Permits - Permit# 97-25 - 4317 Channel Road - 1/1/19976124719160 CITY OF SPRING PARK
295 P02 JUL 21 197 09:28
CITY OF SPRING PARK
P. O. BOX 452
SPRING PARK, MN 55384
471-9051 FAX 471.9160
BUILDING PERMIT APPLICATION
Building Permit Application Requiraments:
1. Application to be filled out & signed
2. Mechanical Permit Applii;ation & Calculation filled out
3. Energy Calculations filled out
4. Furnish a Certificate of Survey -See Attached
5. Furnish 3 sets of Construction Plans
a) 7 set for City files;
b),1 set for builder tD use on site
c) 1 set for City Building Inspector
Construction Plans should include:
1. First floor plan
2. Footing & foundation plaan
3. Elevations of all sides
4. Wall sections & cross suctions
5. Details - stairs & any special connections
Date Received
Date Approved a
Permit No. 1-7- a
Fees To Be Charged:
Permit
State Surcharge
Plan Review
SAC Charge
Availability Chrg
1111.611011
ALL INFORMATION MUST BE SUBMITTED 114 FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS (CIRCLE ONE) OWNER OR NTRAC
JOB SITE ADDRESS Q
NAME OF OWNER TW44 LA D` ► " `�I &L-EC HOME PHONE Li, I 1 1 WORK PHONE
MAILING ADDRESS LAA t C k rI,y A E-U 9 b` "� CITY 2 R h l�p V, ZIP � �']
CONTRACTOR IR5- ► 9V A N S) w�` PHONE -1 g I L n MOBILE PHONE_
MAILING ADDRESS ^� ' � ��0, P E • , ie • CITY kklb LE-7 ZIP,
STATE LICENSE NO. 0004 DU M _
ARCHITECTIENGINEER PHONE
MAILING ADDRESS CITY
NAME
REGISTRATION NO.
ZIP
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODELIALTERATION X,_ RENOVATE LAND ALTERATION
PROPOSED WORK (Describe In Detail)
ZONING DISTRICT
STORIES _ SG. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE STALLS
ATTACHED OR DETACHED,__ BLDG. SIZE: LQENNGTH WIDTH HEIGHT
00
ESTIMATED CONSTRUCTION VALUATION (excluding land). &
io
Received "ime Jul, 21. 10:27AM Print .Time Jul. 21. 1.0:29AM
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' 6124719160 CITY OF SPRING PRRK 295 P03 JUL 21 '97 09:28
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A. House X e 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/Deck X = S.F.
F. Other _ X = S.F.
1. TOTAL HARDCOVER S.F.
2. TOTAL PROPERTY AREA S.F.
1 DIVIDED BY 2 X 100 =
1 hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the City and v4th ttw) State Building Code. that I understand this is not a permit and work is not to start without
a permit; and that the work will be in acco an a prov plan.
APPLICANT'S SIGNATUREA24 DATE %
INSPECTION REQUIRED: WO R REQUIRING.SEPARATE PERMITS:
_Footing before a pour Plumbing
_Framing rough - in Mechanical
_Insulation Well
Wallboard before taping Grading & filling
FINAL before occupancy Sewer
Water
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT 'rO PENALTY Electrical from State
24 HOUR NOTICE. REQUIRED CALL 471.7357.
ZONIbla CERTIFICATE
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
Received Time Jul. 21. 10:27AM ... Print Time Jul, 21. 10:29AM
Jul 23 1997' 1 33PM LQER-Jw0INIE'; PERlaj.T SERliNo UGRO, P. 3
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TOTAL P,03
Form No. 259 Valuation $2995 BUSINESS RECORDS CORPORATION, MINNESOTA
Permit $ 74.75
State 1.50
JOtd I ... $76.25 ''
,Nti.. 97-25........ .
6tate of Minnesota, ... C i ty..... of ..SP.r i ng Park ...........
County of.. Hennepin Office of ,Building Inspector
IN CONSIDERATION OF The statements and representations made by ......................
............... Renewal.By.Anderson..................................................................
....... . ........
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said ......... Re►1eWO J . DY, Ander5pp.. . . . . . . . . . . . .. . . . . . ......................... as owner
to .... ,Replace 4.Windows. 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 ................
4317 Channel Road 19-117-23-12-0033
....................................................................................................
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 is .. 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: None of the f o 11 ow 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 Bu i id i ng I nspector. , . of said .. ,City .......... . . .. and its corporate seal and
attested by its .........clerk .........this .1st ...................day of . August................ 1997....
Attest:
Patricia Higus.....'.�.�...........
Clerk
........................
LyleOman... (=: ..........................................
Building Inspector
........................