Permits - Permit# SP14-018 - 4309 Channel Road - 1/1/2014CITT OF SPRING PARK
4349 Warren Avenue Spring Park, MN 55384
Phone (952) 471-9051 Fax (952) 471-9160
BUILDING PERMIT
Noise Ordinance In Effect:
_ c
X
O C � Z
r- t7
Monday - Friday before 7 a.m.
and after 10 p.m.
Weekends/Holidays before 7
a.m. and after 8 p.m.
DATE 5.- / - /
CHANGES TO APPROVED BUILDING PLANS MUST HAVE CITY APPROVAL
SITE ADDRESS A130,7 Channc-_ l PID 063
/Yl i GhCc e l m� Lc�Pi-i �JGv �/ 6) Chi9 ' ne.i s n•� /� l AIL 553
CONTACT NAME - PHONE - EMAIL - FAX ISa 517/ f3 319 /3A,e v0ctecF x InS.v, COm
ARCHITECT (if Reaulred) Name/Address/ ity / State ZJo I Phone
i
CONTACT NAME - PHONE - EMAIL - FAX
CONTRACTOR LICENSE #
— TYPE OF WORK - _
❑ Commercial Residential
❑ New Home
❑ Deck
❑ Re -Roof
❑ Addition
lo
Fence Height:
❑ Re -Side
EST. VALUATION OF WORK
$
❑ Remodel
❑ Pool
❑ Ret. Wall Height:
Finish Basement
❑Stucco Demo
❑ Window Replacement
Building Height: Feet
❑ Accessory Structure
10 Stucco
❑ Other:
# of Stories:
SCOPE OF WORK: Rf PL
e� �c i�E.v F ,c,e�� r�c�,vG CR / a S
Use of Building:
1pnanae of tide application by the legal property owner or a fte.6 contractor, as the owners representative Is required and authorizes the City Zoning Administrator or designee and the Clry Building Official or designee
enter upon the property to parform needed Inspections. Entry may be without prior notice. I hereby ackrwwledge that 1 how rod this application and state that all Wormatlon Is true end correct to the best or my
tnowledge. I further agree that all work performed will be In accordance with approved plans. spemSfi I I bons and conditions and ear abide by all ordinances of the City and the laws of the Stale of Minnesota regarding actions
tOmpursuant to this pelft I area to pay all plan review fees even B 1 choose not to proceed with the work Pem h e 1 1 - when work Is not commenced with 180 days from date of permit Issued. or it building and
work Is suspended. abandoned or not Inspected for 180 days. work beyond or without a pemdl or inspection will be "so to a penalty.
Call MNSPECT for Inspections at (952) 442-7520. (24 Hour Notice) 8:00 a.m. - 4:30 p.m.
SIGNATURE OF APPLICANT: DATE:
PRINTED NAME: GlJ�itJ �,�,
DATE: S-/-/
LEGAL DESCRIPTION: Lot Block Addition Zoning
Valuation of Permit: $ ILot
Area:
OCCUR TYPE: CONST. TYPE: CODE: BLDG SPRINKLED
Yes / No
SETBACKS: REQUIRED J%_
—Front (ROWS
Rear
ACTUAL_Peron
_._ -
. _
—
'NOTE: Commercial plans will
be submited to the Met
Council Environmental Svcs
for SAC (sewer availability
charge) determination.
Escrow payment will be
required when permit is
If after Met Council
review no SAC is determined,
escrow will be refunded in full.
Fee:$
-- Plan Check Fee:$
—State Surcharge_$
Site Insp. Fee:$
_ Muni SE/WA Fee:$
S.E.0 Fee :$
Side
_- - Side
_ — Comer
- _ _ Lakeshore
Wetland
Other
_ _ - - -
issued.
*2013 SAC Escrow :$2,435
WAC Charge:$
Sewer a H2O Hook-up:$
sewer a 1120 oacak,ea:$
—
-
— - -- r- ---- -
Paid — —_ - Receipt No.
Date ;Bv
TOTAL DUE: iS
BUILDING APPROVAL BY- j DATE:
— — -- _ — - — TIME:
CITYAPPROVAL BY. 'DATE:
---. - - - - --.._-.. TIME:
All now construction and/or dwelling expansion shell require certified survey dated within five years of application.
All new construction and/or dwelling expansion will be subject to contracted planner review and ma add to the review time.
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GENERAL LAND USE APPLICATION
Application No:
Date Filed:
Date Complete:
Received By:
Base Fee:
Escrow:
Instructions: Please read carefully and answer all questions thoroughly. Only complete applications will
be accepted after validation by the Zoning Administrator, and prior to acceptance of required processing
fees and escrows.
PROPERTY INFORMATION
Property Identification Number (PID): oo 33
Street Address: 43 n9 Cff14A)A) L ,2D
Legal Description: ,3/IARP /. ir)b ywsi Ro 3F yicz- w% a t ,OA'el- OF 407-
i l ye
Other information:
APPLICATION INFORMATION
Name: lVlkfye WfaJdy %MG Business Name:
Address: 4/309 CE1,4nJA>£ L AD
City: _W,el.-) C PO"X State: M/-., Zip Code 553 8y
Telephone 9 5`a -/I,/ 8339 Fax e-mail
PROPERTY OWNER INFORMATION (if other than applicant)
Name: Business Name:
Address:
City: State: Zip Code
Telephone Fax e-mail
REQUEST
Comprehensive Plan Amendment
Ordinance Amendment (text or map)
Conditional Use Permit
Interim Use Permit
Administrative Permit
Variance X
Appeal
Site and Building Plan Review
Subdivision Sketch Review
PUD (concept plan/development)
Preliminary Plat
Final Plat
Minor Subdivision
Other:
DESCRIPTION of REQUEST (attach additional sheets as necessary) CA
Existing Use of Property: y 440,E,v /10 " 4to,06 /aS
FIZam /AKE 7o t 1Jo U,O=
Nature of Proposed Use: iQEP444C'E %AJdE , fV 44A),D AA)) ,2o7.
w* PC,4.v 7D " - 4 S£ A S ,4-5 A0551,64-F- f ,2gAe-4
A-4-j- Fyos 7
Reason(s) to Approve Request: Oil /G 11tJAL j1,4 X i,4 c1!/E 4g of ST 0fi-/F7y 5 -7-,F7
Z,LM5 1�11 IJ-O Fog ADD-17?oxJAz Ht l G h? Pkc< 72 /Z084) Q,.r-b
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DESCRIPTION of REQUEST (attach additional sheets as necessary)
Please describe any previous applications pertaining to the subject site:
/W e v/OaS PA-7�P 5-7-97 %lP "P.5D 14DA iY�h'�/GAT
Project Name: P,Qid,4C y !. EIIC'F— Date of Application: S- /— /AI
Nature of Request:
APPLICATION FEES AND EXPENSES. The undersigned has paid the application fees and
posted the required escrows for this application. The undersigned agrees to pay all expenses
incurred by the City of Spring Park for review and processing of this application, including
expenses for legal, planning, engineering, administrative and/or other professional services. If
these expenses exceed the application fee paid and the posted escrows, the undersigned
understands and agrees that it is the responsibility of the applicant and the property owner to
pay such expenses in full within 30 days of receiving a bill from the City. If the City does not
receive payment in full within 30 days of the date of the bill, the City may approve a special
assessment against the property for the full amount of such unpaid expenses, and the property
owner specifically agrees to such an assessment and waives any and all appeals under
Minnesota Statutes Section 429.82. All fees and expenses are payable in full whether the
application is approved or denied. Escrow funds received in excess of the City's expenses for
review and processing of the application will be returned to the applicant/property owner.
I, the undersigned, hereby apply for the considerations described above and declare that the
information and materials submitted in support of this application are in compliance with
adopted City policy and ordinance requirements and are complete to the best of my knowledge.
I understand that this application will be processed in accordance with established City review
procedures and MN Statutes Section 15.99, as amended, supplemented or replaced from time
to time, at such time as it is determined to be complete. Pursuant to MN Statutes Section 15.99,
as amended, supplemented or replaced from time to time, the City will notify the applicant
within (15) business days from the filing date of any incomplete or other information necessary
to complete the application. Failure on my part to supply all necessary information as
requested by the City may be cause for denying this application.
A complete application shall include a completed and signed application form, payment of all
required fees and escrows, and a complete plan submission for the specific application.
I acknowledge and grant permission to any city staff members, city consultants, council
members or planning commission members to access the property named in this application, at
any time during this application process, in order to view, evaluate and understand this request.
Applicant: Date:
Property Owner: Date:
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APPLICATION FOR VARIANCE
CITY OF SPRING PARK
NAME OF APPLICANT
ADDRESS it30".) 1- V\a-'A v-,e- ( 'ed.
J
INTEREST IN PROPERTY O( JylLo J--
FEE OWNER (if other than applicant)
ADDRESS
ADDRESS OF PROPERTY 4-3 C> t) C(-\
FEE S
TEL. NO. 4-' i —g33 �
TEL. NO.
LEGAL DESCRIPTION OF PROPERTY T,Cii, 0. /,-z dC)3z
ZONING
REQUEST FOR VARIANCE IN REQUIREMENT FOR FRONT YARD U U----I�.J SIDE YARD
REAR YARD = ACCESSORY BUILDING
LOT SIZE = OTHER (describe)
c REASON: �VeSt U�1' lZ-InC_t✓ TO r- 4�Ir �e lnC� �X"t , O-s'U
my IC7l. t 5 �Z` Ce��. -gyp O � , 20�, (a W1 Sitit-����,
�-o vvl G ale �o e. v..d o �
I / v S vlC'e o li t �-- It
Zy c�� t Lo ( a
$e- (�eve�s, Z Q-� o vet
r
c l-ooU (a i� CN it
V s i ot� nor- took cz(�
%act -tr0 Ube � �fit
, ; -, -ems s s �S P.
q-0-0 LA 1 �e C�V $ e c-a�' �� . /T V,
a survey � r- -(try-s
AtTach a survey orscale drawing showing th(, locnhon of the ro o e ! J+-
1 relation is lot lines, other bli0din^s on the property and on adjoining properties
and streets.)
APPL ICA.N44- CITY OF SPRING PARK
ADDRESS 4> o �1 n SPRING PARK, MINNESOTA
NOTICE OF PUBLIC HEARING
DATE S FOR A SET BACK VARIANCE
PLANNING COMMISSION RECOMMENDATION: —^---
NOTICE is hereby given that the Planning
Commission of the City of Spring Park will hold
a public hearing on Wednesday. June 10, 1987
at 7:30 p.m. at the City Hall, 4349 Warren
Avenue, to consider the request of Michael Berg
for a lakeshore setback variance to allow con -
DATE struction of a privacy fence on the following
COUNCIL ACTION
— described property: 4309 Channel Road, PID
19-117-23-12-0032.
DA tE All comments, oral or written will bee conal-
dered at the above time and place.
RESOLUTION NO.
CITY OF SPRING PARK
ey Patricia Osmonson
Administrator/Clerkrrreasurer
(Published in The Laker on June 1, 1987)
A BUILDING PERMIT MUST BE APPI IFn FOR WITHIN 1 YW
OF THIS RESOLUTION OR IT HECOMES NULL.
FROM TH
1-Ir
AND VOID.
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Ri"riolS:L vjAjvlDrDLED
r RECDRID PLArS .................
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MAN-
Form No. 259—(Rev. 6-10-e0) .a ��� Miller -Davis Co., Minneapolis
,�......_s. �,�� no. .................... 9�
$- ....................._
faDZYiitPSDM' _.......of.. __
/ 7 n Jr1w�.................
County of ---•- 7s- _ Office of .....i ! t..............
uttain Permit
g
IN CONSIDERATION OF The statements and representations made by...........................................................................
u.._. ._..._.._.............................. _..................................................................................
....
in.. ......... application therefor duly filed in this office, which a licati is hereby made a part hereof, PERMISSION IS HEREBY
GRANTEDTo said .......................................................... --- —___ _ _�___ _ ���._.. ...... _..... ........................ _..................... as owner
to...... ......hi ...� y�........_a building escribed as follows: kind of construction
----•------ - - y.._.....
. .................(build, erect, install, add toalte�,lre air, move, wreck, as the case ma be)
�zy -` --- - Y...... _.._..
...-."�....:.�....
frontor 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...
...... ................... .................................... =--- ............, . �..�:.:--....�.�.�...� ��.:_. - ...-.:.........-----•-•----...................---------•------.....-
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—___ contractors, agents, workers and employees, shall
comply in all respects with the ordinances of the ......................... &C � _........ - ....................... of__...� x .. / .........; that it does
not cover the use of public property, such as streets, sidewalks, alleys, etc., for which special permitzust be secured; and that it does
not cover the following. �U a tJ p. ,(_. -
....................................................... ...........T._..... ' p.......... g .......
(Electrical work, pluming, beati lasterin , etc., if such the be.)
for which special permits must be secured.
Given under the hand of the ......... :............._.... _ ................of said n.. and its corporate seal and
attestedby its ..................... 6.---------.....--•-----•---.this...._............. c ......day of-_-------.--------••-•-------•-•--------
Atte .
— .............�__...._ _ _ .—_..........--- - U ....r.__...._
r
THIS CARD MUST BE VISIBLY POSTED/ CITY. Of SPRING PARK Permit #
ACCESSIBLE, AND PROTECTED FROM.
WEATHER AND PHYSICAL DAMAGE PERMIT CARD S P 14-018
FOR THE DURATION OF THIS PERMIT.
(VA ID FOR A SINGLE PROJECT)
NATURE of WORK: i c-,) 'i vir V014
Site Address: �',Oe� iea. Building: e�i a e 'I 1
Applicant Name: a, W e r Date Issued:
IN ECTION RECORD
REFER TO HANDOUT FOR INSPECTION REQUIREMENTS
OFFICE USE
Q ROOFING
Q SIDING [] WINDOW DOOR
HANDOUT
INSPECTOR:
DATE:
Issued by: Received by:
Q FENCE M SHED
Front: Back:
INSPECTION:
DATE:
Side: Side: -
MECHANICAL
O FIREPLACE O PLUMBING
COMMENT
ROUGH -IN:
DATE: Pressure test plumbing and hydronic piping
GAS LINE:
DATE: Air test required for new gas line
FINAL:
DATE: Gas line fitting test required
MUST. CALL TO SCHE Ut�NO LATER TAA THE. BUSINESS
P will expire 180 days after Issuance: ,
iDwnw IQK7-4a7_757n MNCPF(T_ 1 I r
THE INSPECTION DAY
with the MN State ng Code.
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