Permits - Permit# 00-16 - 2468 Black Lake Road - 1/1/20008124719160 CITY OF SPRING .PARK
295 P02
JUL 21 '97 09:29
CITY OF. SPRING PARK
P. O. BOX 452
SPRING PARK, MN 55384
471-9051 FAX 471-9160
BUILDING PERMIT APPLICATION
Building Permit Application Requinaments:
Date Received
1.
Application to be filled out & signed
Date Approved
� o
2.
Mechanical Permit Appiiration B Calculation filled out
Permit No.
3.
Energy Calculations filled out
4.
Furnish a Certificate of Survey -See Attached
5.
Furnish 3 sets of Construction Plans
Fees To Be Charged.
a) 1 set for City filer
b)1 set for builder to use on site
Permit
State Surcharge
�o
c) 1 set for City Building Inspector
Plan Review
Construction Plans should include:
SAC Charge
1.
First floor plan
Availability Chrg
2.
Footing S foundation pliin
TOTAL
3.
Elevations of all sides
4.
Wall sections & cross sections
5.
Details - stairs & any special connections
ALL INFORMATION MUST BE SUBMITTED 114 FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS (CIRCLE ONE) 1 OWNER OR ONTRACTOR
JOB SITE ADDRESS W v � \acl_ ,(X
NAME OF OWNER_ rS � YY�O�� `n T�� HOME PHONE `S� I T Y ORK PHONE
CA
MAILING ADDRESS . lQ) LCICL SOL ZdCITY -. ZIP SS
CoN'iRACTOR RENEWAL BY ANDERSEN MOBILE PHONE_
350-73RD AVE. NE ZIP
MAILING ADDRESS _ FRIDLEY, MN 55432
STATE LICENSE NO. _ (612) 502-4777
ARCHITECTIENGINEEatLICENSE #2013093
, 8 PHONE
MAILING ADDRESS CITY ZIP_
NAME_ REGISTRATION NO.
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION _ RENOVATE LAND ALTERATION L. I ^
PROPOSED WORK (Describe In Detail) ��� � ZDn� V i "� Iy1 \0 V
C-� r\ r,, n CID n � Uf I^ .
ZONING DISTRICT
STORIES SG. FEET OR EACH FLOOR No. OF BEDROOMS GARAGE STALLS
ATTACHED OR DETACHED . _ BLDG. SIZE: LENGTH WIDTH HEIGHT
ESTIMATED CONSTRUCTION VALUATION (excluding (and) S
Received "ime
Jul, 21. 10:27AM Print Time Jul, 21. 1.0:29AM
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ITT _P E D'_ C- B U' 1 D N1 G P. � y 0 0 0 " 1 4 1� Ca., C V 8 6
WILDING PERMIT APPLICATION.
PAGE 2
HARDCOVER CALCULATION WORKSHEET
X House x
W11ft
x
B. Garage x
C. Driveway x S.F.
x S.F.
D. Sidewalk x S.F.
x
E. Patio/Gook x = S.F.
F. Other Y x
1. TOTAL HARDCOVER S.F.
2, TOTAL PROPERTY AREA S.F.
1 —DIVIDED BY 2 %
I hereby &Wly for a build" pwmtt and I acknovAafte do the jnionnation Wxwe is ewnpW4 mO wouretw, that the work va be in conforynarm
with tho ordinances and *odes of the City and aft UW State ewdine Code. that i understand this is not a pan%t and work Is not to sun wMaut
opermit and that ftwork will beirka, car"Ath . owed p1m
a7 f�k
APPLICANT'S SIGNATUR1111111-70, I �_e L CL , cc)
DATE
INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS:.
Footing before a pour --Plumbing
Z--Framing foUgholn -Mechanical
Insulation -Well
_Wallboard before taping I -Gradirig & filling
___A_rINAL before occupancy -Sewer
Water
WORK BEYOND OR WITHOUT A REQUIRIeD
INSPECTION WILL BE SUBJECT'ro PEhLxLTY Electrical from State
24 HOUR NOTICE REQUIRED CALL 471,7367
I do hereby certify to the Orono Building Official that the follovAng described work has boon reviewed for
compliance with the Zoning ROqUirements of the City of Spring Paris and Will be approved for construction upon
Pon
approval of the construction plans by the Building Official.
Name Date
Date - ( ?) - (DO
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tr l S Cj.YI8 MO1X — K..a±1�1�' _ ] .�.1 � Year hame was built
Customer Na,ne MOM -Home
Address Phont • work
Contractor !lcar4a# MN20190983
c1y PAU Zip Contractor 11const 0 W1 266931
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Renewal by Andemer,' Proposal
Ad of the *bow w*cci unit M i„jUWM Wll dwrs to l . pearidt a su,rx U[div anivak xiul..l in LLii agar ascot
Dart
Catstomer Accepunce
u urL71y aurhurixeel cs furnl.k 111 re aiaaemenc win,lawi aid doerx raqui.d.1. c9rnPlga rJiis t.Sinxmsmx for
h d'u +�l1d Yeljparcl µMira to par tlt sunuunc luuitevuc'I lu auj aKmc;mL^tr anal =L-urd,ug w 6bQ !flit;# liertvr.
the buyer, may emtt,Cm1 ties transaction at any time prior vsa xcsidnaght of
G third business day ofic.- the data of this transaction. Pleaso ace zat'tachcd
notice of canoell Aon fnttn an tan rinn.ahi _ 16hr.
.P.
Novo
ltts r�,mvmnripprov�rlS�udMH .
Renewal by Andersen' Aecamanea
lid& lLnrroal or.L,dvvf a Mon"" S'/Pwiwr
NOT BINDING ON UNl4MAL BY ANDERSEW WITHOUT MANAGEMENT A=PTANCE .
Labor & Materials S
"7ijl JX- Sales Tax _
oA�ovrr.� Work patrm{t Cast ---
T%+tal Amv,,ne zf A jr�gMPni
[xo Finanr�C7 Raposlt Required
Balance Due on Completion
Cost of Unforeseen Repairs
AvvPdiWirfX, eNAning ur XMP lx i-a6 IL rrot iu,1Pdrd:u
riire anrrarent arien nolyd ahoy.
P&as mrre tl ar ue arr unable to bid art nrym'rinR ®ny rcaerm ri~.ge. Hunwa .
ijdr/y knsi .!,sl [44 ip is rllA'tRa�'rlrl dwln;lhuuLa+iAM. our +:rill rjo_mR*kw god
[hart, yorr fur riir repdirr apm yvwopppVW1 do r1m ;+t d ofil/eja aU
arurmamu dehrl: Drill ar MMajA d and ve evil! clean your mw 44ndawr awr
the vrrral&dsR cars.
form iJk,.cr"bxovw Wh;VP L 8 I V e d T i m t.YN ? v17 - I: 2) AM't.`tdmrr
A
M E
v-l1 .'000 10 38AV1 ELCEft '0NES BU71L�D1HkG PERib1iT SERU Ic 8316 . 1
DATE
iEldera 6r s .
Building Permit Semics, Inc.
PLEASE DELIVER IMMEDIATELY TO:
ME = �f n
COFAX MTANTY
FROM Karp. Lewis, Permit Service ext.147
NO. OF FADES TO FOLLOW
RE: PROJECT NO
NOTES:
qsd . SSq- d%S-L/ #141
If you have trouble receiving this fax, please call me as soon as possible.
Elder -Jones Building Permit Service, Inc. --
1120 FAst 80th Street a Bloomington, Minnesota ss420-7488
612-854-2854 FAX 612-NA 4909
Valuation $3b/b
Permit $97.25
State $ 2.00
ota1...$99:25.....
Na. ..00-16............
likttte of Minnesota, ....City.... of..$priog.Park...........
County of.... Hennepin.... , ....... Office of Building, Inspegtpr....
IN CONSIDERATION OF The statements and representations made by ......................
.............. Mark.Ki.nter..........................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said ......Mark Kinter...........................................................as owner
to ...Replace. window inserts within existing. openings..... ... 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 ................ ; height, in feet ................ ;
number of stories ............... : contents ............... cubic feet; ............... square feet, upon that
tract of land described as follows: Lot ................ Block ................. ; plat or addition ................
2468 Black Lake Road 19-117-23-12-0020
....................................................................................................
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 . ordinances......... of .Spring.Park........ ;
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 Bu i 1 d.i ng .I.ns.pector of said ..City ....... . . . . ... . and its corporate seal and
attested by its ...Clerk ............... this ...1.9th ................ day of .. May.................. A600... .
Attest:
............ Patricia.Higus....�.)..........
Clerk /
......L y.l.e..Qman ...... (h)...................
.Building.Inspector.....