Permits - Permit# 15-008 - 2429 Black Lake Road - 1/1/20152
CITY OF SPRING PARK
4349 Warren Avenue Spring Park, MN 55384
Phone (952) 471-9051 Fax (952) 471-9160
BUILDING PERMIT
Noise Ordinance In Effect:
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Monday - Friday before 7 a.m.
and after 10 p.m.
Weekends/Holidays before 7
a.m. and after 8 p.m.
DATE C1
CHANGES TO APPROVED BUILDING PLANS MUST HAVE CITY APPROVAL
SITE ADDRESS C (a e Pc4 PID
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CONTACT NAME - PHONE - EMAIL - FAX
CONTRACTOR Namp, /Address/ City/ State
/Zip/ Phone
CONTACT NAME - PHONE - EMAIL - FAX ^ �l t.e
, — ��
✓G" Z
CONTRACTOR LICENSE #
TYPE OF WORK
❑ New Home
❑ Deck
❑ Re -Roof
❑ Commercial ❑ Residential
❑ Addition
❑ Fence Height:
❑ Re -Side
EST. VALUATION OF WORK
Remodel
❑ Pool
❑ Ret. Wall Height:
$ t
❑ Finish Basement
❑ Stucco Demo
❑ Window Replacement
Building Height: Feet
❑ Accessory Structure
❑ Stucco
❑ Other:
# of Stories:
SCOPE OF WORK:
' .ge it
Use of Building:
Signature of this application by the legal property owner or a licensed contractor, as the owner's representative la required and authorizes the City Zoning Administrator or designee and the City Building Official or designee
to enter upon the property to perform needed Inspections. Entry may be without prior notice. I hereby acknowledge that I have read this application and state that all information Is true and correct to the best of my
knowledge. I further agree that all work performed will be in accordance with approved plans, specifications and conditions and to abide by all ordinances of the City and the laws of the State of Minnesota regarding actions
ken pursuant to this permit. I agree to pay all plan review fees even If 1 choose not to proceed with the work. Permit expires when work is not commenced with 180 days from date of permit issued, or If building and
work is suspended, abandoned or not inspected for 180 days. Work beyond or without a permit or inspection will be subject to a penalty.
Call MNSPECT for Inspections at (952) 442-7520. 24 Hour Notice) 8:00 a.m. - 4:30 p.m.
. i
SIGNATURE OF APPLICANT:
DATE:
PRINTED NAME:
DATE:
LEGAL DESCRIPTION: Lot Block Addition Zoning
Valuation of Permit: $
Lot Area:
OCCUP. TYPE: CONST.
SETBACKS: REQUIRED ft
TYPE: CODE: D
ACTUAL ft
' '— G- BLDG SPRINKLED
*NOTE: Commercial plans will
be submited to the Met
Council Environmental Svcs
SAC (sewer availability
charge) determination.
Escrow payment will be
when permit is
If after Met Council
no SAC is determined,
will be refunded in full.
DUE: $
Yes AND
Permit Fee-$
Front ROW
Plan Check Fee:$ S
State Surcharge-$
Rear
Side
!71
Site Insp. Fee:$
Side
for
Muni SE/WA Fee:$
Corner
S.E.0 Fee:$
Lakeshore
•2015 SAC Escrow :$2,485
Wetland
required
WAC Charge:$
Other
issued.
Sewer & H2O Hook-up:$
review
Sewer 8 H2O Dlsconneci:$
escrow
Water M
Paid I
Date IB-,TOTAL
Receipt No.
her:$ U
— BUILDING APPROVAL BY.-
_
DATE: - -
TIME: -r,
C/TYAPPROVAL BY.-
i
DATE:
TIME:
All new construction and/or dwelling expansion shall require a certified survey dated within five years of application.
All new construction and/or dwelling expansion will be subject to contracted planner review and may add to the review time-
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, G STAIRS: MAXIMUM RISE 7-W,
MINIMUM RUN 19'. HANDRAIL REQUIRED
M,N,..:.
f)e
U EXTERIOR STAIRWAYS SHALL BE
W l PROVIDED WrM AN ARTOCIAL
��5 UGHT SOURCE IN THB 1 AMMIATE
VICINYPY (W THE TOP
br 0 L ANDWG OF THE STAMWAY
MUNICIPALITY
FILE COPY REVIEWED
SUBJECT TO COMPLIANCE
WITH CODES AND FIELD
INSPECTION DURING
BY
FOR ALL INSPECTIONS
CALL 24 HOURS IN
ADVANCE AND GIVE
PERMIT NIJMEE ..
J7 ),
1VC71l-'
BASEMENTS AND EVERY SLEEPING ROOM SHALL Ko,
HAVE ONE EMERGENCY ESCAPE WINDOW OR DOOR
VVN A SILL HEIGHT OF NOT M6RE THAN 44 ABOVE FLOOR AM
SMALL BE NOT LESS THAN 5.7 SQ- FT. OF OPENABLE AREA. � j �L .F ... e - XjZ . .
EXIST
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WALL
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STORY AND IN BASEMENT, LOCATED IN EACH
SLEEPING ROOM AND AT A POINT MTRALLY x, s T (Aj v
LOCATED IN IME AREA ACCESSING 5 T,4
EA
CH SIJUWM ROM AbID=M A 1 j
69
NOT MET
❑ TOWNSHIP INSPECTION NOTICE 0
WW o P. UP
❑ COUNTY
CITY OF 5 ',1,A �L PERMIT # /Jo (yes-j-
DATE -1-0 -15; A RIVAL TIME d : co
ADDRESS n 164L L_L al.
OWNER / CONTRACTOR
TELEPHONE NO.
❑ Site Inspection / Zoning
❑ Footing / Slab
❑ Poured Walls / Core Fill
❑ Foundation Pre -Back Fill
❑ Under Slab Vapor Retarder
❑ Framing
❑ Insulation / Energy Code
❑ Wallboard / Penetrations
❑ Accessibility
❑ Final
COMMENTS:
❑ Reroof / Reside / Rewindow, ❑ Rental Inspection
❑ Lath / Exterior Plaster
❑ Sewer / Water Hookup
❑ Plumbing UG/AG RI / Final ❑ Manufactured Home
❑ Gasline Air Test
❑ Fire Inspection
❑ Mechanical RI / Final
❑ Sediment 8 Erosion Control
❑ Fireplace RI / Final
❑ Status / Follow-up / Meeting
❑ Fire Sprinkler System
❑ Special Investigation
❑ Fire Alarm System
❑ Reinspection
❑ Demolition
❑ Complaint
❑ Electrical RI / Final
❑ Other:
All work must comply with MN State building code and manufacturer's installation instructions.
❑ WORK SATISFACTORY ❑ PROCEED
❑ CORRECT WORK ❑ CALL FOR REINSPECTION
❑ PHOTOS TAKEN / VIEWED ❑ A FEE OF $ IS DUE
❑ A PERMIT IS REQUIRED ❑ A SPECIAL INVE ATION FEE WILL APPLY
❑ WORK COMPLETE ❑ CLOSE FILE
f7 CORRECT UNSAFE CONDITION WITHIN HOU I PECTOR WILL RETURN.
TOP WORK ORDER / NOTICE PO ED ALL � .4 .520 FOR ASSISTANCE.
Owner/Contractor Signature
Print Name
I MNSPECT, LLC
Inspector �1XaL 4L (952) 442-7520
I Toll Free 1-888-446-1801
Gold Copy to be kept on job site White Copy / Municipality File
Office Use Only
Plan Review Comment Sheet
#R15-142
Municipality:Spring Park Permit #: 15-008
Applicant: Sherrie Bartolotta Address: 2429 Black Lake Road
Project:Remodel Valuation: $12,000
SEC? No Is septic an issue? No Owner permission needed9 o
/kwf- Date Issued: `Il '1 � Inspector Issued: Number of Days:
Date & Comments
04/09/15 Application and Plans Received BB
11 Municipality plans at MNSPECT
INSPECTION RECORD
015 Minnesota State Building Code I❑ 2006 Minnesota State Building Code
c
PERMIT NUMBER ) DATE
CALL FOR ALL INSPECTIONS 24 HOURS IN ADVANCE
8:00 A.M. to :30 P.M. Mond y4hru Friday.9 5 2.- 4 4 2 - 7 5 2 0
Site L� G%' //I REQUIRED INSPECTIONS ARE CIRCLED
Address: Date p Ins pector
s , /
Descripion•
Permission is hereby r nte`dtc
Owner:-561elyly_ �C[
Address:
Contractor:
Address:
to install or construct the improvements applied for. This permit is .
granted upon the condition that the person to whom it is granted, and his
agents, employees and workmen, shall conform in all respects to the
Ordinances
of the Municipality of I
and to the Statues of the State if Minnesft in such cases made and provided;
this permit may be revoked at any time upon violation of any of the provisions
of said Ordinances, Statues, or for any misrepresentation in the application.
ThW card and reviewed construction plans must be posted at the worksite
and maintained until all inspections have been approved. NO
INSPECTION will be performed if card and plans are not available to
inspector. REINSPECTION FEE WILL BE CHARGED. NO
DEVIATIONS FROM THE APPROVED PLANS ARE ALLOWED
WITHOUT PRIOR CONSENT FROM THE BUILDING INSPECTIONS
DEPARTMENT. Do not occupy until all final inspections have been
completed.
Permit expires when building and work is not commenced within
180 days or If building and work Is suspended, abandoned or not
Inspected for 180 days.
Note: Permit holder is responsible to call for these Inspections.
S.E.C. (before excavating)
o s eo
amin
Insulation
MECHANICAL & PLUMBING INSPECTIONS
Date Inspector
Plumbing Rough In
Plumbing Final
Heating Rough -In
GAS LINE
Heating Final
Fireplace Rough -In
GAS LINE
Fireplace Final
le ical ough-In
Electrica r