Permits - Permit# 99-10 - 2447 Black Lake Road - 1/1/1999a
CITY OF SPRING PARK CITY OF SPRING pAr;<
BUILDING PERMIT APPLICATION P 0.13OX452
Building Permit Application Requirments:
1. Application to be filled out & siggned
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
SPRING PARK, MN 55334-0412
Date Received:
Date Approved: "✓ 3/2-
Permit No.: q%- la
Fees To Be Charged:
Permit $ 025
State Surcharge , S6
Construction Plans should include: Plan Review
1. First floor plan e SAC Char
2. Footing & foundation plan g
3. Elevations of all sides Availability Chrg
4. Wall sections & cross sections
5. Details - stairs & any special connections TOTAL $ �• �s
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE. PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) OWNE or CONTRACTOR
JOB SITE ADDRESS lad- 1AA &i)
NAME OF OWNER u I YIY 1%cfn HOME PHONE �-71` Cam? / WORK PHONE �,5q�-" 3 3 3 3
MAILING ADDRESS ITy p ZIP 5538q
CONTRACTOR ��� ULO MCA &M PHONE � 11 On 7 � MOBILE PHONE
MAILING ADDRESS 5)EIMIF CITY ZIP
STATE LICENSE NO.
ARCHITECT/ENG I N EER
MAILING ADDRESS
NAME
TYPE OF WORK: New Addition
Remodel/Alteration -
PROPOSED WORK (Describe in Detail)
PHONE
CITY
REGISTRATION NO
Accessory Structure Move
Renovate Land Alteration _
' � I
1)30n� uoca
ZONING DISTRICT
STORIES
STALLS
ZIP
Demo
SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE
ATT. ORDET. BLDG. SIZE
W HT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ DtC
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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.
Peg/
X =
S.F.
Deck
F.
Other
X =
S.F.
X =
S.F.
1.
TOTAL HARDCOVER
S.F.
2.
TOTAL PROPERTY AREA
S.F.
1
-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. comormance 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 3 115 Al 9
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
473-7357
WORK REQUIRING SEPERATE PERMITS
Plumbing
Mechanical
Well
Grading & filling
Sewer
Water
Electrical from State
ZONING CERTIFICATION
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
FRANK R. CARDARELLE Land Surveyor, Inc. Land Surveyor
(612) 941-3031 6440 Flying Cloud Drive Eden Prairie, MN 55344
tertifirste (o£
Survey For Darren Thorson Book,
2447 Black Lake Road
Spring Park MN.
lo
Scael: 1" = 30'
e Denotes Iron Mon. Found
-- A7.s-_
� fVcv►�
I hereby certify that thU Is a true " coned representation of a survey of the bowcWes of
Lindquist ' s Rose Hill Hennepin county. Wmesota and the location
Swayed by me an this 6 t h day of April 19 99
Page File 6239
--1zso--
ati viabl"vnoroachments, d arty on said Land
Frank PF Cardarelle
State Reg. No. 6508
Form No. 259 Valuation $ 750
Permit $ 29.25
State $ .50
Total' ' ' $' 29'.75
BUSINESS RECORDS CORPORATION, MINNESOTA
INU' . 99-,10 ........
>tE of Minnesota, City of. Spring. Park
...............
County of.. Hennepin Office of .Building Inspector
Nut-lbing t r M. 't'b, t
IN CONSIDERATION OF The statements and rep esentations made by ......................
........................Darren Thorson.....................,........................................
in application therefor duly filed in this office, which application is her by made a part hereof, PERMISSION IS HEREBY
GRANTED To said Darren Thorson ..... . .. . ..... . ............... . as owner
to ... , , ..I.nstall. A. fence, . per..appIication .......... . ..........a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, %vreck, 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 ......
2447 Black Lake Road 19-117-23- ..12 ..-0.027..
....................................................
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owns
employees, shall comply in all respects with the ordinances of the ...
that it does not cover the use of public property, such as streets, sidev%
be secured; and that it does not cover the following: None, of. the, f c
(Electrical wi
for which special permits must be secured.
Given under the hand of the BW Os ng. Inspector, . , of said ...
attested by its ...Clerk , , , , , , ... this . 13th
Attest:
Patricia Hi.p ......ae.� ......... Ly1E
.
..Clerk .................
.......... ; plat or addition ................
r and his... contractors, agents, workers and
r i ty ............. of .S.P. i.ng .PdrK ........ ;
elks, alleys, etc., for which special permits must
flowing..................................
-k, plumbing, heating, plastering, etc., if such there be.)
ty............... and its corporate seal and
.. day of . Apri 1................. 10 ....
Oman ........... (I e �..................
,..Building.Inspector...