Permits - Permit# 97-32 - 4309 Channel Road - 1/1/1997CITY OF SPRING PARK f'.Y 01�--
BUILDING PERMIT APPLICATION rR 0.
Building Permit Appplication 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
Date Received: S�a 7 Ag
Date Approved: SXa Y 9�
Permit No.: - 3 ;2,
Fees To Be Charged:
Permit $ G 2. ZS
State Surcharge 1 00
Plan Review '-1 ro
SAC Charge
Availability Chrg
TOTAL $ 03• � (
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) �O'WWNEeR,or CONTRACTOR
JOB SITE ADDRESS C4AP ArCA,-
NAME OF OWNER ��� HOME PHONE WORK PHONE ZI-9 l6
MAILING ADDRESS I'S A3k-'V�-- CITY
ZIP 2.
CONTRACTOR 6.j kA-U* 60fA H NE ! -40�� MOBILE PHONE
(/fix. V o¢ To Cr7
MAILING ADDRESS 53CP GO4� PONt CITY _52��, cw-1C, ZIP `,<Z C7
STATE LICENSE NO. 0 Z4-" ��
ARCHITECT/ENGINEER t/?r_ �,.�� �.,,�,o� PHONE
MAILING ADDRESS L/ILAr_ CITY
NAME
TYPE OF WORK: New Addition
Remodel/Alteration
PROPOSED WORK (Describe in Detail)
ZONING DISTRICT
REGISTRATION NO
Accessory Structure Move
Renovate Land Alteration _
Demo
ZIP
STORIES SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE
STALLS ATT. OR DET. L W H
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ �CXD
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CITY OF SPRING PARK
BUILDING 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/
X =
S.F.
Deck
F.
Other
X =
S.F.
X =
S. F.
1.
TOTAL HARDCOVER
S.F.
2.
TOTAL PROPERTY AREA
S.F.
1
=2
X100= %
I hereby apply for a building Permit and I ackn edge tha he information above is complete and accurate; that the work
will be in conformance with the ordin ces end codes of the it and with the State Building Code; that I understand this is
not a permit and work is not t a perm' t the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE i ATE
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
473-7357
WORK REQUIRING SEPERATE PERMITS
Phlmhinn
Mechanical
Wall
Grading & filling
r%awar
Water
Electrical from State
ZONING CERTIFICATION
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 ✓ r' C.� Date . Z _
Z�.zXlo
I
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CHOICE WOOD
COMPANY
3300,Gorham Avenue
Saint Louis Park. MN 55426
Phone (612) 924-=
Fax (612) 924-0269
Form No.259 Valuation $2000
BUSINESS RECORDS CORPORATION. MINNESOTA
Permit $ 62.25
State 1.00
Total $103.71
#tt#e of Minnesota, ..City Park
....
County of.. Hennepin Office of .. Bui lding Inspector
tl�t Alt
IN CONSIDERATION OF The statements and representations made by ......................
......... ................Mike,Berg................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said ...Mike Berg............................................................. as owner
to ....... p.
Re lace.windows
.............p ..eraP.licatio..n . .......................a building described as follows: kind of construction
.. P......
(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 hi $ ... 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:.. Npne , of ,the , f p 1 1 pw i ng ........... . ................... .
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the Bui 1 d i ng . I n 5 pe cto r . , , of said . C i tx .. . ... . . . . . . .... and its corporate seal and
attested by its ...... Clerk ............ this . ?$th .................. day of AUNS.t ................ 19 97... .
Attest: ,
...........Patricia .. ......�C'l...........
Clerk ..............
....... Ly 1 .. Oman ... a (.) ......................:
.. Building. Inspector... .