Permits - Permit# 05-19 - 2421 Black Lake Road - 1/1/200506/08/05 04:00 NO.670 D01
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CITY OF SPRING PARK
4349 WARREN AVENUE
SPRING PARK, MN 55354
952-471-9051 FAX 952-471.9180
BUILDING PERMIT APPLICATION
Building Permit Aoplloation Requirementa:
Gate Recelved
1.
Appllcation to be filled out & signed
Date Approved 9 4
2.
(Mechanical Permit Application A Calculation Ned out
7,
Permit No. ®S --/ —
3.
Energy Calculations filled out
4.
Furnish a Cortiflasto of Survey - See Attached
S.
Furnish 3 sets of Construction Plans
Fees To Be Charged:
a) t set for City files
Permit /a�5
b) t set for builder to use on alto
State Surcharge o 0
c) 1 set for City Building Inspector
Plan Review
C®netructlon Plans should include:
SAC Charge
1.
First floor plan
Availability Chrg
2.
Footing & fouridation plan
3.
Elevations of all sides
TOTALs-
4.
Wall sections & cross sections
5.
Details - stairs & any special connections
ALL INFORMATION MUBT BE SUBMMMO IN FLU. BEFORE PLAN REVIEW WILL BE STARTED
Tiff APPLICAWr IS (CIRCLE ONE) WMFA OR
.lee SITE AnW$$ �zy :p-� 3 /,
NAME OF OWNER �_i�l r i S i G -Nft.oJ t S w a n HOME PNCm 6 -Q 271 WORK PHONE
MA(UWO ADDRESS CITY ZIP
cotiTRACTOR fl n _`-MOBILEE r5'
MAILWO ADOWW-2-4v 25'
STATE t XM9 NO. XC 52 ( �
19f1
>v�
crrY__ v�.e.r� __,,zlv
ARC14RECTIE1NC RIM , _ _ PHONE
MAILING ADDRESS CITY
ZIP
wyME REGISTRATION NO.
TYPE OF WORK NEW � ,- AMMON ACCESSORY STRUCTURE _ MOVE DENO
REMOIXUAL•TERATION
PROPOSED WORK (Dew+ae In Odail)
RENOVATE LAND ALTERATION
ZON 04 DIBTWOT
SG. FEET OR EACH FLWR _ NO. OF BEDROOMS - GARAGE STALLS,--�,^
ATTACHED OR DETACHED BL06, SIZE: LEMOYH _WIDTH, HEIOftT
ESTIMATED CONSTRUCTION VALUA'"M (61C16611 Q IVA) 3 Sea 0
06/08/05 04:00
,i,, yr v1rt;ll'!',3 h-,r
BUILDING PERMIT APPLICATION
PAGE 2.
N0.670 P02
(JUL' r� ; 'UUG 14:22,110.5011475,642 F 2
HARDCOVER CALCULATION WORKSHEET
A. House R
S.F.
i.er►�lfo W1911h
x =
S.F.
B. Gsrage x ss
S.F.
C. Driveway x =
S.F.
X =
S.F.
a. Sidewalk X =
S.F.
x =
S.F.
E. Patio/Dock x •
S.F.
F. Other x =
S.F.
1. TOTAL HARDCOVER
S.F.
2. TOTAL. PROPERTY AREA
S.F.
1 DIVIDED BY 2 X 100 a
%
i hereby apply ror a pulld"pemin and I hanawwdp rae the Information Own Is cants and accurhe; that the Work WIN be In conibnrtence
wRh the a++dlnineas and egdas of the CNy and with ft State Building Cods: diet 1 understand tows Is nal s Parrott and wwt is not to sort Wtttwut
a permit; ono foal an Worts WIN too In at eottlence approved Dien.
APPLICANT1 SIGNATURE DATE 6, `7. njtZ
INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS.
Footing pal a pour Plumbing
Fronting rough -in �Mochanical
Insulation Well
Wallboard before taping -Grading & filling
FINAL. before occupancy 5etAror
Water
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT TO PENALTY Elecbicxl froth State
Zd HOUR NOTICE REQUIRED CALL 952-249.4600
ZQNIN!2 MME M
I do hereby certify to the Orono Building Official that the following described work has been reviewed for
compliance with the Zoning Requirumants of the City of Spring Party and will be Approved for construction upon
approtiral of the construction plans by the Building Official.
Name Dots
i�WILDING CODE E _PLAN.RMil
Nsmo Dato
Valuation $5,200
Form No. 259 Election Systems and Software 1-800-800-8225
Permit $125.25
State 3.00
Total••••$128,25
05 19
IN II. ..............
#P pftpgPIIY>, ��.ty ....of ..Spring Park
County of .... Hennepin Office of ...Building Inspector
IN CONSIDERATION OF The statements and representations made by ......................
Chris Snow/Top Gun Exteriors
.....................................................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said .. , .Chris Snow/Top Gun Exteriors as owner
............
to .. , .Add shakes to dormers per. application . . . . ...a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
....................................................................................................
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 ................
2421 Black Lake Road 19-117-23-12-0015
.....................................................................................................
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and h i.s .. 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 o f the f o 11 ow i n g
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the 6u i 1 d i n g Inspector of said City ..... , .. and its corporate seal and
attested by its C 1 e r k this 13 t h day of . ,June2005
........... . . Year........ .
Attest:
William D. Weeks Ul�' Lyle Oman ��.................�....
Clerk ................ ... Opi10ipg. jnspector...