Permits - Permit# 96-37 - 4325 Channel Road - 1/1/1996CITY OF SPRING PARK CITY OF SPRING PAIRK
BUILDING PERMIT APPLICATION P.0.BOX 452
SPRING PARK, MN 55384-0452
Building. Permit Application Requirments: Date Received: 1%1yG
1. Application to be filled out & signed Date Approved:
2. Mechanical Permit Application &Calculation filled out Permit No.:
3. Energy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 Sets of Construction Plans Fees To Be Charged:
a. 1 set for City Files
b. 1 set for builder to use on site Permit
c. 1 set for city Building Inspector State Surcharge o'o
Construction Plans should include: Plan Review
1. First floor plan e SAC Char
2. Footing & foundation plan 9
3. Elevations of all sides Availability Chrg
4. Wall sections & cross sections
5. Details - stairs & any special connections TOTAL $
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) OWNER or CONTRACTOR
JOB SITE ADDRESS ��j�AlL �0 3 -
NAME OF OWNER.�HOME PHONE 5-3 WORK PHONE
MAILING ADDRESS CITY ZIP
CONTRACTOR h&PC+" 6 A5 LC `PHONE MOBILE PHONE 2l0-,� Z
MAILING ADDRESSy Za ON Zaf-le CITY J19'16Cf_T%i%A% ZIP � S 3�
STATE LICENSE NO.
ARCHITECT/ENGINEER
MAILING ADDRESS
NAME
TYPE OF WORK: New Addition
Remodel/Alteration -
PROPOSED WORK (Describe in Detail)
ZONING DISTRICT
PHONE
CITY
REGISTRATION NO
Accessory Structure Move
Renovate Land Alteration _
Demo
STORIES SQ. FEET OR EACH FLOOR NO. OF BEDROOMS
STALLS ATT. OR DET. BLDG. SIZE
ZIP
GARAGE s
W HT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ d12 06
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CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A. House X =
Length Width
X
B. Garage X
C. Driveway X
D. Sidewalk
X
E. peck/ X
F. Other / X
i
X
1. TOTAL HARDCOVER
2. TOTAL PROPERTY AREA
1
=2
S.F.
S.F.
S. F.
S.F.
S.F.
S.F.
S.F.
S. F.
S.F.
S.F.
S. F.
S.F.
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 the ordinances and codes of the City and with the State Building Code; that I understand this is
not a permit and work is not to art without a ermit; and that the work will be in accordance with the approved plan.
�( APPLICANT'S SIGNATU DATEZO
\ 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
473-73 S7
WORK REQUIRING SEPERATE PERMITS
Plumbing
Mechanical
WPII
Grading & filling
Sewer
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
BUILDING CODE PLAN REVIEW
Name Date
Form No.259 Valuation A1gq?-nn
BUSINESS RECORDS CORPORATION. MINNESOTA
Permit $62.25
State 1.00
$•Total•••$63:25•••
INII. 96-37......... .
-ftte of Minnesota, ... My..... of .. Spring. Park.......... .
County of... Hennepin .. ....... . ... . . Office of .. Building. Inspector. , ,
,tttldttt �mt#
IN CONSIDERATION OF The statements and representations made by ......................
D. Martin Construction
....................................................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said .... P•,Martin Construction .............................................. as owner
to .Tear off and re. roof per application a building described as follows: kind of construction
...ff and re -roof .... n
(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 ................
4325 Channel Road 19-117-23-12-0034
....................................................................................................
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 i.S .. contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the .........City....... of .Spring . Pa r. k ........ ;
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 followin....................Q .....................
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the Bui ld.ing Inspector ... of said ... City ,,,, , , , , , , , ,, , and its corporate seal and
attested by its ...clerk ............... this ...8th ................. day of .. October.............. 1996... .
Attest:
...........Patricia Higus.........1 ;� )...... ............Lyle Oman..CO.� /..................:
Clerk Building Inspector
....... ... .....