake Road - 1/1/2014MAR 3 1 REn
IN-( Zs 60 '� y _�
CITY OF SPBIING PAlRIE
4349 Warren Avenue Spring Park, MN 55384
Phone (952) 471-9051 Fax (952) 471-9160
BHJILDING PERMI7i'
Noise Ordinance in Effect•
Monday- Friday before 7 a.m.
and after 10 p.m. Weekends
Molidays before 7
U�
_
A C
A
yr
0
a.m. and after 8 p.m. O
LDATE -Z-� �( CHANGES TO APPROVED BUILDING PLANS MUST HAVE CITY APPROVAL
DDRESSe,
PID
(I !N\ kila _l./ 4 i r 7i ' Z 1 / (!� T/ Le. 1115e
CONTACT NAME - PHONE - EMAIL - FAX
i
65/-770-Io!/
CONTACT NAME - PHONE - EMAIL - FAX
CONTRACTOR LICENSE #
TYPE OF WORK ❑ New Home
— -_.
❑ Commercial Residential ❑ Addition
EST. VALUATION OF WORK — ❑ Remodel
$ ZE D G ❑ Finish Basement
Building Height Feet o Asxesso Structure
of Stories: SCOPE OF WORK:
Use of Building:
in Dock
❑ Fence Height:
Cl Pool
❑ Stucco Demo
❑ Stucco
,
❑ Re -Roof
❑ Re -Side
❑ Ret. Wall Height:
Window Replacement
Other. I -&r-
D
nature of Nis appewbm by alb owner or a 4earued mnveg", as
- rearaserrla0ve 9rmrYr� ene anhe1br. rr.. raw. ��_ . • .. .--
-- _--.-- _ _ _ _
..-.�••• •,-w.,W,4. �wr ^mp w wmian Prpr ice. I hW" adwowledpe MW I have rwd Oda -••••m ....,..m w wmy�m
dae. I hudrer Wft' Nat eo rak Pmftm d Ma be In a=ftnoe so approved puns, epedlkallons end OOndiypl9 and to abkte by ata0eN of �at Y lnforrnatloir h lore and eorratt to Oie fleet of my
arsuem N Nb Perna. l 00me to pay WI plan review lees even a 1 choose not to prsoeed wet ela work Perma aspires when work is net CwM=' ed rdm 180 d c&j ow e law ai Ne Stets a1 Mird %4 o rif WO aglorn
VAPO rded, abandoned or not empected for 100 days. Work beyond or walnut a pemdl or enpecOm wal be subjea to a � krnrl dad Of OerrnN kerled. a B buOdlrrp OW
Call MNSPECT for In one a 952) "2-7520
( our Notice) 8:00 a.m. - 4:30 p.m.
VATURE OF APPLICANT:--
ation of Permit
:UP. TYPE:
BACK®
Rear
Side
Side
Comer
Lakeshore
_--- --- —Wetland
Other
- 11-ot Area:
T. TYPE: CODE:
ACTUAL (ft)
j Receipt No.
BUILDING APPROVAL BY.•
CITYAPPROVAL BY.•
it new construction andlor dwelling expansion shall require a certl
ll new construction and/or dwelling expansion will be subiect to a
BLDG SPRINKLED
Yes / No
Permit Fee:
— Plan Check Fee:
1e silbrhitad fe: i11e het
State Slmcharge:
:ourlcil tm to Svcs
Site Insp. Fee:,
01,5AC 4 Ityr
_
Muni SENVA Fee:,'
)..
-
S.E.0 Fee:;
LW" psyrnem %* be
- 445
.2014
wed t pow* is
wAC :i
tBtLL'd. eftet met C
_
no Si40is d+rtemlinrid�
swim a FRO Itodwo
- --- ..
fitxt>ulr�vip be rcturld� " cull.
sewer a F1� Otrowure�t:'
----
water Meter:
Other:9
s Liz
TOTAL DUE:
neTF-
DATE:_
I TIME:
nrrvey dated within five yeanY of appllcation. _
led planner review and may add to the review time.