Permits - Permit# 00-42 - 2468 Black Lake Road - 1/1/2000s
.6124719160 CITY OF SPRING PARK .
295 P02 JUL 21 197 09:28
CITY OF SPRING PARK
P. O. BOX 452
SPRING PARK, IVIN 55364
471-9051 FAX 471-9160
BUILDING PERMIT APPLICATION
Building Permit Application Requirements:
1. Application to be filled out & signed
2. Mecha; 4.acal Permit Application A Calculation filled out
3. Energy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
5. Furnis`, 3 sets of Construction Plans
a) i set for City files
b) 1 set for builder to use on site
c) .I set for City Building Inspector
Construction Plans should include:
1. First floor plan
2. Footing & foundation plan _
3. Elevations of all sides
AL Wall sections & cross sections
S. Details - stairs & any special connections
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW PALL BE STARTED
THE APPLICANT IS (CIRCLE ONE) OWNER OR 6icRACTOR
Date Received /`//�.2 O
Date Approved i a 7 o d
Permit No. "— /,a-
Fees To Be Charged:
Permit �=5 •S'
State Surcharge o�
Plan Review
SAC Charge
Availability Chrg
TOTAL
JOB SITE ADDRESS OC -1 lD b n 1QQ& L�VX
NAME OF OWNER 44' X S �- Ma,( IC rliniuc HOME PHONE 9
^p6a • 4}1 • U"q WORK PHONE
MAILING ADDRESS
�'rl CITY S 4 l� tc.�C r. Y1111� ZIP
CONTRACTOR RENEWAL BY ANDERSEN )NE MOBILE PHONE
MAILINGADDRE. 350-73RD AVE. NE rY ZIP
RIDLEY, MN 55432
STATE LICENSE 1 (612) 502-4777
ARCHITECTIENGI LICENSE #20130983 PHONE
MAILING ADDRESS CITY
ZIP "
NAME REGISTRATION NO.
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION - RENOVATTE LAND ALTERATION
PROPOSED WORK (I 'scdbe In Detail) ► �0. J `OJC4 11 L�SIh� a "T��,r��4 �r� . , Y\ �O�c1rt
ZONING DISTRICT
STORIES _ SQ. FEET OR EACH FLOOR NO.OF BEDROOMS GARAGE STALLS
ATTACHED OR DETACHED BLDG. SIZE: LENGTH WIDTH HEIGHT
ESTIMATED CONSTRU-3TION VALUATION (excluding land) I co, OV
Received Time Jul, 21, 10:27AM Print Time Jul, 21, 1.0:29AM
Poor Quality Document
Disclaimer
The original or copy of a document or page of a document
presented at the time of digital scanning contained within this
digital file may be of substandard quality for viewing, printing or
faxing needs.
6124719160 CITY OF SPRING PARK 295 P03 JUL 21 '97 09:28
i
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A. House X _ S.F.
Length Witith
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. Patio/Deck X = S.F.
F. Other X = S.F.
1. TOTAL HARDCOVER S.F.
2. TOTAL PROPERTY AREA S.F.
1 DIVIDED BY 2 X 100 = %
I hereby apply for a building permit and 1 acknowledge that the information above is complete and: accurate; that the work will be in confomtartoe
with the ordinances and codes of the City and wM 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 th approved plan. 11
APPLICANT'S SIGNATURE DATE
INSPECTION REQUIRED: WORK REQUIRINGAEPARATE 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 SE.SUBJECT TO.PENALTY Electrical from State
24 HOUR NOTICE REQUIRED CALL 471-73S7
ZONINQ GEBLIFIGATE
I do hereby certi�f 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
Received Time Jul. 21. 10:27AM .. Print Time Jul, 21. 10:29AM
9rliz. Nv-22• 2000112• I 7' 1;� LurR-J0NF� BIj DIvG � EPY!,T J-r ,,� LLLLXJUNL1:) I'll 42 1
VUD/ V1L
v
r
Cuatar..cr Nsma Phone - i lame
Phome -Work
tiev slag zio
1P
OO
T Vy
M
ft ANDEB$> N"
pg.# I Or—J.
Year Forme was built
Order# oE S.- 11
�.
F
ntractor license # MN 20130983ntractor license # Wl 266951
`f
Z 1
Z
-
U
x 5�
S
28
x
x s?
�P
3Z
x 5�
:rrl*r.1r!►r'P�lil !r•r zs ��rcl t.�r�,stau r,_
)l2S
Li�i
x
ifs . !�
Renewal by Andersen' Proposal
An of tltc s5ooc rsplaexra7r. a iq�pw y il�ry ryj. the rs y t iulstl itt lif b : e�xrutti.
T:tis yrvlrrxtl will rcYr.:., r+cJid For 30 �
Customer Aoc �ce
1a,JGy ru41,�,aa�d w .,„mil, .11 ,�Nlauuu�u...L.S..,... ,:,� J.— ' d L. —IA�•1`:: LhiJ : uienr U„
-L ,may u.,� g.�c i
wWch Ilu W/rkll4�Trrfl l brClS LV pay ilC :urwunr mrrdu:trd in tiutr ttgreetrlcnt :arJ arco4�:ng to thr :rrnu he,t+X.
You, the buy" Lnay r-uaccl this transaction ar arty time prior to midnight of
the third business day after the date of this tarmlaacdon. Please see attached
notice of CaTICCRaTioJ97rm for an explanation of This righr.
Dm,• 4°as rr Appmm:5iptcw•r
Renewal by Andersen° Acceptance
l7ak Ree.wd(� A. Jnwr� Mwr M..SiC.,en n
NOT BIMPING ON RENEMJ. GYANDERMN• WITHOUT MA14AGEMENT AC<fPTAN(P.
Labor & Maferiak �jZSU
SaW Tax
1 Total Amount of AgreementM-TRICOFinance0l Deposit Required
Balance Due on Completion ---
test of UAfOYC.0Cr1 Repairs
ArrvOxi!7rinF. !ldi11i71( pr rf�dllyNl,rrinP wAirb h/qy 8f Nrrrkdi! nar inrlwlrrL in
r/In epmnmr:mlr:r r0eeifirni;y nnred,rEnr
Akrur nine Awt, we are rmaUr ev &id Itrl 1/.-"4;rn(r ualmm d M4,!r. Howe we.
earrp xrxeeh danwge i.r diie6ivrd der(ng ',Urat&d#n, er will mnrplrrrand
drarfe'►N fir ;h e nprrin rrlran hoar rrpprwpl. A. d r and af'she job a e
rrmri?)TCHIM d4vir Will ks Mr AW and 9e Wig cimrr pvwr nrre rmiirluwt Mrjd
ria• &tsmJLrnhu rrrrr. '
lGsYh' 1J: r.:l wri,en: Lrh;ft Rerer.a,al dv 'Ar ewes.. }'Also,• l seoe!ler�r�... ltF�b > `rctso»:rr'
Received lime Nov.21, 9:47AW,
A
FormNo.259 Valuation $5280
BUSINESS RECORDS CORPORATION, MINNESOTA
w
Permit 125.25
State 3.00
'T 0 t a'1' ' ' $'1'2'8 : 2 5'
NO..00.-.42........
—*tote of Minnesota, .. �. i. t y .... Of . Spring Park .........
County of.. Ne.nneP.i.n ............ Office of ...Bu i 1 d i ng Inspector
iNut"'Abing 'permit
IN CONSIDERATION Or The statements and representations made by ......................
......................... R.enewa.l.. By..Ande.r5en....................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said...Renewal By Andersen (Elder Jones Permit Service..........................................................)............... as owner
to ... Rep 1 a c e . Ai. n d.o w s. p p.r . ap p 1.i. c a t i o n, ................... a building described as follows: kind of construction
(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 .................
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 J.S . contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the ..... City .......... of .. S p r.i.n g . P.a, r k ;
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:.. N on.e . of. the..f.o 1 1 o.wing............................
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the . B u i.l.d i n g. I n s p.e c t o 8f said ..... C.i.t y , . , . . , , . ... and its corporate seal and
attested by its ... Q i e r k.......... . . . ..this ... ? B t h ...............day of N o.v. e m b e. r.............. MOD....
Attest: V
............l.l.iam. D;,...eks.....C`�
Clerk
.......... Lyle..0man....... C (. ) ............. .
. . .Bu i.l d i ng..I n sp,ector