Permits - Permit# 96-34 - 2486 Black Lake Road - 1/1/1996CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
Building Permit Application Requirments:
1. Application to be filled out & siggned
2. Mechanical Permit Application & Calculation filled out
3. Energy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
5. 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
CITY OF SPRING PX-K
P. O. BOX 452
SPRING PARK, MN 55334-0452
Date Received:
Date Approved: 9�9
Permit No.:
Fees To Be Charged:
Permit $
State Surcharge
Plan Review
SAC Charge
Availability Chrg
s-o
TOTAL $ 'z 9< -2
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) OWNER or CONTRACTOR / Y -
ooa�
JOB SITE ADDRESS Z-4 a �y (a &Ae�<Ae4gez Kb, ► 5-F P, n-A(p f PKr—
NAME OF OWNER �0� [ r�� HOME PHONE ? ($13 WORK PHONE
MAILING ADDRESS ?4 91�1 /904'e 0% CITY �J �� � � ZIP
CONTRACTOR � � PHONE -�1-141-54 MOBILE PHONE
MAILING ADDRESS � l CITY
STATE LICENSE NO.
ARCHITECT/ENGINEER
MAILING ADDRESS
NAME
PHONE
CITY
REGISTRATION NO
TYPE OF WORK: New Addition Accessory Structure Move Demo
Remodel/Alteration Renovate Land Alteration
ZIP
ZIP
PROPOSED WORK (Describe in Detail)
ZONING DISTRICT
STORIES
STALLS
SQ. FEET OR EACH FLOOR
ATT. OR DET.
NO. OF BEDROOMS
BLDG. SIZE
GARAGE
W HT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $
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A
CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A.
House
X —
Length
Width
X
B.
Garage
X =
C.
Driveway
X =
X
D.
Sidewalk
X —
X
E.
Patip/
X =
Deck
F.
Other
X =
X =
1.
TOTAL HARDCOVER
2.
TOTAL PROPERTY AREA
1
=2
S.F.
S.F.
S.F.
S.F.
S.F.
S. F.
S.F.
S.F.
S.F.
S.F.
S. F.
S.F.
o�
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work
will be in conformance with the ordinances and codes of th City and with the State Building Code; that I understand this is
not a permit and work is not to start wit permit; a at the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE DATE 15� 9
INSPECTION REQUIRED:
Footing before a pour
Framing rough -in
Insulation
Wallboard before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT TO PENALTY.
24 HOUR NOTICE REQUIRED
473-7357
WORK REQUIRING SEPERATE PERMITS
Plumininn
Mechanical
Well
Grading & filling
Sewer
Water
Electrical from State
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.
Name Date
BUILDING CODE PLAN REVIEW
Name
Date
1
CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
ADDENDUM
Construction Plans must also include a Landscape Plan if applicable.
Certificate of Survey must include:
1. Location of the proposed building in relation to lot lines
2. Other buildings on the property
3. Buildings on adjoining properties in relation to lot lines
4. Location of street(s)
5. Location(s) of all easements on the property
6. Buildings in relation to the ordinary high water mark of 929.4'
if applicable
Survey must be current depicting all existing structures and
including all of the above information.
No.zs9 Valuation $ 600.00
BUSINESS RECORDS CORPORATION. MINNESOTA
a
Permit $ 23.75
State .50 96-34
7ot'a'1' ' .$' '2CY6
tP DfiggPSa#tt, ..l ty..... of ...Spring Perk ..........
Building Inspeor
County of .... Henn?p. i n ............ Office of ......... ct
0-no jJerm-t
Nut t
IN CONSIDERATION OF The statements and representations made by ......................
DonFrazee........................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said........ QQn .Frazee.......................................................... as owner
to............................................................... a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
Ipspw?. &. stucco. garage. 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 ................
2486 .................... Lake Road.,.... ...............................................
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 . 5.. contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the ... City ............. of .Sprang 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 .. Inspector . of said City , . , .... and its corporate seal and
erk 96
attested by its ... Cl.................. this .. 1....................9th day of ..September 19..... .
Attest: 0 )
Patricia Nigus......`Z �............. Lyle Oman..... � �....................:
Clerk Building Inspector
........................