Permits - Permit# 638 - 2452 Black Lake Road - 1/1/1984�O
CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
BUILDING PERMIT APPLICATION REQUIREMENTS
Requirements to be .handed in with Building Permit Application:
Construction
Plana should include:
1)
Building Permit Application - to be filled out s signed
a)
First floor plan
. 2)
Mechanical Permit Application s Calculation filled out
b)
Footing & foundation plan
_ 3).
Energy Calculations - filled out
c)
Elevations (of all sides)
4)-
Furnish a Certificate of Survey - if required
d)
Wall sections & cross sections
5)
Furnish 3 sets of Construction Plans:
e)
Details - stairs and any special
connectic
a) 1 set for City to keep on file
'
b_) L set for builder to use on site
c) 1 set for the City of Spring Park
NING DISTRICT
0 FIRE ZONE
> VAR.DATE
`COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSE_ D SETBACKS
FRONT R.SIDE
` REAR L.SIDE
LAKE
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
SITE ADDRESS --
LEGAL DESCRIPTION: PROP. ID.
LOT _ BLOCK SUBDIVISION
WNER (Name)
(Address) (Phone)
G' Al s 2 qr2-
a44ele 1LAKE'
ARCHITECT/ENGINEER — Must Certify Multi
-Family, Commercial & Industrial Construction Plans
ERT.NO.
( Firm) (Address) (Phone)
0,v!97R0CiTJoILI -Zz&yo .
BUILDER (F irm)
(Address) (Phone)
c;47y 1/4
TYPE OF WORK New . Addition
Remodel Renovate
_ d
ay
o' /Y
e
ONST. TYPE
BLDG. SIZE
EST. CONST. VA UATION
Ht.
/Q29
L. W.
RESIDENTIAL'
STORIES B 1 2
3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT "20,00
STATE FEE �S d
DWELL.
UNITS
PLAN REVIEW 0 0
GAR. STALLS
Planning Commission
ATT.
APP. DATE
DET.
PENALTY
DOCK
AVAIL. CHG.
NON-RESID.
PROPOSED USE
SAC CHARGE
OCC.
CLASS.
STORIES
COUNCIL
TOTAL DUE
APP. DATE
�y
7
q
REMARKS- _
�372
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough -in
__ INSULATION
WALLBOARD Before Taping
F INA L 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
WORK REQUIRING
SEPARATE PERMITS
PLUMBING _
MECHANICAL
SEWER
WATER
GRADING & FILLING
ELECTRICAL from State
ACKNOWLEDGEMENT
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 REQUIREMENTS REPRE—
PRESENTED ON THIS DOCUMENT. THE UNDERSIGNED FUR—
THER AGREES TO DO ALL WORKS IN STRICT COMPLIANCE
WITH ALL CITY ORD NANCES AND STATE OF MINNESOTA
BUILDING CODE OUTREMENTS
.Signature Date 7
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.
authorized signature date
HU:fLDING CODE PLAN. REVIEW
Building Official
(date)
Approved Approved with Corrections Not Approvedt Must be Revised
&'orm Plo. 'Golf —(Rev. 6-10-80)
a
t��� . 0 d
of Aftmezats,
County of_---------- :: c�.L.x,� _... ............ M
Office of __.....
JB
uiiain�P"'Lermit.
,rawer-uavis co.,
IN CONSIDERATION OF The statements and representations made by______.______.__ ...... ...............................
__
in_ e�-__-a/___application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said __...... _.._........ '1 owner
to---- ----- __........._ �4 �� :� �� _. _._.. _ _ ...._ � _- _--.-...--._- a building described as follows: kind of construction
(build, erect, Ins LII, add to, alter, repair, move, as the case may be)
....— side or length in feet_.....__........_ • height in feet_ _ _.__...__._:.
front or width in feet_...__.._.....__.._.._.:._.�. gth _..........._....._.._, g ..................
number of contents----_..._ . . ...... . . ....... cubic feet; ..._------------ __._----- _-_.-._ _square feet, upon that
tract of land described as follows: Lot .... _ _. _ _Block_.. __ _...._..___....._____......; plat or addition. ..._.. d62
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 ._._.... _... _....... t 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 a g.
r
(Electrical work, plumbing,
etc., if such there be.)
for which special permits must be secured.
Given under the hand of the_...�w�: �� =• _.of said _ and its corporate seal and
attested by day of---- '",� -_. _ �. _......... _......... 19...
A �y-
r� ,�
__� ........ __`� : �: _._- _-. L._.......... _.... _......
PINS /Ir- ee7- Z_:� ADDRESS 2 151 -. BL0cA 441/-&-
Building Inspections — Permit No. 3 Plumbing Inspections — Permit No.
DATE
INSPECTOR
Footings
Framing
Insulation
Fill
Others
DATE
INSPECTOR
Hough In —
Air Test
Final
PERMIT NO.
DATE
INSPECTOR
Sewer—
Water —
Electric.
NOTE: Contractor is responsible to call . for these inspections.
This Card must be placed in a conspicuous place on the premises
on which work is to be done.
. . _ A
SASS CONSTRUCTION
"Professional Home Repair"
• Insurance Damage • Remodeling • New Construction
MARK A. SASS 22690 Murray Street
474.4568 Excelsior, MN 55331