Permits - Permit# 890 - 4325 Channel Road - 1/1/1990CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
81111,UING PERMIT APPLICATION PAQUIRF.MENTS
Requirements to be handed in with Building Pormit Applications Construction Plans should includes
1) Building Permit Application - to be filled out a signed
2) Mechanical Pormit Application a Calculation filled out
3) Energy Calculations - 'filled out
4) Furnish a Certificate of Survey - if required
5) Furnish 3 sets of Construction Planes
a) 1 set for City to keep on file
b) 1 set for builder to use on site
c) 1 set for the City of Spring Park
ZONING DISTRICT
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE
ACCESS
NEW EXISTING
AGENCY•APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
REMARKS:
INSPECTION REQUIRED
r_1
a) First floor plan
b) Footing i foundation plan
c) Elevations lof all aides)
d) Wall sections & cross sections
e) Details -'stairs and any special connacti<
LEGAL DESCRIPTION: PROP. ID. 7 " �� '� - /'C, 0 -r
LOT BLOCK SUBDIVISION
W ER (Name)
(Address) (Phone)
cz s S 2 426k1,1
�� z�@ GS," L 13
ARCH I ECT/ENGINEER - Must Certify Multi -Family, Commercial 81 Industrial Construction Plans
ER.T. NO.
(Firm) /
r� s
Phone)
(Address) ��d��
zj�' 4/7 Z 7 /
BUILDER (F irm)
(Address) (Phone)
TYPE OF WORK New Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CONST. VALUATION
L. W.
Ht.
l Z a o
RESIDENTIAL
STORIES B 1
BDRMS/FLR
? 3
PERMIT FEES
BLDG. PERMIT eZ 7
t h
STATE FEE
DWELL.
UNITS
PLAN REVIEW
GAR. STALLS
Planning- Commission
ATT.
APP. DATE
DET.
PENALTY
DOCK
AVAIL. CHG.
NON-RESIO.
PROPOSED USE
SAC CHARGE
OCC.
CLASS.
STORIES
COUNCIL
TOTAL DUE
J�
APP. DATE
,
_ FOOTING before pour
FRAMING rough -in
INSULATION
WALLBOARD Before Taping
FINAL before occupencY
WORK BEYOND OR WITHOUT A RE.
OUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473.7357
CALL B - 12 A.M. INSP. 1 - 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
ZONING CERTIFICATION
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
SEWER.
WATER
GRADING & FILLING
ELECTRICAL from State
ACRNOVLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAX
THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES UND
PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPTANCE OF
ALL INFORMATION, CONDITIONS AND REOUIREMENTS REPR
PRESENTED ON THIS DOCUMENT. THE UNDERSIGNED FUR-
THER AGREES TO DO ALL WORKS IN STRICT COMPLIANCE
WITH ALL CITY ORDINANCES AND STATE OF MINNESOTA
BUILDING CO REQUIREMENTS.
°ignatur -� Date
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.
authorized signature date
BUILDING CODE PLAN REVIEW
4)1�
Build f
ng Official (dat,)
Approved _ i! Approved with Corrections Not Approved- Must be Revised
Poor Quality Document
Disclaimer
The original or copy of a document or page of a document
presented at the time of digital scanning contained within this
digital file may be of substandard quality for viewing, printing or
faxing needs.
Form No. 268—(Bev. s-io-am) Valuation $12 0 0.0 0
Miller -Davis Co.,
..A
State Feemit 27.60
-•P•1-a*i... fie*-i•ew..........
45.15
Istate of i gli4lt>rsaft$ C-I T Y............... of P R.I N G...PARK------------------------.....-•-...
County of...........HE N N E P I N •....._•.._ Office of .BUILDING INSPECTOR
er M i t
g
IN CONSIDERATION OF The statements and representations made by...........................................................................
....................................-Norse-- Exteriors......__.........._....._............................_..---•--•-•-•-•-----.........................................................-----------....-----............--------.
in ...... their ....application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said .-----.... S h e 1- d o n....
- Mex e r.s..........-•--......._.......... ....... _.__........................................................................ _........................................................ as owner
to.......... Cover_ soffits ----w i. t h-.. a l u m i-n um ........................... .............................. - ....................... a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
frontor 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 ..... 19-:117-23-12--0034
4 3 2 5... C h a n n e l Road_.......-..........................•-•-------.......----......-----............_----------------........----------........................--......
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_iss_ contractors, agents, workers and employees, shall
comply in all respects with the ordinances of the...............ity................................................. Of ... Sipri.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 __ _n_ o_ n e. O f ... the . f o l l o w i n-g-.._
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the..... B u i l ....... Inspector ••••_.................. of said ...........C. ty...........................................and its corporate seal and
...this........1.9th....---•--•................da of......-•--•-...Apr..il..........................-•--.------•,...
attested by its----------------G].exk......-.....-----...------...-------------• Y ....--------.............19--9N.......
Attest:
...........� ... � 1�............... _ ........ - ................ .......
Clerk _.,Bu.11 di nq Inspector .............
_ q ro
ym, _
711s