Permits - Permit# 687 - 2452 Black Lake Road - 1/1/1985/
CITY OF SPRING PARK
BUILDING PERMIT APPLICATION ,
Ir�11N19AiRlR1�li lu
1311 "ING PERMIT APPLICATION ITOUIRF.MENTS
Requirements to be handed in with Building Permit Application: Construction Plans should include:
1) Building Permit Application - to be filled out s signed a) First floor plan
2) Mechanical Permit Application 6 Calculation filled out b) Footing &foundation plan
3) Energy Calculations - filled out c) Elevations (of all aides)
4) Furnish a Certificate of survey - if required d) wall sections 6 cross sections
S) Furnish 3 seta of Construction Plana: e) Details - stairs and any special connectic
a) 1 set for City to keep on file
b) 1 set for builder to use on site
c) 1 set for the City of Spring Park
ZONING DISTRICT
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE
ACCESS
NEW EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PR..EASEMENT
SITE ADDRESS g'L� � '1'
LEGAL DESCRIPTION: PROP. ID. _ �& 7 — 3 /Q C101-0 —
LOT_ BLOCK SUBDIVISION _
ER (Name)
(Address)
(Phone)
('-AgYZLe S nG u/ j Oyu Be,, cle lK 2 d �17i— M?y
ARCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans
'ERT.NO. _—
(Firm) (Address) (Phone)
BUILDER
ptker
TYPE OF WO K
(Firm) (Address)
New Addition Remodel
(Phone)
;21--1t_1-2_
Renovate
C
CONS7.TYP.E.-..BLDG. SIZE r'Ob
CONST.VALUATION
W. Ht. 0,
RESIDENTIAI.J STORIES B 1 2
DWELL. BDRMS/FLR
UNITS
GAR. STALLS P.lanninq Commission
ATT. APP. DATE
DET.
DOCK
NON RESID. I PROPOSED USE
OCC.
CLASS.
STORIES COUNCIL
APP. DATE
3 PERMIT FEES
BLDG. PERMIT
STATE FEE
PLAN REVIEW /?D
PENALTY
AVAIL. CHG. —
SAC CHARGE
TOTAL DUE --/'o, 0 0
REMARKS:
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough -in
INSULATION
WALLBOARD Before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473.7357
CALL 8 • 12 A.M. INSP. 1 - 4 P.M.
CALL 1 • 4 P.M. INSP. NEXT DAY
ZONING CERTIFICATION
WORK REQUIRING
SEPARATE PERMITS
PLUMBING _
MECHANICAL
SEWER
WATER
GRADING & FILLING
ACKNOYLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS.SPECIFIED, AND DECLARES UNDER
PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPTANCE OF
ALL INFORMATION, CONDITIONS AND REOUIREMENTS REPRF.-
PRESENTED ON THIS DOCUMENT. THE UNDERSIGNED FUR-
THER AGREES TO DO ALL WORKS IN STRICT COMPLIANCE
WITH ALL CITY ORDINANCES AND STATE OF MINNESOTA
BUILDING CODE REOUIREMENT�,.
ELECTRICAL from State I Signatu
er/�L/' �J
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.
authorized signature) (date)
nU.l ING CODE PLAN REVIEW
Building Official (date)
Approved Approved with Corrections Not Approved; Must be Revised
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County of__ ..... -...... .................. _ Office of 6:.. « .................
IN CONSIDERATION OF The statements and representations made by........................................................................._
............................. ........ -__-.............. ...................... __ . ��®__._._..._ - - ---------------------
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---
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in .... _ ..................application therefor duly filed in this office, which application is herebX made a part hereof, PERMISSION IS HEREBY
GRANTED To said_.. � L2.� ���- .. _ ��� _�'.-4�: ...... .._._..__........... _........ as owner
to ................................................. -_--..... -r. o�&A.... building described as follows: kind of construction
( build, erect, install, add to, alter, r ir, move, wreck, as the case may be) ' i G i 1!t" ce
front or width in feet._._ ..... ......................................... _--; side or length in feet..............._.......-.-...-...................--•- height in feet---.............-......_..---------••-•--.......-.---;
nwnbcr of stories.---_ ......................................: contents .................................................................. cubic feet; ................................................... square feet, upon that
tract of land described as follows: Lot ...... ............ _..... _....... _.... _.- Block ._......................... _..................... _...... ; plat or addition ......... _............... _.............................
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_____ contractors, agents, workers and employees, shall
comply in all respects with the ordinances of the.....................f_......................... --........ of............. .....................; 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: .........................:...................... �'-... u ... _ ....,�-rf:,tt Y.r....,.................-.......................................
.......
......
(Electrical work, plambi g, beating, pleat ring, ac., if such there"
here bet
for which special permits must be secured.
Given under the hand of the ........ . 4u:.�_ N'............of said ...... _.......... _..... ..............and its corporate seal and
attested by its.. ...... ..... ........ . , _.. 9...r�
.�.:�[::.� �'.............._....__.._.this..._...----_. ->�� Z:.L.........day of-•--•-------._..-...._._._.---..........,.. - �-.-�•'-....-..--.-..................1 ...
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