Permits - Permit# 11-47B - 2437 Black Lake Road - 1/1/2011Frohi:CITY OF SPRING PARK
Nov 29 11 09:48a Diedrich Buidlers
trans:CITY OF SPRING PARK
952 471 9160 12/02/2011 10:44 #035 P.002/005
9624322296 p.2
952 471 9160 11/28/2011 14:45 #033 P-0021004
t01ei'Y OF SPRING PARK
4349 Warren Avenue Spring park. MN 553"
Phones (952) 471-Ml Fax (954 471-9160 - Friday before 7 arm C r
nd afrter 10 pm.
Q
BUILDING PBAMIT ekendsfi*Mays before 7 i g
lei. and after $ p.m.
DATE It CHANGES TO APPROVED gI1ILONG PLANS MUST HAVE CITY APPROVAL
IITE ADDRESS y37 r 6W pop
NAME - PHONE - EMAIL - FAX - _CW
S
NTACT NAME - PHONE - EMAIL -FAX S.Z.
MTRACTOR LICENSE
TYPE OF WORK o New Home
on orcial esiderdw a Addition
EST. VALUATION OF WORT( o Renmdel
i] Finish Basement
Fe'Height Feet oAccessory SVW
sbries SCOPE OF WORK
of &Adirtc--r „ ..a
rL ema �U1103
ctic
aDeck Re -Roof
o Fence Hei F�Re-SidleoPool Rut. Walt H
a Sk coo Demo I a 1Mndoia Rea
zV
— 2 aaa
c44 AdG
eDN
■.ae Wew ePPliwlien bu ifePedya{e.efora e{ _GMYZmMe Or Pis a
eryPen m pupmy m Peace neede4 rd+N•yP•s 6eby a�Y al0oq Pde• sees% I MfeeP-M"4 W Aa lore we�a we "*knew a and owls Nan, P,- �mbnL bae Ora mnep b tlm Osu of dy .
4�s.1 eldber qea Nel�rmt au 0o 1n.amwm so eP w" Pone.{pedrsafem mtl cWtuen owb66M. by W apeenme Of Me OV eadQft fweeer Oa& We d Mwo"u.eoeeb awwo
i Wrbo.db e�pem$ ldof•ai P"® peas to= Own U l moose ddleapner.Oed aateateNot. ftoa gitas+odepvehbaW menofmd alb 1aedge eo.emyelPmH kowd,QMUdd.q row
b &A"nded. "*xw"w m feePeee.d to tepdeye. VWM eeyanderMmad • Paw.tariepimtin �aee ugsa ba Pemey,
Cal MMSPECT for teapecuc m st M 4424,32D. IN Hour Nottosl 8:00 a.m - 4;s0 p. m.
iNATURE OF APPLICANT; DATE:
INTED Di - MATS:- / —2
Area:
Rear
Phin Chec*
Sidle
smote 8aroh
Site Insp.Side
lewd SSMA
Uner
hoM
&EC
land
Mher
-
VAAC Ch
8eelet 6Nf0liP
BUILDING APPROVAL BY. --177ME-
apaw"VAMgO{4Tl<
C17YAAPROVAL BY. l�i4T)=, .
91 new eonstr�;oo e1u11 e�dw a sord ed d■ud WMIn ties or 'anon.
All new fsatbstlyglop endbt talon ttl®1 be set to t plaauar ww— aced may add to ttM Mwisw limo.
From:CITY OF SPRING PARK
952 471 9160
12/02/2011 10:44
#035 P.003/005
Nov 29 11 09:49a Diedrich Buidlers
From:CITY OF SPRING PARK
952 471 9160
9524322296
11128/2011 14:47
p.3
#033 P.003/004
Date Received
at city iialk Applicatilon For Demolition Permit ._.. Cfty of SPriag park. Minnesota
Fee. Nwcd OR Vdleatioa a>rd Requires a Brtlldiryq Perm&
Name: _ D%Ff 0! G.— Telephone No.:
Ate: /
Demolition Property Address: __.W-Y7
Type Of Structme. r=!Ne/ -6s 4 ,4 (3 �,P J`�F✓y?aC/C _ e�s�
Approx Date To Begin: Estitsated Completion Date: p
Utilities On Site: Check (✓) all that apply Sewer v Water t/ Electric e/
Cable ✓ Gas _77: Telephone
Note: It is the Qwn6es or Contractor's responsibility to contact GOPHER STATE ONE CALL at 1-No-252-1166 to notify of the
disoonned and to mark any underground utilities on the property.
Will Utilities Be Used For New Structure?---....— Yes No
Nola: It water and sewer services are never to be reused, the property owner is responsible for abandoning services according to
Minnesota State Plumbing Code and must be inspected by the City of Spring Park Public Works Department.
Is There a Water Well On Site? ........ _ _.................... W . Yes N
0
15 'There An Utd Fuel Tank?...--....-...... Yes No
Demolition Contractor: ZiF/=tc- S�012/ Telephone No.
Address: /106 %O 1 fce '44''✓trr -J/44WIOD
Liability Insurance Co- We5+ &P rid M U—+IkGL Telephone No.
Policy No: Q C D g 1 Z 77-<3 X+
Policy Period From: 3 To: 3 2p 2- Coverage And Limits:_
Note: In the event that any ASBESTOS is present in the strticnrre, state approved methods trust be follovred
I hereby declare that I ant the owner ofthe property or the danolition contractor of above described property. I agree to comply with
all state reguladoos and all materials from the demolition will be taken to a state approved demolition dumpsite. All the of
information contained on this permit is a true and correct statement of my intentions.
Signed By Applicant: _ a4ad J- %) oe�% Dale:
Permit Approved By:
Title:
The Following Section To Be Completed By City Offldab
Total Fee:
Receipt No:
Date: Received by:
no renowing Section To Be Completed By Public Works / Operrator
Water Service .......,.. Disconnected Abandoned Scaled Signed
Sewer Service............ Disconnected Abandoned Sealed Signed
Electrical Service ....... Disconnected Abandoned Removed Signed
Gas Service ...............Disconnected Abandoned Removed Signed
Page 1 of
Cs�
Office Use Only
Plan Review Comment Sheet
#1661
Municipality:Springy Park Applicant: Dietrich Builders
Project:Garage Demo Valuation: $
Permit #: 11-47B Address: 2437 Black Lake Road
Date Issued: ZInspector Issued: Number of Days:
Date & Comments
INSPECTION RECORD
PERMIT NUMBER
Location �/j�
Type of proje�
Permiss&n is hereby gran
1i.r . //ir�c r �iciGcric� Zk
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 . all speets to the Ordinances
of the City of
and to the Statues of the State Alinnesola 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 mismpresenation in the application.
NOTICE
This card and reviewed construction plans must be posted near electrical
service cabinet prior to rough -in inspections and maintained until all
Inspections have been approved. On buildings and additions where no
service cabinet is available, card and plans shall be placed near main
entrance. NO INSPECTION will be performed if card and plans are not
available to inspector. REINSPECTION FEE wILL BE CHARGED.
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.
CALL FOR ALL INSPECTIONS
24 HOURS IN ADVANCE
8:00 A.M. to 4:30 P.M.
Monday thru Friday 952-442-7520
Non -Metro 1-888-446-1801
DATE / Z _ 2 —//
BUILDING INSPECTIONS
Note: Permit holder Is responsible to call for these Inspections.
Required Inspections are circled
Date Inspector
Footings (before pouring)
Framing
Insulation
F/ roar �
MECHANICAL & PLUMBING INSPECTIONS
Date Inspector
Plumbing Rough -In
Plumbing Final —
Heating Rough -In
GAS LINE _
Heating Final
Fireplace Rough -In
GAS LINE
Fireplace Final
Electrical Rough -In
Electrical Final
CITY FILE COPY
Read All Attached Materials!
EVERY PERSON PERFORMING WORK
FOR WHICH THE CODE IS APPLICABLE,
SHALL COMPLY WITH THE CODE
L()T LINES -
PROPCRTY LINES MUST CE: STAK' D IN CiADER TO VER N
SETEACKS TO LOT LINES • IF NOT STAI(ED MUST PROVIDE
SURVEY.
N0 OCCUPANCY 0R USE ALLOWED
UNTIL FII;�AL I€�ISPE701 API) APPROVAL
CALL BUILOINaGi 952-42-75M
PENALTY-k=.Vj M $750.00 FINE
Must post address on construction
site visible from road.
IT IS THE RESPONSIBILITY OF THE
CONTRACTOR TO CALL GOPHER STATE
ONE CALL 651-454-0002, or 611 BEFORE
BEGINNING EXCAVATION
CLEAN STREE T DAILY OF
ANY NTATERNAL TRACKED CM 8T
I;IM 716I3 SITE.
CONTROL EROSION OF BARE SOIL AREAS SO THAT
SILTATION DOES NOT OCCUR INTO STREET OR
NEIGHBORING PROPERTIES UNTIL LANDSCAPING AND
TURF ESTABLISHMENT ARE COMPLETE.
REVIEWED
SW3JEC"T TO �a�CNNrIPLIANCE
q N.D
CONSTR
BY ATE/2
AI-L RNISPECTI®NS
CALL 24 HOURS IN
ADVANCE AND GIV
PERMIT NUMBER 'Z-5
Fram:CITY OF SPRING PARK
Nov 2911 09:48a Diedrich Buidlers
FroA:CITY OF SPRING PARK
952 471 9160
952 471 9160
12/02/2011 10:44
9624322296
11/28/2011 14:45
#035 P.002/005
p.2
#033 P.0021004
CITY OF 8PAING PARS Oise Ordinance -
ffect-
4349 Warren Avenue Sprrng Park, MN 55384 m
Phase (952) 471-9051 Fax (954 471-9160 day - Friday before 7 a.m. r- M 4
nd et'Eer 10 p.m.
H UILDING PERMIT e:Ud0folidays Were 7 p
aan and a w8 p.m.
DATE a 9- 1/ CHANGES TO APPROVED BUILDING PLANS MUST HAVE CITY APPROVAL
iITE ADDRESS y37 ��- PID
NAME - PHONE - EMAIL - FAX 4C
U
- oAIC71-2r-—612-+136-2
CONTACT NAME - PHONE - EMAIL - FAX Ste„ or
s _j c -�91 �—L�
CONTRACTOR LICENSE
TYPE OF WORK o New Flame o Deck I
to Re -Roof
Pmmercial g0esidential a Addition o Fence
EST. VALUATION OF WORK p Remodel o Pool
- O Finish B"emnt o Stucco
ing Helghl Feet o Accessory Structure 110 Skcxa
a Re-:
o ReL
t of Stories r-44DIV
OPE OF WORK. Demo unattachedara y;� c 1. / IZ4
Ise of Building: o� j - .LE �4LL sc cAr2 �i+4RA6sr
RUNot Wowtt+ptGiagl tla ppp+ryarrwmralbent+A ,a
.W W 4 mflc mldllillpy
Yp011 its pApeny lO pEROSOlM.d.C.I�PKBpIf. I W @ in lba ga q ft 410 9YB� W
�Y �+1r b. wlCm+I puler naree l h.r.Ogra�lw0, aw �+o.s neat niw.ppEoafma.ad mb ma.11 iNbrtrebnh ew.ra mretue IAt Oss+d my
ovrap..1 ttmaer tppW 1M1 wv�ort p.cm,ma � a w .wmmrs.ole epprowt poars, ap.q'Fsarisa urrd eprdtoncarq m eeko by � amo.na. a wt cMr..a a�. ws erthe S� a Nimuob.e�uq.atw ee ww+anl b �1. pmre+a I.prwlo PW Pam. wNw fM. mwn Y I cr Dow not to ptx7W ooalt to atolr. Panaaa�pk�+NrOwk tt p01 eartnanwd vrih isa ayl bore 6wd wtedl lrswa, errs�aa,� W ,Y b n+�0.ntled, saeneorae m naf let4+cse to te0�, VM+r>t eeYaid �Mtwut ■ parmrlor6sp.ppr wMOt tupot ba prndly.
--- Cal AMPECT for brapaetlons at$M 412-7520. (2d Hour Notloo) 8:00 a,m. - 4:30 P.M.
n or meffm $ ILot Area:
-
TYPE. CON3T. TYPE: CODE
81.DO SPR WKLED Yes / No
:KS: REQUIRED
ACTUAL
Par"
Front
Plan Check
Rear
Srat surdu
Side
Sft snap.
Side
Muni SFJWA
Corner
&E.0
Lakedwre
-
Wedand
y� QU
Other
--
Swv 6 N20 Hm
awaa?wolmm
B UIWING APPROVAL BY.
CfIYAPPROVAL BY.-
a
Fr_om:CITY OF SPRING PARK
952 471 9160
12/02/2011 10:44
#035 P.003/005
Nov 2911 09;49a Diedrich Buidlers
From:CITY OF SPRING PARK
952 471 9160
9524322296
11/28/2011 14:47
p.3
t033 P.003/004
DOM-
Date Received
at City Halt APPlicatlon For Demolition Permit pe"II1� g
Cify of Spring Park, Minnesota
Fee: Based on Va&atlon and Requires a BirildinA Permit
Name: Telephone No.:
Demolition Property Address:io"$6
Type Of Structure: Ge'�i¢ Cs:�' ,4 �,�✓ e6 tdC , ee I
Approx Date To Begin: / GeV/ Estimated Completion Date:
Utilities On Site: Check (✓) all that apply Sewer ri water y
Cable ✓ Gas 7"_
Electric
Telephone ,
Note: It is the ovmees or Contraum's responsibility to contact GOPHER STATE ONE CALL at 1-S0 7M.1166 to notify of the
disconnect and to mark any underground utilities on the property.
Will Utilities Be Used For New Structure? ........ ...... —yes No
Note: If water and sewer services are never to be reused, the property owner b responsible for abandoning services according to
Minnesota State Plumbing Code and must be inspected by the City of Spring Park Public Works Department.
Is There a Water Well On Site?..........„....................„. Yes No 1%1�_
Is There An Underground Fuel Tank'1........ ..............I... Yes No _)
Demolition Coattaetor: Qh/ t— —<9212/ &-k6; JC-4 j JMWA Telephone No.
Address: / (� %O lQif.� '4w n 41,oya
Liability Insurance Co_ Telephone No.
Policy No: 0e. /,( 6 rl; Z Z<j?' /01-1;-
Policy Period From: D To: 3! 2-01-2- Coverage And Limits:
Note: In the event that any ASBESTOS is present in the strvcatre, state approved methods must be followed
I hereby declare that I am the owner ofthe 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 approved demolition dumpsite. All the foregoing
mfarmation contained on this permit is a true and correct statement of my attentions.
Signed By Applicant,!-�•�-z' f o_ Dade:
The Following Section To Be Completed By City Officials
Permit Approved By: Total Fee:
Title:
Receipt No:
Received by:
The Following Section To Be Completed By Public Works / Operator
Water Service ......„.,.. Disconnected
Abandoned
Scaled
Signed
Sewer Service ......... —Disconnected
Abandoned
Sealed
Signed
Electrical Service ....... Disconnected
Abandoned
Removed
Signed
Gas Service ......... .... Disconnected
Abandoned
Removed
Signed
Page 1 of 2
From:CITY OF SPRING PARK 952 471 9160 12/02/2011 10:44 #035 P.004/005
Nov 2911 09:49a Diedrich Buidlers 9524322296 p.4
N
0
3 LvM
.. 3� Np:,Lv/3�
Sooty30 Z( 1'10 ��5v
p56Z6 caca
o i
l log EQ ,~
� L'.'•.NCNMARP( WFORMAT�N
`•Dm:Wnarh: lnp fa al aenilary *� Ron.-!^
T
F.ram:CITY OF SPRING PARK
952 471 9160 12/02/2011 10:45 #035 P.005/005
Nov 2911 09;50a Diedrich Buidlers 9524322296 P.5
From:CITY OF SPRING PARK 952 471 9160 11/28/2011 14:47 0033 P.004/004
All of the foregoing requests must be completed and signed -off PRIOR to the start of any demolition.
The undersigned owner/contractor hereby agrees as follows:
I . The structure shall be kept enclosed and/or secured until such time as demolition is complete.
2. Demolition debris will be kept off adjoining property and/or the public rights -of -way unless specific,
prior approval is obtained in writing for temporary, use thereof.
3. Foundations shall be completely removed from the ground
4. All demolition debris shall be completely disposed of off site in accordance with all applicable PCA
requirements.
5. Water wells must be abandoned in accordance with the State Health Department regulations.
6. Inspection required when ail debris has been removed — before backfilling.
7. Within five working days of superstructure removal, a final inspection shall be requested. The site
shall be left clean and clear of all debris, with any excavation filled with earth level with the adjacent
ground elevation (except when such excavation is to be used as part of a new building and such new
building is actually under construction).
9. Septic systems must be abandoned per MN Rules Chapter 7080. All septic tanks must be pumped,
crushed and filled with native soils. An inspection is required after the tanks are pumped and before the
tanks are crushed and filled.
9. The undersigned owner shall and hereby does indemnify and hold harmless the City of Spring Park, its
agents, employees and assigns from and against all claims, damages, losses or expenses, including
attorney fees, against the City, its agents, employees and assigns arising out of or resulting from the
demolition described herein as performed by the property owner, his employees, agents, suocoaftetors
or assigns.
The undersigned hereby applies to the City of Spring•Park for issuance of a Demolition Permit, agrees to do all
the work in a strict accordance with the ordinances of the City and the regulations of the State of Minnesota,
and certifies that all statements made on this application are complete, true and correct.
Applicant's Signature
Owner's Signature ��-sue ��•
Approved By:
Page 2 of 2