Permits - Permit# 03-17P - 2425 Black Lake Road - 1/1/2003CTrV OF SPRING PARK 95;ps-
4349 WARR N AVENUIC
SPRING PARK, MINNESOTA 55394
952 471-Ml
APPLICATION FOR PLUMBING PERMIT
L Too MM opp17 for idmbft pe^uft by mail or In persof at the My oftiom MR?4M ARE NOT
VALID QNM YOU RZCZWK A PSRMff. WQM NO AZM UICM- TIM PERMT
Q=" >P nMW ON 3M *D>a s=
3. Pkmmbbgpwmft any be bo d ONLY to Mcemed pEswbft too arm gem and to prop" owsess
raiding In !6e dweMbg.
4. Wbm a" lww owb i, e11 w remedeft b brrahv4 a separate b ptrmk mmrt be obtained.
S. All work moat be deft if aceor me vA& the Sho Cade reqnbreimift
& AM wark east be Inpected and a4 teat+ed before It is covered. CA "3--249.4M. A 24 how smote
MSMUMOM Dompfe ail ittass on tale applit mdm Compaae dle pan* tea Sipe MW date the _ . .
PP. Mcnd-- INCOMPLETE APPWCATIONS Wn,L NOT BB PROCESSED. If ya.b�m quesdoee, call
95?r?d9d6A0. ..
Please a mck oaks New Addldm ' Repalr Replace I .
Reai�stW Coammerclal
JOB 8M. _ _ L%s- 61 �G,� La-X e
Owner's NOW "ofe Number
Mailing Address sa
CaaoraeWN Name i Pbone Numbed
MaWng Address / S u n f-0- v L'
lj'^,Ot>
rJ J: J J 11 •' y iY
dE
l d 8195Lti 1105 'ON/S5 Z l '1S/55 Z l 200Z Z l 6 (lad) MVd 9N I HS d0 AM W08A
v
Ph"ing Pert AMU Ca '
2M State Statate �xe:� This Section AMR"
The rat of a rear Nor —OM meets all three of the fol7ow;ag regalremeata:
1) IkoeAac require modilleation to a eet,iay or Sm service.
2) Rua taftizWoMOMOO or kss eaclsdbrg tee coat of tee 11mrs or appgsince3 and
3) Is Improved, hotalled or replaced by the bomeowner or licensed cartractm:
Ship oast MAOR.,
If above daft not apply, fellow guidelines below.
Celt of Permit S 35_AO
State sarc- go S sn
MaISIFee S 1140-
1. IJ5% Of cionfime bice br
oo ::0125
contract Prue
t -- Add the State Building Code Divisim
Sarchesp to ea& punk s :0A05
Coatra+et ltjce
or S30; wbk2ww r Is water
3.
4. TMAL IIIFEE
(Only suds applications)
(Add Noes 1-3 above)
s--
l Ie
• s s�2,
* CONTRAC? PRIG Olt JOB COST mom the actual or eMnwM dol1w amount charred for the
parseitted work i®ccladinS materiab, labor, pref>t, and other dried oosts. It Is the aatioanI to he charged
to the customer for the work done. If any material, eqWpment, labor, or Installation an fWralsbed by
the owner, tenant or any other party the reasonable market vdu of arch Items must be added to the
mod. cog or contract price for the permit fee purpose/. In the event teat there Is a dispute on the
faa0lmt of the job coo. the City may regoed dw salaam of • dgwd topy of the achM contract.
** The STATE SURCHARGE is .000S of the caaAtact price goder 51,069,0611 or LSO, whichever
is greater. Fw valundoas over $I M,000 call the Department of Iospectlo011 Services for the price.
Tee wed hereby applies to the City for howanee of a Phtud g Permit, agrees to do all vo rk In abict
mewiththe amdIn sees of the City and the regd-"4, ms *f dw State of hftnMeaela, tad certifies tint
all I mode as flit ifrucation are oasrpbete, true and correct:
ApplleaaR s Stpeatm" we
2
d 8J9S5 V.< M'-ON/S9:.a I. 'iS/SS: a J HOZ Z L 6 ( I HA) Ladd JN I US J0 Ai I 0 W08A
. f
P. O. BOX 452
4349 WARREN AVENUE
-� SPRING PARK, MN 55384 �(
952-471-90.51 FAX 952471-9160 C�
5
BUILDING PERMIT APPLICATION
Building Permit•Application Requirements: Date Received
1. Application to be filled out & signed Date Approved
2. Mechanical Permit Application .& Calculation filled out Permit No.' O3 /?
3. ,Energy Calculations filled out
.4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 sets of Construction Ptans Fees To Be Charged:
a) 1 set for -City files - Permit
b) 1 setfor builder. to use on site State Surcharge
c) 1 set for City Building Inspector Plan Review
Construction Plans should include: SAC Charge
1. First floor plan . Availability Chrg
2. Footing & foundation plan
3. Elevations of all sides TOTAL S
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 CONTRACTOR
JOB SITE ADDRESS � `t p C Sl
NAME OF OWNERaf� �i i-r�F �T hGQY' GL �('{� u55 60ME PHONE(CCI�J 4_%/— 96-2 K PHONE
� :;�-.;��� ens
MAILING ADDRESS rr7SSfnWn I\Ir,rtF o� Ie u CITY ZIP
Gwal�ler!,s #4
CONTRACTOR me 460-84t10-89th Ave. North PHONE(76 3A95 -c33a-7 MOBILE PHONE
,,rooklyn Paik, MN 55445
MAILING ADDRESS CITY ZIP
STATE LICENSE NO.
ARCHITECT/ENGINEER PHONE
MAILING ADDRESS
NAME
CITY ZIP
REGISTRATION NO.
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION RENOVATE LAND ALTERATION
PROPOSED WORK (Describe in Detail)
ZONING DISTRICT
STORIES SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE STALLS
ATTACHED OR DETACHED BLDG. SIZE: LENGTH WIDTH HEIGHT
ESTIMATED CONSTRUCTION VALUATION (excluding land) S �CJo0 0
Jun-05-2003 08:59am From -CITY OF ORONO +9522494616 T-581 P-002/004 F-241
HARDCOVER CALCULATIOWWORKSHEET
A House X
VVldoi S.R.
x S.F.
B. Garage X S.F.
C. Driveway X
S.F.
x = S.F.
D. Sidewalk X m S.F.
X = S.F.
E. Patio/Dock X S.F.
F. Other X A S.F.
1. TOTAL HARDCOVER g,F,
2. TOTAL PROPERTY AREA S.F.
1 DIVIDED BY 2 X 100 %
i hereby apply ror a building ►amrt and I w*nowledp that the Infanno an above Is complata and aemwata: that the work will be in conibmwance
with ft ordinances end codes of the City and with the Sure BWkft Code; that I understand this is not a penny* and work Is not to start wMout
a Pae�: end that the wok will be in wlth the p{an-
APPLICANTS SIGNATURE DATE S"
LN$FECTION REQUIRED: �" O 3)e) WORK REQUIRING SEPARATE PERMITS:
Footing before a pour k_Plumbing
Reaming rough-ld Mechanical
.
-_ -Insulation --'We"
,_Wallboard before taping „Grading & tilling
e FINAL before occupancy.) Sewer
„Water
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SU13JECT TO PENALTY Electrical from State
24 HOUR NOTICE REQUIREID , ;.CALL Z4®.800
ZONING 9ERTIFICATE
I do hereby certify to the Orono Building Official that the following described work has been reVieWed for
compliance with the toning Requirements of the City of Spring Park and will be approved for construction upon
approval of the construction plans by the Building MOW.
Name Date
RU1LbfNG gj2r= PLAN REVIMM
Name `d d - S -Q j
U.
„Date
8 d EOOZ E 9 OR) Wd 9N 1 adS A0 ill 10 WHA
Jun-05-2003 08:59am Fro'm-C,ITY OF-ORONO +9522494616 'T-581 P-003/004 F-241
4e0V SX-H 9
OX dAL4 a
14a Lov r
D Y_ ft,,,
PaAS 55,3r
Ji V a
............. .
'tDuAork -4W c4oue 0."� 4a to alua-, rx e cQCbr
FYI.
4(le 0
pco
A
CITY OF 0R()Mn
NSPE-,
KEEP IN I . I HIS PLANET 0
fy,&j n
T+&JL
t d 9 9 MI) AM MUS JO A11.0 NOU
Jun-05-2043. 08:59am From -CITY OF ORONO .
+9522494616 T-581 P-004/004 F-241
Basements in dwelling units and every sleeping room -below
the fourth story shall have at least one operable window or door
approved for emergency escape or rescue that shall, operi directly
.into a public street, public.alley, yard or exit court. The emergency
door or window shall be operable from the inside to' provide.'a full,
clear opening wiihout the use of separate cools.
EXCEPTION. Ile window or door may open into an atrium com-
plying with Section 402 provided the window or door opens onto an
exit -access balcony and the dwelling unit or -nest room has an exit or
exit -access doorway that does not open into the atrium.
Escape-- or -rescue -_windows -shall -have -a -minimum- net- clear- -
openable area of 5.7 square feet (0.53 m). The minimum net clear
openable height dimension shall be 24 inches (610 mm). The
minimum net clear openable width dimension shall be 20'inches
(508 mm). When windows are provided as a means of escape or
rescue, they shall have a finished sill height not more than 44 in-
ches (1118 mm) above the floor.
Escape and rescue windows with a finished sill height below
the adjacent ground elevation shall have a window well. Window
walls at escape or rescue windows shall comply with the follow-
ing:
1. The. clear horizontal dimensions shall allow the window to
be: fully opened and provide a minimum accessible net clear open-
ing of 9 square feet (0.84 m2), with a minimum dimension of
36 inches (914 mm).
I Window wells with a vertical depth of more than 44 inches
(1118 mm) shall be equipped with an approved permanently af-
fined ladder or stairs that are accessible with the window in the
fully open position. The ladder or stain shall not encroach into the
required dimensions of the window well by more than 6 inches
(152 mm).
Fnrm Nn-289 Valuation 10,268
Election Systems and, Software 1-800-800-8225
Permit $181.25
State 5.00 NAB 03717 .
" Total ''' $186.25'
tt of Minnuots, ..City..' .... of. . 5pri ng. Park.......... .
County of.. Hennepin ......... Office of Building. Inspntor........... .
IN CONSIDERATION OF The statements and representations made. by ......................
Window Lite Home.Improvements
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said ..... Window. Li te. Home. Improvements ......................................... as owner
to ....Remodel basement bathroom 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 ................
2425 Black Lake Road 19-117-23-12-0127
......................................................................:.......................,.....
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 . $pri ng . 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 ..Rui.l.di.rig .Inspector.. of said ....Ci.ty.............. and its corporate seal and
Clerk 6t ................... day of . ).une.............. Year.2003....
attested by its ....................... this .. y
Attest: r� ..William.D..Weeks........ j...... ... , .Lyle .Oman . ............:....
Clerk Building 'Ins ictor
.
CITY OF SPRING PARK
P. O. BOX 452
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 CONTRACTOR
JOB SITE ADDRESS 31�c/ LO 1(p p(� 2Q SI
Date Received
Date Approved-=4S D 3
Permit No. lJ 3 / 7
Fees To Be Charged:
Permit
State Surcharge S.6G
Plan Review /✓ /�
SAC Charge
Availability Chrg
TOTAL le"I..P s
/ l- // % --'Ps -/a -Oil J
NAME OF OWNE i-�OME/?HON g — 99? ORK PHONE
i I :iV en $ L'/�lL E�v�/� !!/ �ufS - 3-1/ • ed,e
MAILING ADDRESS ..--Bws'1"IA6BGr# 4-- CITY /// yyZIP
CONTRACTOR e 460-8400-89th Ave. Notch PHONE& (�Jl�c�S caDoZ% MOBILE PHONE
MAILING ADDRESS`
ark, MN 55445
ZIP
STATE LICENSE NO. -CA 0034a 5(�-
ARCHITECTIENGINEER A)1q— PHONE
CITY
MAILING ADDRESS CITY ZIP
NAME
REGISTRATION NO.
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION RENOVATE LAND ALTERATION
PROPOSED WORK (Describe In Detail)
ZONING DISTRICT
STORIES_ SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE STALLS
ATTACHED OR DETACHED BLDG. SIZE: LENGTH WIDTH HEIGHT
00
ESTIMATED CONSTRUCTION VALUATION (excluding land) S /0.c� (G�
OUILUII
"PAGIq 2
HARDCOVER CALCULATION WORKSHEET
A. House
B. Garage
X = S.F.
Length width
X = S.F.
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 = S.F.
1. TOTAL HARDCOVER S.F.
2. TOTAL PROPERTY AREA S.F.
1 DIVIDED BY 2 X 100 = %,
1 hereby apply for a building permit and I acknowledge that the Information 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 ance with the ap oved plan.
APPLICANT'S SIGNATURE-8 DATE Jr"� o�� - 03
INSPECTION REQUIRED: �7ll�J) 3� �3/D WORK REQUIRING SEPARATE PERMITS:
Footing before a pour Plumbing
Framing rough -in Mechanical
Insulation Well
Wallboard before taping Grading & filling
FINAL before occupancy Sewer
WORK BEYOND OR WITHOUT A REQUIRED Water
INSPECTION WILL BE SUBJECT TO PENALTY Electrical from State
24 HOUR NOTICE REQUIRED CALL 249-4600
ZONING CERTIFICATE
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
Date
5ca�s- L ar r i an d tt, SL h ss f e r
?4a�l
81�
CG�e o wotk o�Pri nq %�CL� K 553s-t/
V
T-s+nd l ► tA-Ly (,c )) i rl po
k�c
Qcb�
� s aU t-1 Uv ! of t
7 .TnS-�61/ eM a-usf -kn Vkl - -/-o
Derno o, fie- s, n
ma�
s
srfpof--I-
P05+
I
Vd L arr £ and tta- Sch 4-ss(er
a�{a� l
PaIS 5.53kL{
0 (clsa 7/ - 9c9
"15T,i l&uy (cA i r'POO ULly� U/Ak,44 - C'O?/YL �aC_O*
a 1ns-F� Vtp�er �cLvna� -�-b ��C�ccce-�
8 Dn fn ,,� / I
CAI) lDww k - 4aff <4 Ou2 O-und
06-
�P
co
0 .T�5-la1/ eM o-us( -/-o sr
Derno -b,'/e -f-- s,'n 5h att
sc'--ppof +-
pos+
Jun-05-2003 08:59am From -CITY OF ORONO
+0522404616 T-581 P.001/004 F-241
'04
5Cl- 469
%"U s11AKKIMM ^Vr.NUt
SPRING PARK, MW58364
90-CM-9051 FAX 952-471-9160
BUILDNO PERMIT APPLICATION
Building Permit Application Requlremaft
I. application to be flood out & signed
Z. Mechanical Permit Application & Calculation filled out
3. Energy Calculation filled out
4. Furnish a Certificate of Survwy - See Attached
5. Furnish 3 sets of Construction Plans
a)1 set for My files
b)1 set for builder to use = site
C)1 not for City Building Iootipector
Construction Plans should Include:
1. First floor plan
L Fooling & foundation plan
3. Elevations of all sides
4. wall sections & cross Sections
5. Details - stairs & any special connections
ALL WFORMATION MUST U SU6W70 IN FULLS6aRE PLAN REVIEW WILL BE STARTED
THE APPUCANT 18 ICIRCL,E ONE)
JOB SITE ADDRESS
NAME OF
OYM81 OR ( CONTRACTOR
MAILING ADDRES2 r _ _ � . V�
W1
cowTUAcTcR 4604M00.591h Ave. N Pmm
jr00 yn tark, N 55445
MA0J= ADDRESS cRY
Date Received S& ,�g_
Date Approved
Permit No.
Fees To Be Charged:
Permit i 1 _ z s
State Surcharge S. o 0
Plan Review &14
SAC Charge
AvallabiRly Chrg
N"*/y/
TOTAL 104. zS
ion FHONE
PHONE
ZIP
sTAT9 Usti NIX-93=9a 6&Z
ARCK[TECT1ENOINBER)A— „ PRONE
MAD.= ADORERS CITY ZIP
NAME
RE(USTRATION NO.
TYPE OV AI DRK: NEW— ADDITION ACCESSORY STRUCTURE MOVE -� DEMO
REMOD8JAL'11GRA710N WMATE LAND ALTERATION
WORK (Dexrlbe M D"Q
ZONING DISTRICT
STORIES d!!2_ SC. FEET OR r:ACH FLOOR ND. OF BEDROOMS GARAGE STALLS
ATTACHED OR DETACHED MAD. SIZE: LENGTH WIDTH
ESTIMATED CONSTRUCTION VALUATION (aactuftV W4 i %
Z d ttt9tt l 109 'ON/0 L : V l '1S/ 1 l : t l SON 8 9 (3W Ladd 9N I US dO t110 NOU
Jun-05-2003 08:59am From -CITY OF ORONO +9522494616 T-581 P.002/004 F-241
HARDCOVER CALCUTATIOWWORKSHEET
A. House X
6e�h IMidth
x S.F.
B. Garage X
S.F.
C. DMORN y X
B.F.
x = S.F.
D. Sidewalk X
x S.F-
E. Patio/Dea X S.F.
F. Other x : S.F.
1. TOTAL HARDCOVER g,F
2. TOTAL PROPERTY AREA S.F.
1 DIVIDED BY 2 X 100 %
1 hereby apply for a bullding gsmrt and 1 eclatattAedge Met Me In(onnsdan nmw Is camplata and aemwaW tho Me Walt wM be In 0=110ttrwme
w1h Me wdbmw m end codes of the C11Y and whit Me State Bulldbtg Coos; Mutt I undendand this Is not a
a Pew: end am the work Rip be lit with Ma Pennn and worts Is not to sfee4 wigtout
APPLICANTS SIGNATURE, J.A
r DATE _ .J 0CP - ®'1i
INSPECTION REQUIRED: C7(� �R �" O 3�D WORK REQUIRING SEPARATE PERMITS: Footing before before a pour 2C Plumbing
_Framing rough -In Mechanical
Insulation „�„Wsn
-;-Wallboard before taping Grading & filling
�,c- _FINAL before occupancy Sewer'
WORK BEYOND OR WITHOUT A REQUIRED Water
INSPECTION WILL BE SU13JECT TO PENALTY Electrical from State
24 HOUR NOTICE REQUIRED CALL 249-4800
ZONIMCCRTIFICATE
I do hereby certify to the Orono Building Official that the following described work has been reylewed 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 REVIQN
Name 6 - S -A 3
—�—Date
8 d V 050 L l05 '0N/0 l: V l '13/ l G: V G EOOZ E 9 (3ni) Abed 9N 1 acts 30 A110 WOd3
Jun-05,-2003 08:59am From -CITY OF ORONO +0522404616 T-581 P.003/004 F-241
. I I .5ov- l�05 45cti �f' 9.
:5w.L : �d — ya Darr O nd Qo_ Schur ter
81
.- furl+` : 6pr(nj Pa,,< 5.5.3S%l
(C159; Ai - 949
a Tns+a.a n.ee.u- l�rr�at.Yv �.b �/o�CLuc�e-f-
05 _T LtAla(p�z�
_7�751�a A9 ?J
Demo
A -1�,'�e-�- s►'n�'- sh��Ce�r'sf-���
CITY OF ORONO
Nj
F{VLi_�:ii?r��::i 1';'���:�.'.'. it �.�.'.'`,':'... :•�':;� i.:•:::;ii .iJ:::: i.". 1'
KEEP ; Hl$ PLAN SEt- ON 3► fB
t d bLtr9Lb l l09 'ON/0l , b l '1.S/ L l : tr l £OOZ 9 9 (3n) AM 9N I adS d0 Al I.3 WOU
Jun-05r•2003 08:59am From -CITY OF ORONO +0522404616 T-581 P-004/004 F-241
Basements in dwelling units and every sleeping room below
the fourth story shall have at least one operable window or door
approved for emergency escape or rescue that shall open directly
into a public street, public alley, yard or exit court. The emergency
door or window shall be operable from the inside to provide a full,
clear opening without the use of separate tools.
EXCEPTION: Ile window or door may open into an atrium com-
plying with Section 402 prodded the window or door opens onto an
exit -access balcony and the dwelling unit or guem room has an exit or
exit -access doorway that does cot open into the atrium.
Escape or rescue windows shall have a minimum net clear
openable area of 5.7 square feet (0.53 m2). The minimum net clear
openable height dimension shall be 24 inches (610 mm). The
minimum net clear openable width dimension shall be 20 inches
(508 mm). When windows are provided as a means of escape or
rescue, they shall have a finished sill height not more than 44 in-
ches (1118 mm) above the floor.
Escape and rescue windows with a finished sill height below
the adjacent ground elevation shall have a window well. Window
wells at escape or rescue windows shall comply with the follow-
ing:
1. The clear horizontal dimensions shall allow the window to
be fully opened and provide a minimum accessible net clear open-
ing of 9 square feet (0.84 m-), with a minimum dimension of
36) inches (914 mm).
2. Window wells with a vertical depth of more than 44 inches
(1118 mm) shall be equipped with an approved permanently af-
fuced ladder or stairs that are accessible with the window in the
fully open position. The ladder or stairs shall not encroach into the
required dimensions of the window well by more than 6 inches
(152 mm).
Fnvm Nn_ 2s9 Valuation 10,268
Election Systems and Software 1-800-800-8225
Permit $181.25
State 5.00
''Totdl'''$186.25'
II. 03717.........
> tt of Minnesota, City...... of. . Spring. Park.......... .
County of.. Hennepin ............ Office of Building. In5pntor............
But-lbing 1hrmit
IN CONSIDERATION OF The statements and representations made by ......................
Window Lite Home.Improvements
.........................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said ..... Window. Li te. Home. Improvements .......................................... as owner
to .... Remodel, basement. bathroom 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 ................
2425 Black Lake Road 19-117-23-12-0127
....................................................................................................
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 . $pri ng . Pdrk ........ ;
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 fol 1 owi ng
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the ..110.l.di.ng JnSpectQr.. of said ....Ci.ty.............. and its corporate seal and
attested by its ...Cl.erk ............... this ..6th , .. , , .. , . , ........ day of . June. , . ...... , .... Year.2003....
Attest:
............ William.D..Weeks....... l? C) ..... ...... Lyl.e.Oman............... I �.
Clerk Building Inspector
........................ ........................