Permits - Permit# 98-19 - 2452 Black Lake Road - 1/1/1998CITY OF SPRING PARK CITY OF SPRING PARK
BUILDING PERMIT APPLICATION P. o. pox 452
5''3Fi a-0"'2
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
SPR.:NG PARK,//MN ti
Date Received: '-�/
Date Approved: 6
Permit No.: 1,97.
Fees To Be Charged:
Permit $ -5,-D
State Surcharge
Plan Review
SAC Charge
Availability Chrg
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 Z K2� - 4LV—K 14P-K
NAME OF OWNER ( HOME PHONE `17% /( -S WORK PHONE
MAILING ADDRESS � &E:L4&—?0ITY—fP41PA(L ZIP 2 -38 �/
CONTRACTOR SL 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 Renovate Land Alteration _
PROPOSED WORK (Describe in Detail)
&MOV6
ZONING DISTRICT
STORIES
MOBILE PHONE
ZIP
ZIP
Demo
SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE
STALLS ATT. OR DET. L / W HT //��//���,
ESTIMATED CONSTRUCTION VALUATION (excluding land) $$ j�/ 7FFLLAcT&
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- CSTY 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 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
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
SP_wPr
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
Form No. 259—(ee�. 6-1)-80) Valuation $1500
Permit $48.50
State .75
.......Tat aT.........$49-.- 25-..---......
tatle of Minnesota,
County of ....... Hennepin
MillcrDavis Co.,
98-19
City................of...... pr.n.�...P.a-r..k............ ....................
Office of ...-8u..... d .... n$1?. fit. r
....................................
uiibin erit
IN CONSIDERATION OF The statements and representations made by...........................................................................
ToddAschin.9er............................................................ _....................................................................................................................... .
in ....... h .s._._.-__application. therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTEDTo said.. ........Todd...Asc.h.....l?g.n............................................................................................................................ as owner
Tear Off. and Re -Roof .............................a building described as follows: kind of construction
to....................... ...---... ------...--- ---......... ......... ... g
(build, erect, install, add to, alter, repair, move, wreck, 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 ...................................... ..................... ; plat or addition .........................................................
2452 Black Lake Road - ....................................... ......... I........
.................................................. ....................................---..............
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and hi-5 --- contractors, agents, workers and employees, shall
^� Cit S-tin Park
comply in all respects with the ordinances of the..........:....::.....:.......Ci.-.y..............................of.......p......nq......-...............................------•---.....-..; 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
None of the followin
not cover the followtng................................................................. -
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the ............ Bui-..ding Inspectgr..................of said ............C.11y........................................... and its corporate seal and
Clerk----------------------------•-----........ this ............19th............. .................... (lay of---............June---...---------..................--•----•------.............---......19. 98-----..
attested by its. .....................
Attest:
Patricia Higus Lyle Oman
......................................................................................................................................... ......------.......---------- .............----......----------.......-----------------.......---............---•-----------
Clerk Building Inspector
............... .................. ........ ................. _.....................................................