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Permits - Permit# 5-6-03 - 4349 Warren Avenue - 1/1/2003CITY OF SPRING PARK 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 JONE) OWNE R CONTRACTOR JOB SITE ADDRESS Date Received P Date Approved 5-11,417 :3 Permit No. Fees To Be Charged: Permit State Surcharge Plan Review SAC Charge Availability Chrg TOTAL NAME OF OWNER G��-Y�©� s��' ��� HOME PHONE WORK PHONE S� �Z MAILING ADDRESS �,,1/ CITY ZIP CONTRACTOR 10 FS / l/Q/y ��PHONE 70 3' Syl e0 66BILE PHONE � I Z - 2 �O •- 294V MAILING ADDRESS .4 . �. CITY ?e Pt-11&J/W ZIP STATE LICENSE NO. Z 0 /sS5-� 40 ARCHITECT/ENGINEER PHONE MAILING ADDRESS CITY ZIP NAME REGISTRATION NO. TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO REMODELIALTERATION 2� RENOVATE LAND ALTERATION PROPOSED WORK (Describe In Detail) &I!,:1pte5:o � 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) $ �� . 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. 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 = % I hereby apply for a building permit and 1 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 accordance with the approved plan. APPLICANT'S SIGNATURE �r�`� © 5/��/��i3�.G DATE INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS: Footing before a pour Plumbing Framing rough -in Mechanical Insulation Well Wallboard before taping Grading & filling FINAL before occupancy Sewer Water WORK BEYOND OR WITHOUT A REQUIRED INSPECTION WILL BE SUBJECT TO PENALTY Electrical from State 24 HOUR NOTICE REQUIRED CALL 249-4600 ZONING CERTIFICATE 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 CODE PLAN REVIEW Name Date