Permits - Permit# 791 - 4309 Channel Road - 1/1/1987CITY OF SPRING PARK 7
BUILDING PERMIT APPLICATION /
BUILDING PERMIT APPLICATION 1tEQUIRF.MENTS
Requirements to be handed in with Building Permit Application: Construction Plans should include:
1) Building Permit Application - to be filled out & signed a) First floor plan
2) Mechanical Permit Application 6 Calculation filled out da Footing 8 foundation plan
3) Energy.r_alculations - filled out b) c) FoFoovation8 un ati nides)
4) Furnish a Certificate of Survey - if required d) Wall sections 6 close sections
5) Furnish 3 seta of construction Plana: e) Details - stairs and any special.connectic
a) 1 set for City to keep on file
b) 1 set for builder to use on site
c) 1 set for the City of Spring Park
ZONING DISTRICT
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE
1 ACCESS
..NEW EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS:
INSPECTION REQUIRED
SITE ADDRESS l y5 C) Chainyl4 1 Wry
LEGAL DESCRIPTION: PROP. ID. 19 "( (% — 2 DO 3-2,
I nT BLOCK SUBDIVISION
WNER (Name)
V'�iC1% .�e�'
(Address) (Phone)
O Qj , 4_�(_
ARCHITECT/ENGINEER — Must Certify
ulti-Family, Commercial & Industrial Construction Plans
ERT.NO:
(Firm)
(Address) (Phone)
Ilse(
BUILDER (Firm)
(Address) (Phone)
TYPE OF WORK New Addition Remodel Renovate
TYPE
BLDG. SIZE
EST. CONST. VALUATION
'CO-N^STT.
-700
L. W.
Ht.
,
RESIDENTIAL'
STORIES B 1 2
3
PERMIT FEES
BDRMS/FLR
BLDG. PERMIT
DWELL.
UNITS
STATE FEE
PLAN REVIEW
GAR. STALLS
Planning Commission
ATT.
APP. DATE
DET.
PENALTY
DOCK
AVAIL. CHG.
NON -RESOD.
PROPOSED USE
SAC CHARGE
oCC.
C L ASS.
STORIES
COUNCIL
APP. DATE
TOTAL DUE
FOOTING before pour
.FRAMING rough -in
INSULATION
_ WALLBOARD Before Taping
FINAL before occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473.7357
CALL 8 - 12 A.M. INSP. 1 - 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING —
MECHANICAL —
SEWER
WATER
GRADING & FILLING
ELECTRICAL from State
ACKNOWLEDGEMENT
B�
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES UNOU
PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPTANCE OF
ALL INFORMATION, CONDITIONS AND REQUIREMENTS REPRE
PRESENTED ON THIS DOCUMENT. THE UNDERSIGNED FUR-
THER AGREES TO DO ALL WORKS IN STRICT COMPLIANCE
WITH ALL CITY ORDINANCES AND STATE OF MINNESOTA
BUILDING CODE REOUIREMENTS.
signaturDate
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.
authorized signature date
BUILDING CODE PLAN REVIEW
Building Official
(date)
( Approved Approved with Corrections Not Approved? Must be Revised
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