Permits - Permit# 04-04 - 3826 Budd Lane - 1/1/2004CITY OFFSPRING PARK
4349 WARREN AVEN U E
SPRING7PARK, MN 55384
952-471. 051 FAX 952-471-9160
BUILDIN PERMIT APPLICATION
i
Building Permit Application Requirements:
1. Application to be filled out & signed
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
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS (CIRCLE ONE) _ OWNER OR
JOB SITE ADDRESS
Date Received
Date Approved 3 �-Uy
Permit No. Uzl_ "/4/
Fees To Be Charged. -
Permit 23 cr l -I S
State Surcharge I )g.00
Plan Review 12
SAC Charge
Availability Chrg
TOTAL
NAME OF OWNER"J/jA/l✓ / / /;} R7 6 HOME PHONE' 55,2 /7e-534.1—WORK PHONE 6.3- -f7' SUXS
MAILING ADDRESS y/S/�f�D�il CITY ///N ZIP �1•o�Tiiv
CONTRACTOR zz I�%J% PHONE MOBILE PHONE
MAILING ADDRESS _
STATE LICENSE NO. _
ARCHITECT/ENGINEER
MAILING ADDRESS.
NAME
CITY
ZIP
PHONE �76 3 — S %/- g;? ,M
Y�ZIP 5S-610-.
TYPE OF WORK: NEW X ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION , / RENOVATE LAND ALTERATION
PROPOSED WORK (Describe in Detail). IV
ZONING DISTRICT
/ F/oor/Pd'/
STORIES �_ SQ. FEET OR EACH FLOOR;�''_'46--1&Vr-_ NO. OF BEDROOMS _�_ GARAGE STALLS _
ATTACHED OR DETACHED BLDG. SIZE: 0 LENGTH
�r/1DDT WIDTH�
/ HEIGHT ,Z
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ 2,50 U lJ
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BUILDING PERMIT APPLICATION
PAGE 2
J
HARDCOVER CALCULATION WORKSHEET
A. House /A01-5 X 39
S.F.
Length Width
_ X = S.F.
B. Garage L fr-D %/f�C = S.F.
C. Driveway X = S.F.
X = S.F.
D. Sidewalk 22 X = 0?5// S.F.
X = S.F.
E. Patio/Deck X F.
F. Other X S.F.
1. TOTAL HARDCOVER /a, Z%(o S.F.
2. TOTAL PROPERTY AREASS.F.
1 Z 76 DIVIDED BY 2,20., S9S_' X 100 = -�3D
I hereby apply for a building permit and I ackno edge that the Information above Is complete and accurate; that the work will be in conformance
with the ordinances and codes of the City a wi h the th Iding 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 accor nc the plan.
APPLICANT'S SIGNATURE DATE 211710%
INSPECTION REQUIRED: WORK REQUIRING SEPARATE PERMITS:
< Footing before a r Plumbing
Framing rough-i Mechanical
_Insulation Well
Wallboard before taping Grading & filling
r' FINAL before occupancy er Sewer
Water
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT TO PENALTY D� Electrical from State
24 HOUR NOTICE REQUIRED CALL 952-249-4600
ZONING CERTIFICATE
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
Name Date 2 " Z
/U0�T— sc' %� ,,,, r i'L�-zr�.�-� z 2 Flooit l=inrtSff
1 /VO nO, CnG���i7Y UNT / C, c: X TL-YLf d fl a r' !SLs�6
Fnrm Nn_ 2199
Valitatinn t150.000
Election Systems and Software 1-800-800-8225
Permit 2393.75
State 175.00
• PI• Rev• • • 1556,94
..............
Total 4124.69
to of Minnevots, , .City• .... of , Spring Park
County of ...... He.nnepin Office of . BuildJing Inspector
Tsut-lbing Ik
IN CONSIDERATION OF The statements and representations made by ......................
John Martin
....................................................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said .... ,John Marti n
as owner
to Bu i 1 d new home per a pal i cati on ....... a building described as follows: kind of construction
.............................
(build, erect, install, add to, alter, repair, move, wreck, as the case may bet
....................................................................................................
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 ............... .
3826 Btidd. Lane 17-117-23.-23-0030
....................................................................................................
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 .... C i .ty........... , 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 f o 11 e .v i rl g
...............................................
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the .B, i.l d i n g Ins sector . of said . , . City . and its corporate seal and
attested by its . • .. ... ... • , .. this ....................... day 3rdMarch of ................... Year.... .. .. .....
Attest:
.............. Wi11iam. D...Weeks ..... { ...... .......Lyle Oman..... ��.�...................
Clerk Building Inspector
........................ ........................