Permits - Permit# 96-15 - 4333 Channel Road - 1/1/1996CITY OF SPRING PARK
CITY OF SPRING PARK P. O. BOX452
BUILDING PERMIT APPLICATION SPRING PARK, MN 553540452
Building Permit Application Requirments:
1. Application to be filled out & signed
2. Mechanical Permit Application & Calculation filled out
3. Energy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 Sets of Construction Plans
a. 1 set for City Files
b. 1 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
4. Wall sections & cross sections
5. Details - stairs &.any special connections
Date Received:
Date Approved:
Permit No.:
Fees To Be Charged:
Permit $
State Surcharge
/-S-6
Plan Review
SAC Charge
Availability Chrg
TOTAL $
��•��
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) OWNER
or
JOB SITE ADDRESS
NTRACTOR
/;7-_--p3-42
NAME OF OWNERS �'��� ; S w HOME PHONE -ZWORK PHONE
MAILING ADDRESS
N` k--N\'
\N6 CITY +
ZIP
CONTRACTOR A S-A LPH0NE��� �� \ MOBILE PHONE
MAILING ADDRESS N 14N Nf.k\ti CITY
a
STATE LICENSE NO. G G .p -7-5 y 3
ARCHITECT/ENGINEER
MAILING ADDRESS —
NAME
TYPE OF WORK: New
PHONE
�&�
REGISTRATION NO
Addition Accessory Structure Move Demo
Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (Describe in Detail) � R
ZONING DISTRICT
STORIES SQ. FEET OR EACH FLOOR NO. OF BEDROOMS
STALLS ATT. OR DET.
ZIP
GARAGE
ESTIMATED CONSTRUCTION VALUATION (excluding land) $ �C V G
�
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CITY OF SPRING PARK
BUILDING 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 =
S.F.
E.
PatiQ/
X =
S.F.
Deck
F.
Other
X =
S.F.
X =
S.F.
1.
TOTAL HARDCOVER
S.F.
2.
TOTAL PROPERTY AREA
S.F.
1
= 2
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 4ot to start withou a permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE ` \ DATE (Q
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
473-7357
WORK REQUIRING SEPERATE PERMITS
Plumbing
Mechanical
wall
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
CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
ADDENDUM
Construction Plans must also include a Landscape Plan if applicable.
Certificate of Survey must include:
1. Location of the proposed building in relation to lot lines
2. Other buildings on the property
3. Buildings on adjoining properties in relation to lot lines
4. Location of street(s)
5. Location(s) of all easements on the property
6. Buildings in relation to the ordinary high water mark of 929.4'
if applicable
Survey must be current depicting all existing structures and
including all of the above information.
Form No. 259
BUSINESS RECORDS CORPORATION, MINNESOTA
Permit $74.W
State 1.50
• Total • • . $76:25•
'n u. 96.-.15......... .
#tote of Minnesota, .... �ity.... of .. Spring Park.......... .
County of.. Hennepin Office of . Building Inspector
uAQW
t��tno Rermft
IN CONSIDERATION OF The statements and representations made by ......................
James ischer
............................F........................................................................
in application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said ..... , , , .. James Fischer ....... as owner
to......T
........ear Off and Re -Roof 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 ................
4333 Channel Road 19-117-23-12-0035
.....................................................................................................
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and hi $ ... contractors, agents, workers and
employees, shall comply in all respects with the ordinances of the ........ City, , , , , , , , , 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:. NOW Of. the. folowing.................................
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
ng
Given under the hand of the Build ... Inspector of said ,City , , , , , .. , and its corporate seal and
attested by its .. Clerk ................ this .. 27th................. day of ..June ................. 1996... .
Attest:
.... .. ... Patricia. Hi 9us........ 1L�)......
Clerk
........................
Lyle Oman......'*' P�j...................
Building Inspector
........................