Permits - Permit# 97-29 - 2433 Black Lake Road - 1/1/1997Form No.259 Valuation $3000
BUSINESS RECORDS CORPORATION, MINNESOTA
Permit $ 87.25
State 2.00 97-29
-PI-Rev .....56.71 D............... .
Total $ 145.96
#fate of Minutoots, ..City ..... of Spring Park
County of..Hennepi............... Office of .Building Inspector
Ut- to trwt"t
IN CONSIDERATION OF The statements and representations made by ......................
.............. And.Y..F.rieler.........................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said ... Andy . Fri e l er........................... as owner
to ....
Build ld a deck.P..er..pPa 11Cation
...... 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 ................
2433 Black Lake Road 19-117-23-12-0019
....................................................................................................
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 iS .. contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the ...... C i ty. , , , , . , , , . of , . $pr i ng . Pdrk , . , , , .. ;
that it does not cover the use of public property, such as streets, sidewalks, alleys, etc., for which special permits inust
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 .Bui.l,di.ng .Inspector. , of said ..City .......... . . ... and its corporate seal and
attested by its ...Clerk ............... this ..8th .................. day of . August................ 19. 9... .
Attest:
...... Patricia Higus J
.... GWK...............
.....Lyle Oman....0 �.1.....................
Building.Inspector
CITY(--,:
CITY OF SPRING PARKP. P10
.
BUILDING PERMIT APPLICATION SPRING PARK, Ord+ 553 -1,1c-,j2
Building Permit Application Requirments:
Date Received:
1. Application to be filled out & sined
2. Mechanical I
Date Approved:
Permit Application Calculation filled out
3. Energy Calculations filled out
Permit No.:
4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 Sets of Construction Plans
Fees To Be Charged:
a. 1 set for City Files
b. 1 set for builder to use on site
Permit $?. 25
$
c. 1 set for city Building Inspector
State Surcharge 2.00
Construction Plans should include:
Plan Review
1. First floor plan
2. Footing & foundation plan
e SAC Char
9
3. Elevations of all sides
Availability Chrg
4. Wall sections & cross sections
5. Details - stairs & any special connections
TOTAL $ r4S.9`
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle OWNER or CONTRACTOR
fOne) 2
JOB SITE ADDRESS �`-T J 3 b1z-/4C-,k � p /\ Ii
NAME OF OWNER �-�/44& HOME PHONE %7,21,u WORK PHONE
MAILING ADDRESS 02 33 �L�3tl� 44!« ko CITY SP4/1-1"=
ZIP
CONTRACTOR �Nh i /L /ram PHONE
MOBILE PHONE
MAILING ADDRESS & /¢• e!!tj z�2� V1- CITY
ZIP
STATE LICENSE NO.
/''�
ARCHITECT/ENGINEER La//L y% PHONE
MAILING ADDRESS CITY
ZIP
NAME REGISTRATION NO.
TYPE OF WORK: New Addition Accessory Structure Move
Demo
Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (Describe in Detail) ;S -4 y_-ag p
ZONING DISTRICT
STORIES
3(4a o(A'0.oc7 Pe- -sc1 - ao7- — 3,boc vo
SQ. FEET OR EACH FLOOR NO. OF BEDROOMS
GARAGE
STALLS ATT. OR DET. BLDG. SIZE L W HT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ 3 a 0
14
CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A.
House X =
S.F.
Length Width
X =
S. F.
B.
Garage X =
S.F.
C.
Driveway X =
S.F.
X =
S. F.
D.
Sidewalk X =
S.F.
X =
S.F.
E.
/ 3d X l d2 =
3 �� r S. F.
Deck/
F.
Other X =
S.F.
X =
S.F.
1. TOTAL HARDCOVER
S.F.
2. TOTAL PROPERTY AREA
S.F.
1 = 2
X 100 = %
I 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 Cit and with the State Building Code; that I understand this is
not a permit and work is not to start w' out a permit; an a w&bon accordance with the approved plan.
APPLICANT'S SIGNATURE DATE —1 ��
INSPECTION REQUIRED:
Footing before a pour
Framing rough -in
Insulation
Wallboard before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT TO PENALTY.
24 HOUR NOTICE REQUIRED
473-73 S7
ZONING CERTIFICATION
WORK REQUIRING SEPERATE PERMITS
Plumininn
Mechanical
WPI I
Grading & filling
Sewer
Water
Electrical from State
I 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
BUILDING
Name Date g -