Permits - Permit# SP14-034 - 4317 Channel Road - 1/1/2014L
CITY OF SPRING PARK
Noise Ordinance In Effect:
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4349 Warren Avenue Spring Park, MN 55384
m
Phone (952) 471-9051 Fax (952) 471-9160
Monday- Friday before 7 a.m.
-C X
and after 10 p.m.
Weekends/Holidays
3 Z
BUILDING PERMIT
before 7
Ia. m. and after 8 p.m.
DATE B
CHANGES TO APPROVED BUILDING PLANS MUST HAVE CITY APPROVAL
SITE ADDRESS PID k V: _ _ Q ?]
OWNER Name /Address/ City/ State zl
LA -3 CL kYA
CONTACT NAME - PHONE - EMAIL - FAX
ARCHITECTi Ad re i /Phone
777
CONIRACIORm Address/ I I
-n !
`�5
CONTACT NAME -PHONE -EMAIL FAX - cJ :5- S
CONTRACTOR LICENSE #
_ TYPE OF WORK_
—
❑ New Home
❑ Deck
Re -Roof
❑ Addition
❑Fence Height:
❑ Re -Side
❑ Commercial esidential
EST. VALUATION OF WORK
❑ Remodel
❑ Pool
❑ Ret. Wall Height:
$ 5
❑ Finish Basement
❑ Stucco Demo
❑ Window Replacement
Building Height: Feet
❑ Accessory Structure
10 Stucco to
Other:
# of Stories:
SCOPE OF WORK -
Use of Building:
Signature of this application by the legal property owner or a licensed contractor. as the owner's representative Is required and authorizes the Clty Zoning Administrator or designee and the City Building Official or designee
to enter upon the property to perform needed Inspections. Entry may be without prior notce. I hereby acknowledge that I have read this application and state that at information is We and correct to the best of my
knowledge. I further agree that all work performed will be in accordance with approved plans. specifications and conditions and to abide by all ordinances of the City and the laws of the State of Minnesota regarding actions
taken pursuant to this Permit I agree to pay all plan review fees even If I choose not to proceed with the work. Permit expires when work Is not commenced with 180 days from dale of permit Issued. or t buUding and
workIs suspended. ebemtlonetl Or net Imsp8Cl8tl for 100 days. WO tl W wi(hOUt a pemhll Or Inspector well be subject to a penally.
Call MNSP or Insp o t (952) 442-7520. (24 Hour Notice) 8:00 a.m. - 4:30 p.m.
SIGNATURE OF APPLICANT: ` DATE:
PRINTED NAME: ;DATE:
OFFICE/
LEGAL DESCRIPTION: Lot Block Addition Zoning
Valuation of Permit: $ I
Lot Area:
OCCUP. TYPE: CONST. TYPE: CODE: BLDG SPRINKLED
Yes I No
SETBACKS: REQUIREDM,
ACTUAL (ft)_—
Permit Fee:$
Front ROW
---- ----- (---)
"NOTE: Commercial plans will
-- Plan Check Fee:$ - �—
-- Rear
—
be submited to the Met
Council Environmental Svcs
State Surcharge:$ S'
--
_ Site Insp. Fee:$
- Side
—
Side �—
_
for SAC (sewer availability
_ Muni SE/WA Fee:$
_— — Corner
charge) determination.
S.E.0 Fee:$
—
'201,3 SAC Escrow :$2A35
Lakeshore
Escrow payment will be
Wetland
required when permit is
WAC Charge:$
Other
issued. If after Met Council
review no SAC is determined,
— - - —
sewer 8 H2O Hook-11p:$
Sewer 8 H2O Dlsconned:$
.escrow
will be refunded in full.
_-,__.. _ _ _ _
air Meter:$ -
Paid Receipt No.
er:$
_..................._.--......-._... _ .
Date :By
__... —_
$
TOTAL DU
BUILDING APPROVAL BY. DATE:
— -- — ----- TIME:
CITYAPPROVAL BY. ;DATE:
_ TIME:
411 new construction and/or dwelling expansion shall require a certified survey dated within five years of application.
All new construction and/or dwelling expansion will be subject to contracted planner review and may add to the review time.
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THIS CARD MUST BE VISIBLY POSTED,
ACCESSIBLE, AND PROTECTED FROM
WEATHER AND PHYSICAL DAMAGE
FOR THE DURATION OF THIS PERMIT.
Permit #
SP14-034
(VALID FOR A SINGLE PROJECT)
NATURE of WORK: _ y00-1�
Site Address: Ll :SI-7vLyLp� Building: �/'es;�e�•�Za.1
Applicant Name: VyWkA t ckLeY Date Issued:
CITY of SPRING PARK
PERMIT CARD
INSPECTION RECORD
REFER TO HANDOUT FOR INSPECTION REQUIREMENTS
OFFICE USE
M ROOFING
it SIDING Q WINDOW 0 DOOR
HANDOUT
INSPECTOR:
DATE:
Issued by: I Received by:
0 FENCE Q SHED
Front: Back:
INSPECTION:
DATE:
Side: Side:
MECHANICAL
FIREPLACE 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 SCHEDULE NO LATER THAN THE BUSINESS DAY PRIOR TO THE INSPECTION DAY
Permit will expire 180 days after Issuance. All work must comply with the MN State Building Code.
PHONE (952-442-7520 MNSPECT. LLC TOLL FREE (888) 446-1801