Permits - Permit# 98-08 - 2447 Black Lake Road - 1/1/1998CITY OF SPRING PARK CITEO
r SPRING
BUILDING PERMIT APPLICATION `�rR,• CM.N 45„ �5
SPR;�a I',�kvC, MN 5���4-0��2
Building Permit Application Requirments: Date Received:
1. Appplication to be filled out & signed Date Approved: 41113 �
2. Mechanical Permit Application & Calculation filled out
3. Energy Calculations filled out Permit No.:
4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 Sets of Construction Plans Fees To Be Charged:
a. 1 set for City Files
b. 1 set for builder to use on site Permit $ �� as
c. 1 set for city Building Inspector State Surcharge
Construction Plans should include: PIarr Review
1. First floor plan e SAC Char
2. Footing & foundation plan 9
3. Elevations of all sides Availability Chrg
4. Wall sections & cross sections
5. Details - stairs & any special connections TOTAL $
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) OWNER or CONTRACTOR
JOB SITE ADDRESS 2447 zY.44 GCIXE ��a,c� % 9- // a 3 - �2-l/G
NAME OF OWNER �J R`--f-`%'Z-A2S�&" HOME PHONE-171- e227¢ WORK PHONE
MAILING ADDRESS Aeezar CITY '��f s��/�-✓�-- ZIP
CONTRACTOR 4614,d-, PHONE 47z-�`-Z MOBILE PHONE �I9 s�02
MAILING ADDRESS �7�9g�,� /�(� CITY 11Gr ZIPS
STATE LICENSE NO.
ARCHITECT/ENGINEER PHONE
MAILING ADDRESS CITY ZIP
NAME REGISTRATION NO.
TYPE OF WORK: New Addition Accessory Structure Move Demo
Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (Describe in Detail)
Ti-11121
ZONING DISTRICT
STORIES SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE
STALLS Z- ATT. OR DET. L W H
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ �� �j
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CIV OF SPRING PARK
BOLDING 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.
PatiQ/
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 X 100 =
%
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 I DATEA/,/_3,�q,43
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
Wall
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
NO. ZOW-(Hrv. fi-I0 MO)
Permit
1 2.00
$... T-ata.l............ $8.9--25.............
State of Minnesota, �``......--�l.ty...............of.......Ser .g9.......Park............................
County of...... Hep.n..e...p .i..n...........................................•--1 Office of.... -..Building Inspector........................-.......
' Vej:Mft
jV U lit A At
IN CONSIDERATION OF The statements and representations made by...........................................................................
..................................... Case. ... I t>_o.r..s.on........---..........-------------•--..................................._.....................------•---•-........---................-----...................-•--.•---..............---............................----......
in.....his......... application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTEDTo said ..................................... Casey. ... Thor 911.................. _............................................................................. -........................................................ as owner
to....enlarge door, install-_wi_ndQwrt.$...pej ...app.lic.atd.aa................................ a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
......................................................................••-----•--...................................................................-_...............................................................------....................................-•----.....................................
frontor 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....._.................-•--•-----........--•--•-•---....-• plat or addition ...................................... ..................
2447 Black... Lake...Road.---•-••.............1.9=1.17-Z3-12.-U0..7............................................................................. _.......................................................................
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and IIS contractors, agents, workers and employees, shall
comply in all respects with the ordinances of the ...................... �i.t.Y......................................----.of.........Spr.1.ng....P..1rk.....-......-.......-....---- that it does
not cover the use of public property, such as streets, sidewalks, alleys, etc., for which special permits must be secured; and that it does
not cover the following None...of. the....11ow.7l0a.................. _............-----••-• ----......---•--------......--•---..........................--------................--•---.--•-.--•--.......------
................
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the ....... PMi l.di.nq._.Ins.pector............ .....,....of said ................ C1-t-Y....................................... and its corporate seal and
attestedby its ..-•-•----- C.lerk.-••...........................•-•-•--------•--•-..this.---13th.....---••----...................day of ....... Apri!.......................................................................... 19.98........
Attest:
Patricia t t i c ia.. iu s
..............................•......q ...............-•---•--•-.. /..........--........ .................... Ly.l e. ....Oman................., -. ,� C ..'`'........................................
Clerk
....................... .... Hui.1.di.ng... l.nsP-e-ct.o.r................