Permits - Permit# 08-15B - 2473 Black Lake Road - 1/1/2008Permit #:08-1513
City of Spring Park
4349 Warren Avenue, Spring Park, MN 55384
Building Permit
PINS: ADDRESS: 2473 Black Lake Road
Permission is hereby granted to: New Line Roofing
To install or construct the improvements applied for. This permit is granted upon the condition that
the person to whom it is granted, and his agents, employees and workmen, shall conform in all
respects to the Ordinances of the City of Spring Park and to the Statutes of the State of Minnesota in
such cases made and provided; this permit may be revoked at any time upon violation of any of the
provisions of said Ordinances, Statutes, or for any misrepresentation in the application.
Approved by MNSPECT, CBO Date: June 30, 2008
NOTE: This card must be placed in a conspicuous place at the address which work is to be
performed.
CITY OF SPRING PARK
4349 Warren Avenue, Spring Park, MN 55384
INSPECTION RECORD
PINS **
Building Inspections — Permit No. 08-15B
Footings
Ins pector
Framing
Insulation
Wallboard 134 taping
Final X
Others tear -off
ADDRESS 2473 Black Lake Road
Plumbing Inspections — Permit # **
Date Inspector
Rough -in
Air Test
Final
Permit #
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 performed. 952-442-7520
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Building Permit Application iiquirements:
1. Application to be filled Application gned
2. Mechanical Permit 8 Calculation filled out
3. Energy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
S. 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
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
_ S
CfTX OF SPRING PARK
4349 WARREN AVENUE
SPRING PARK, MN 55384
952-471-9051 FAX 952-4714160
BUILDING PERMIT APPLICATION
Date Received
Dab® Approved (� 3 i0 • ®R'
Pw mit No.
Fees To Be Charged: 3 .
Permit 10
Stabs Surcharge
Plan Review
SAC Charge
Availability Chrg r -
TOTAL
eld,
THE APPLICANT IS (CIRCLE ONE) OWNER OR CONTRACTOR
JOB SITE ADDRESS
HOME PHONE WORK PHONE
NAME OF OWNER 'IYc P�qrr C ZIP
MAILING ADDRESSL� ����1 M�
((�1
PHONE 76 3 -4SU - Zz oil MOBILE PHONE
CONTRACTOR
k .�. CITY �l ZIP
MAILING ADDRESS ? l q k-
STATE LICENSE NO. Zo 6 266 Z I
PHONE
ARCHITECTIENGINEER
CITY ZIP
MAILING ADDRESS
REGISTRATION NO.
NAME
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION REND ATE / LAND ALTERATION . r
D WORK be In Detail) d 1 � ^7 � � _,m
PROPOSE (DescFl
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STORIESso. FEET OR EACH FLOOR a NOF B GARAGE STALLS
BLDG. SIZE: LENGTH vam HEIGHT
ATTACHED OR DETACHED _ 6
ESTIMATE] CONSTRUCTION VALUATION (Mduftil land) $ 1
-,r
BU11.Di10PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A. House X =
LenWh WhIth
S.F.
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 admowledge 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 pemdt and work Is not to start without
a penult; and that the work will be In accordance with the approved plan.
APPLICANT'S SIGNATURE DATES
A
G4
INSPECTION REQUIRED: WORK REQUIRING SEPARATE 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 BE SUBJECT TO PENALTY Electrical from State
a
24 HOUR NOTICE REQUIRED 1 S If l0
ZONING CERTIFICATE is C �-
1 do hereby certify to the iCial tltat the following described work has been reviewed
for
compilan wilt the jig Requ6 a of the City of Spring Park and will be approved for construction upon
approval the cm plans by the Building Official.
Name Data
BUILDING CODE PLAN REVIEW
Name Date