Permits - Permit# 98-52 - 2444 Black Lake Road - 1/1/1998 (3)- - - — P. O. BOX 452 a
BUILDING PERMIT APPLICATION SPRING PARK, MN 55354.0452
Building Permit Application Requirments:
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
Date Received: 1-419AFr
Date Approved: 1G1j`/6Y
Permit No.: Fees To To Be Charged:
Permit $ i55.75
State Surcharge (0.50
Plan Review t ZS .g y
SAC Charge
Availability Chrg
TOTAL S 33(a.09
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) WN or CONTRACTOR
JOB SITE ADDRESS Z y 1-/ tL A- x— 6 `D , - /--2
NAME OF OWNER OME PHONEY71-0o2 WORK PHONE S -Z/ Z Z
MAILING ADDRESS Z�yY ALPCLZRK662� CITY Serb , " k- ZIP
.55 3t `/
CONTRACTOR
MAILING ADDRESS
STATE LICENSE NO.
ARCHITECT/ENGINEER
MAILING ADDRESS
NAME
TYPE OF WORK: New Addition
Remodel/Alteration -
PROPOSED WORK (Describe in Detail)
-S Z x C�
ZONING DISTRICT
STORIES
STALLS
PHONE
CITY
PHONE
CITY
REGISTRATION NO. _
MOBILE PHONE
`�Accessory Structure Move Demo
Renovate Land Alteration
A A a 6--e,, a- k� C- C- L- ej-
ZIP
ZIP
Gr-'�-Y' a
e
SQ. FEET OR EACH FLOOR / NO. OF BEDROOMS GARAGE
ATT. 1-1� OR DIET. BLDG. SIZE
W HT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ 12- kO oo
6�tos�, Pr- X 1ci.00 = lz,-goo
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BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
y
' Z
A.
House
X _
S.F.
Length Width
X =
S.F.
B.
Garage
2 X - _
S.F.
C.
Driveway
X =
S.F.
X =
S.F.
D.
Sidewalk
X =
S.F.
X =
S.F.
E.
PatiQ/
Deck
X =
S.F.
F.
Other
X =
S.F.
X =
S. F.
1. TOTAL HARDCOVER
sv
S.F.
2. TOTAL PROPERTY AREA
S.F.
1 'SS2 -2
X100=
%
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 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 ` DATE i9& �7[�
INSPECTION REQUIRED:
PFooting before a pour
Framing rough -in
Insulation
Wallboard before Taping
0 FINAL before occupancy
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT TO PENALTY.
24 HOUR NOTICE REQUIRED
473-7357
ZONING CERTIFICATION
WORK REQUIRING SEPERATE PERMITS
Plumbing
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 ulA¢,__ Date - (Q ._ � -3 _ c/