Permits - Permit# 95-64 - 2452 Black Lake Road - 1/1/1995CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
CITY OF SPICING PARK
P. 0. BOX 452
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: ///;2_1
Date Approved: �
Permit No.- 5E> - G `/
Fees To Be Charged:
Permit $ 25
State Surcharge So
Plan Review
SAC Charge
Availability Chrg
TOTAL $ boa �S
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One)/ OWNER or CONTRACTOR
JOB SITE ADDRESS
NAME OF OWNER ► `��� �`\�--
�f '_ 9,0c
ME PHONE -I )t - 1 3S WORK PHONE
MAILING ADDRES • CITY
CONTRACTOR 6SLVE-k`4y`��- PHONE
MAILING ADDRESS
STATE LICENSE NO
ARCHITECT/ENGINEER
MAILING ADDRESS
NAME
CITY
PHONE
CITY
_ REGISTRATION NO. _
TYPE OF WORK: New Addition Accessory Structure Move
Remodel/Alteration 2&— Renovate Land Alteration _
PROPOSED WORK (Describe in Detail)
Tz ti� Cam'
ZONING DISTRICT
ZIP
MOBILE PHONE
Demo
STORIES �� SQ. FEET OR EACH FLOOR NO. OF BEDROOMS
STALLS ATT. OR DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land)
ZIP
ZIP
GARAGE
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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.
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 p rmi
be in
-a kn
ledge hat the information above is complete and accurate; that the work
will conformance with the or in
s n
codes the City and with the State Building Code; that I understand this is
not a permit and work is not to sta
h a
rmit; nd that the work will be in accordance with the approved plan.
k If ^ —�
APPLICANT'S SIGNATURE
DATE
INSPECTION REQUIRED:
WORK REQUIRING SEPERATE 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.
24 HOUR NOTICE REQUIRED
Electrical from State
473-7357
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
Fortn No. 259—(Rev. a.lo-m) valuation $4400
■
Permit $99.75
State 2.50
......... Teta..l....... $1-02-: 25.........
Otate of mintle.60tal
County of........ Hennep i n
Miller-Unvie t'n., Mi
1100.......... 95- 64 .
.......... �.ty................of....SP.O..g...Park...................................
...... Oflice of ..... Bui Idi.�9.._Inspector .......................
�
utlaing permit
IN CONSIDERATION OF The statements and representations made by...........................................................................
Todd Aschinger
...........................................................................................................................................•---------............................_............................................................................................................--------...
in ...... h .s.......... application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
Todd Aschiner
GRANTED To said.......g•...........................•--..........._.---.....................---....... as owner
to ..... Repl.ace.._.Kitchen.Cabinets. Qrywall.a,...P �11.C1do.W...........a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
per application
....................................••----------.........................---.......-•---•-•----........-•---------.............................----------.....---•----------..................-----.............--•--•---------...........-•-•-----....--------------............................---------
front or width in feet.........................................................; side or length in feet............
numberof stories .............................................: contents ..........................................................
tract of land described as follows: Lot............................................Block. .............
.........................................; height in feet ...................................................... ;
.......cubic feet; ..... ..............................................square feet, upon that
......; plat or addition....
2452 Black Lake Road 19-117-23-12-0050
...............•-------..................------.............................------...---................................--•--..............................-----...-•-------------------.-----------..................-----......_..............................-:.......................................
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and h-i-S- contractors, agents, workers and employees, shall
comply in all respects with the ordinances of the.......................QJt.Y-......................................... of ......... Spring ... P.ark.................................... ; 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 following....
............................................._._.........................................-.......................................... ......
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the ........ Bui Iding Inspector ..of said ........ C-ity.................... .............. ...and its corporate seal and
attestedby its ............. Clerk .................................................. this ..........3rd. ............................ day of ..... Nov.mher................................................................... 19..9.5.......
Attest:
Patricia Hi us V.... I .......................... ................. ky_le...Oman
Clerk Building Inspector
----------------------------------------------------------------------................. _.....................................................