Permits - Permit# 00-25 - 4317 Channel Road - 1/1/2000.6124719160. CITY OF SPRING PARK .
295 P02 JUL 21 '97 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 Requirements:
1. Application to be filled out & signed
2. Nlecha �ical Permit Application & Calculation filled out
3. Energy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
5. Furnis' i 3 sets of Construction Plans
a) .I set for City files
b) I 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
a. Wall sections A cross sections
5. Details - stairs & any special connections
Date Recelved
Date Approved a
Permit No.
Fees To Be Charged:
Permit
State Surcharge
Plan Review
SAC Charge
Availability Chrg
TOTAL
ALL INFORMATION MUST BE SUBMITTED IN FULL 13EFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS (CIRCLE ONE) OWNER OR _ ` /�. , O 3
JOB SITE ADDRESS
NAME OF OWNER
411-.
MAILING ADDRESS 54 JMJ CL
CITY
ZIP
CONTRACTOR
•�.���� I� �'I ^n
PHONE .1 A+ ^ Is'I 1 1 1
MOBILE PHONE
MAILING AD
CITY
Q Q�
STATE LICENSE NO. GOO,DA
ARCHITECTIENGINEERt_n IOV _
PHONE
MAILING ADDRESS
CITY -
ZIP
NAME
REGISTRATION NO.
TYPE OF WORK: NEW ADDITION ACCESSORY STRUCTURE MOVE DEMO
REMODEUALTERATION:�e RENOVATE LAND ALTERATION
PROPOSED WORK (U.-ascribe in email)
,"w X 'AV~
V._I c-^a
ZONING DISTRICT _
STORIES _ SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE STALLS
ATTACHED OR DETACHED BLDG. SIZE LENGTH WIDTH HEIGHT
ESTIMATED CONSTRIIrTION VALUATION .(excluding land) S
Received Time Jul.21. 10:27AM Print Time Jul.21. 1.0:29AM
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6124719160 CITY OF SPRING PARK 2.95 P03 JUL 21 197 09:28
B13i1_DING 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
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 =
%
I 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 the Stato Building Code: that I under al ind this is not a permit and worts is not to start without
a permit; and that the work will be in e a v plan.
/
APPLICANT'S SIGNATURE DATE
INSPECTION REQUIRED: WO. QUIRING.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 TO..PENALTY Electrical from State
24 HOUR NOTICE REQUIRED CALL 471-73S7
ZONING C.EBIIF9GATE
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 FLAN REVIEW
Name Date
Received Time Jul, 21. 10:27AM Print Time Jul. 21. 10:29AM
Form No. 259 Valuation $5385
BUSINESS RECORDS CORPORATION, MINNESOTA
Permit
$
125.25
State
' TTot'a'1' ' '
$
' '$
3.00
'12B.25
Nol... QQ- .. 6.. .
—*tate of Minnesota, .... Ci.ty..... of. .Spr.ing .Park ...........
County of ..... Hennepin ........... Office of ..QuiAdi.ng .Inspector ..... _ ... .
70ut-lbing 'permit
IN CONSIDERATION OF The statements and representations made by ......................
Elder Jones
....................................................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said ..............Elder..Jones ........ as owner
.........
Install Win qoW er a 1 ication a building described as follows: kind of construction
to.....................p....P.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 ................
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 li is.. contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the ... City ............. of ..Sp.r.i.ng .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 follow,ing,,,,,,,, , , , , , , , , , , , , , , , , , , , , , ,
(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. i n spector... of said .. C i ty _........... . . . . and its corporate seal and
attested by its ... Clerk ............... this ... 29th................ day of ..June .................Q ....
Attest:
Patricia Higus
..............................................
Clerk
........................
Lyle Oman
..............................................
Building Inspector