Permits - Permit# 11-27-07 - 2437 Black Lake Road - 1/1/2007Permit No. I 1 F, t T 'i erm#t Date Received at City Hall
City Of Spring Park, Minnesota
Name: Telephone No.:
Address:
Demolition Property Address:
Type Of Structure:
Approx Date To Begin: Estimated Completion Date:
Utilities On c:*--
t1k, % % "
a4
IS �,e
Sewer Water Electric
Cable Gas Telephone
;ibility to contact GOPHER STATE ONE CALL at 1-500-252-1166 to notify
utilities on the property.
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1 4®t to be reused, the property owner is responsible for abandoning services
ON A < w d must be inspected by the City of Spring Park Public Works Department.
roucy No:
Policy Period From:
To:
......... Yes No
........ Yes No
........ Yes No
Telephone No.
Telephone No.
Coverage And Limits:
Note: In the event that any ASBESTOS is present in the structure, state approved methods must be followed.
I hereby declare that I am the owner of the property or the demolition contractor of above described property. I agree to
comply with all state regulations and all materials from the demolition will be taken to a state approve demolition dumpsite.
All the foregoing information contained on this permit is a true and correct statement of my intentions.
Signed By Applicant:
Permit Approved By:
Title:
Date:
Date:
The Following Section To Be Completed By City Officials
Total Fee:
Receipt No:_
Received by:
The Following Section To Be Completed By Public Works / Operator
Water Service ............Disconnected Abandoned Sealed
Sewer Service ............ Disconnected Abandoned
Electrical Service....... Disconnected Abandoned
Sealed
Signed
Signed
Removed Signed
Dec.14. 2007 3:54PM City of Sprigs Park
No.9156 P- 2
SPRONG PARK
Oh /eke A41## ffkd
December 14, 2067
Diedrich Builders, Inc.
13223 Grand Oak Court
Apple Valley, MN 55124
RE: New Construction, 2437 Black Lake Road, Spring Park, MN 55384
Before the building permit is issued, the following requests must be presented to
the city:
v 1: Erosion control and or silt fences installed around the perimeter of the clll"�
construction site to be installed before commencement of project; — -aw"y"`'°�
2. Location of temporary backfill material stored; o
3. Locatlon'of,constsuction materials. stacked/stored; 6.✓
4. Location of parking for construction workers' vehicles;
5. Location of snow plowed accumulation; )/d s / %e - sG St, a r e I ►tie —Sri " `11
5. Location of demolition material and/or receptacles as existing residence is
demolished; ee2-076'� - 17""72s' s
7. Approximate timeline events towards demolition of C�� existing ��A c� V f
residence;
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8. Applicant/builder acknowledges water and sewer will not be connected at
the street (however it can be installed) to proposed house until demo of
the existing building is complete. <�e4q.e<�
9. Sewer and water to be installed around proposed garage and not under
proposed garage; C'16—
10. Request construction material list for the walkway from the proposed
garage to the proposed house be stated and illustrated on the survey;
1J/ Floor elevations illustrated for sewer and water to eliminate the need for a
sewer pump; .6 c �., �. ,C
12. Because of elevation changes, the applicant and builder agree no
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disturbance of the shore land impapt zone will take place.
Si nature Date
G*y ofC5, #1f91 Park
4349 WARREN AVENUE, SPRING PARK, MINNESOTA 55384-9711 - (952) 471-9051 - Fax: (952) 471-9160
Emall: CityofSpringPark@mchsi.com
Nov 20 07 11;35a DlEDRlCH 8LDRS 9524322296 p'2
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BUILDING PEmmirTAPPLICATION
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ZONING CERTIFICATE
| (lip hnzo!mr/iiix`file Orono UoUdixX()n1ciulthat (lie 8J|°ningdescribed work hu,|ncn,,ric^ul[vrcompliance with
the Zoning kryui,cncouof' the Cit!v[SvhngPark and will h°approved hivconstruction ^y^napproval ^[th,construction
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LEGAL DESCRIPTION
Lot 12, SKARP & LINDQUISTS ROSE HILL, Hennepin County, Minnesota.
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