Permits - Permit# 599 - 2418 Black Lake Road - 1/1/1983 (2)CITY OF SPRING PARK S� %
BUILDING PERMIT APPLICATION
BIIII.UING PERMIT APP1_1CAT1ON_1_E tIIRF.NENTS
Iln-juiroments to be handed in with Building Permit Application:
Construction Plana should include:
1) Building Permit Application - to be filled out 6 signed floor plan
E
2) Mechanical Permit Application a Calculdtion filled out
3) Energy Calculations - iiilud out b) Footing al First 6 foundation plan
4) Furnish a Certificate of t;urvey - if roquirod c) Elevations (of all sides)
5) Furnish 3 sots of Construction Plans: d) Wall sections 6 cross sections
e) Details - stairs and any sim3cial connecti•
a) 1 set for City to keep on file
b) I set for builder to use on site
c) 1 set for the City of Spring Park
am I
ZONING DISTRICT
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SE7BACKS
FRONT R.SIDE
.SST o N �_ i Al f
REAR L.SIDE
_r?N L Tale oNZi. e
LAKE
ACCESS
NEW XISTIN
AGENCY•APP DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS:
INSPECTION REQUIRED
SITE ADDRESS _
LEGAL DESCRIPTION: PROP. ID. _ l ! -// _2 -� a "�z D 006 —
LOT. /f LS 1 J-6 BLOCK SUBDIVISION
FOOTING before pour
FRAMING rough in
INSULATION
WALLBOARD Before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE-
OUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473.7357
CALLS - 12 A.M. INSP. I • 4 P.M.
CALL I • 4 P.M. INSP. NEXT DAY
ZONING CERTIFICATION
WNER (Name) (Address) (Phone)
e r u d n c� //� �l �/�/�LkP A1d. y 17 i- ygj/
ARCHITECT/ENGINEER ust Certify Multi -Family, Commercial & Industrial Construction Plans
ERT.NO. _--- __---
(F irm) (Address) (Phone)
� u -f e A (2 e Pl e nC-1-d S
BUILDER (F irm) (Address) (Phone)
TYPE OF WORK New Addition Remodel Renovate
r A/ G
CONST. TYPE BLDG. SIZE EST. CONST. VALUATION
I_. /-/ -It- W. lit. ya ° 3 50 • to
IIESIVENTIAIJ SrOIIIES B I ?
DWELL. BDRMS/FLR
UNITS
GAMSTALLS Planning Commission
ATT. APP. DATE
DE T.
DOCK
smn�
NON RESID. -I PROPOSES[ USE—
OCC.
CLASS.
STORIES COUNCIL
APP. DATE
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL -_
SEWER WATER
GRADING & FILLING
----
ELECTRICAL Irom State
s PERMIT FEES
BLDG. PERMIT "e"Ij
STATE FEE .s-O
PLAN REVIEW 13, ey
PENALTY
AVAIL. CHG.
SAC CHARGE
TOTAL DUE 33. Sv
ACLNOVLEOGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION 10 MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES UNDE
PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPTANCE OF
ALL INFORMATION, CONDITIONS AND REQUIREMENTS REPRI:
PRESENTED ON THIS DOCUMENT. THE UNDERSIGNED FUR-
THER AGREES TO 00 ALL WORKS IN STRICT COMPLIANCE
WITH ALL CITY ORDINANCES AND STATE OF MINNESOTA
BUILDING CODE REQUIREMENTS.
Signatur6 1 Dat15
e
I do hereby certify to the Orono Building Official that the following described work has been revieweu 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.
authorized signature date
RUII.�ING CODE PLAN REVIEW
,plilding Of
Approved - Approved with Corrections —Nat Approvedi must be Revised