Permits - Permit# 97-06 - 4309 Channel Road - 1/1/1997CITY OF SPRING PARK
r - ` BUILDING PERMIT APPLICATION
CITY OF SPRING PAI�C
P. 0. BOX 452
SPRING PARK, MN 55384-0452
Building Permit Application Requirments:
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 R
THE APPLICANT IS: (Circle/One)
JOB SITE ADDRESS L` >
OWNER or
CXAVA v\
Date Received:
Date Approved:
Permit No.:
Fees To Be Charged:
Permit $ ' 9�7 --A
State Surcharge --:7-40 &
Plan Review
SAC Charge
Availability Chrg
TOTAL $ /52- .5 �-
BE STARTED
/ IF- //i --23-is - OG 5,)-
NAME OF OWNER HOME PHONE L17! '1 WORK PHONE 2-1YO 3
MAILING ADDRESS CITY S ZIP
CONTRACTOR �`e `�``�� �PH0NE MOBILE PHONE C'
MAILING ADDRESS �d �\n'r CITYZIPS
STATE LICENSE NO. -2, d ���g // 1
ARCH ITECT/ENG IN EER
MAILING ADDRESS
NAME
TYPE OF WORK: New Addition
Remodel/Alteration
PROPOSED WORK (Describe in Detail)
0
ZONING DISTRICT
PHONE
CITY
REGISTRATION NO
Accessory Structure Move
Renovate Land Alteration _
ZIP
Demo
Al
/11
STORIES SQ. FEET OR EACH FLOOR f �D O NO. OF BEDROOMS GARAGE
STALLS ATT. OR DET. BLDG. SIZE
ESTIMATED CONSTRUCTION VALUATION (excluding land)Cl S Z)
L W HT
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CITY.�OF SPRING PARK
f UMbING 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.
Patipeck/
X
= S.F.
F.
Other
X
= S.F.
X
= S.F.
1.
TOTAL HARDCOVER
S.F.
2.
TOTAL PROPERTY AREA
S.F.
1
_ 2
X 100 = %
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 tpe ordinances a codes of the Cit and with the State Building Code; that I understand this is
not a permit and work is not to start withou er it; and that t ork will be in accordance with the approved plan.
biAPPLICANT'S SIGNATURE DATE 3
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
473-73S7
ZONING CERTIFICATION
WORK REQUIRING SEPERATE PERMITS
Plumbing
Mechanical
Wall
Grading & filling
Sewer
Water
Electrical from State
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
Form No. 259 Va l ttat i nn U500
BUSINESS RECORDS CORPORATION, MINNESOTA
Permit $ 97.82
.... P1av -Re • • • • .56•.711 III.. ........
Total $156.53
Otate of Minntoats, i tY...... of .Spring Park ...........
County of.. Hennepin Office of Building InspectorTsutomp Ilermtt
IN CONSIDERATION OF The statements and representations made by ......................
................... LakewoodjpinerY.................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said Lakewood Joinery as owner
to ... Tear.off, and .re -roof per.application.................... a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
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 i5.. 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:....... N40e . Pf . the . f P 1 1 PW z n9...........................
(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 ng Inspector of said . ,City .... . , .. and its corporate seal and
attested by its .. 1 erk ................this .. 11 th .................day of ...March ............ 19. 97.. .
Attest:
Patricia Higus u�)
Clerk
........................
Lyle Oman..... V ...................
. Bu.i.ld.ing. Inspector ...