Permits - Permit# 03-47 - 4309 Channel Road - 1/1/2003CITY OF SPRING PARK
4349 WARREN AVENUE
SPRING PARK, MN 55384
952-471-9051 FAX 952-471-9160
BUILDING PERMIT APPLICATION
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) KOWNE4 OR CONTRACTOR
JOB SITE ADDRESS
Date Received
Date Approved —?e o3
Permit No.
Fees To Be Charged:
Permit
State Surcharge (. so
Plan Review s 1 1
SAC Charge
Availability Chrg
TOTAL 1 %(0
NAME OF OWNER !" l LA � P t� E� ('�I HOME PHONE WORK PHONE%L 23-7 7 S
MAILING ADDRESS S A M CITY 15f)f -P. k ZIP 4—
CONTRACTOR PHONE MOBILE PHONE
MAILING ADDRESS CITY ZIP
STATE LICENSE NO.
ARCHITECTIENGINEER
MAILING ADDRESS
PHONE
CITY ZIP
NAME REGISTRATION NO.
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION RENOVATE LAND ALTERATION
ZONING DISTRICT
STORIES SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE STALLS
ATTACHED OR DETACHED BLDG. SIZE: L GTH WIDTH HEIGHT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ oD
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'BUdLDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A.
House
X
= S.F.
Length Width
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 l
= S.F.
F.
Other
X
= S.F.
1. TOTAL HARDCOVER
4 3 S.F.
2. TOTAL PROPERTY AREA
O O O S.F.
�--
1 4 Z DIVIDED BY 2 0 0
X 100 = %
I hereby apply for a building permit and I ackno ge that the Information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the City and Staft 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 accord ce ap ed plan.
APPLICANT'S SIGNATURE DATE / �"—
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
24 HOUR NOTICE REQUIRED CALL 952-249-"00
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
Date //" /g - 03
1 ;
m
'-- P. C.
W-- W— ,.90 Valuation $3,000
Election Systems and Software 1-800-800-8225
Permit $ 83.25
State 1.50
-PI •REv..... 54:11l?,..03-47........
Total $138.86
tP of Minnesota, ...City.... •of .. Spring- Park.......... .
County of.. Hennepin Office of ,Building Inspector
IN CONSIDERATION OF The statements and representations made by ......................
Mhael Berg
.............ic.ae.:................................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said .. , . Michael. ......
Berg .... as owner
......................................................
Replace existing deck on same footprintand'reinforce or
to............................................................... a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may 'be) reel ace footings as needed.
....................................................................................................
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 ................
4309 Channel Road 19-117-23-12-0032
....................................................................................................
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 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 o f t h e fo 11 owi n g
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the .Building. Inspector. .. of said ..... City ............ and its corporate seal and
attested by its ... Clerk ............... this .. 24th November 2003
............ dayof ................... Yeas•.........
Attest:
William D. Weeks
.�......
...Cler.k.................
Lyle Oman (.��
. )
. Build.ing. Inspector
.1 C
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