Permits - Permit# 669 - 4333 Channel Road - 1/1/1984CITY OF SPRING PARK c�
t BUILDING PERMIT APPLICATION
BUILDING PRRMIT APPLICATION I.EQUIRP.MENTB
Requirements to be handed in with Building Permit Application:
1) Building Permit Application - to be filled out & signed
2) Mechanical Permit Application s Calculation filled out
3) Energy Calculations -filled out
4) Furnish a Certificate of Survey - it required
5) Furnish 3 sots of Construction Planar
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
CONING DISTRICT
:IRE ZONE
lAR. DATE
,OND. USE DATE
.OT AREA
UIDTH DEPTH
'ROPOSED SETBACKS
:RONT R.SIDE
TEAR L.SIDE
.AKE
1CCESS
NEW EXISTING
1GENCY•APPROV. DATE
;ITY��,.��___
:OUNTY
;TATE:
OR. EASEMENT
Construction Plana should include:
as First floor plan
b1 Footing s foundation plan
c) Elevations (of all aides)
d) Nall stations i cross sections
sl Details - stairs and any special connectu
SITE ADDRESS 7 2$ x a Ao !_ -71[ N e<� r�_ u
LEGAL DESCRIPTION: PROP. ID. Z % —lZ 2 — a 3 — l-z-
LOT BLOCK--SUBDIVISION,t
WNER
(Name)
(Address)
(Phone)
J 6Es Er�
q 3 C -7 eL &
ARCHITECT/ENGINEER.— Must Certify Mutti-Family, Commercial & Industrial Construction P1411%
ERT.NO. _
__--
{Firm}
(Address)
(Phone) J
d2 SE k--VL1 oes 600
19 pc_ Aur
417 z
BUILDER
(F irm)
(Address)
( Phone)
TYPE OF WORK New Addition Remodel
Renovate
ES fJE Gu
CONST. TYPE
I BLDG. SIZE
EST, CONST. VALUATION
L. W.
Ht.
r1eslD NT
STORIES 0 1
a 3
PERMIT FEES
BDRMSIFLR
BLDG, PERMIT
STATE FEE
DWELL.
UNITS
PLAN REVIEW
—�0- 0 U
GAR. STALLS
Planning Commission
ATT.
APP. DATE
DET.
PENALTY
DOCK
AVAIL. f,UG:.
NON-RESIO.
PROPOSED USE
SAC CHARGE
OCC.
CLASS,
STORIES
COUNCIL
TOTAL DUE
oc
APP. DATE
a
1EMARKS:
NSPECTION REQUIRED
FOOTING before pour
FRAMING rough -in
INSULATION
WALLBOARD Bef are Tnping
FINALtrefore occupancy
WORK BEYOND OR WITHOUT A RE-
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473.7357
CALL 8 • 14 A.M. INSP. 1 • 4 P.M.
CALL i • 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING
MECHANICAL
SEWER
WATER —
GRADING & FILLING.
ELECTRICAL from Stnte
Ada[llOVI-EDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
THE REAL IMPROVEMENTS SPECIFIED, AND D CLARrS UNDER
PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPTANCE Of
ALL INFORMATION, CONDITIONS AND REQUIREMENTS REPPE-
PRESENTED ON THIS DOCUMENT. THE UNDERSIGIR5 FUR-
THER AGREES TO DO ALL 'WORKS .IN STRICT COMPLIANCE
WITH ALL CITY ORDINANCES AND SIATE OF MINNESOTA
BUILDING COftr REOUIREME TS.
Signatri - Outs �--S--cl�7 ..
ZGNUTG 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.
authorized signature (date
Duilding Official Sdit��1
Appravnd- ((// Abpprovad with C rracl ism r feat Approvedr must bu 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.
No: 259--4Rev. 6-10-80l
Miller -Davie Ca,
Otab of Jubmtoots,
County Of—.—.__.... �._._.....
Office of_....._...___ --
IN CONSIDERATION OF The statements and representations made by---_...._._....--_ .....................
in... _application therefor Ny filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To
owner
a building described as follows: kind of construction
(build, erect, install, add to, alter. repair, mom wreck, as the case may be)
front or width in feet..._. _ _ .___.. ; side or length in fee(/t___ height in
number of storieg _ _ ....__...; contents _____cubic feet; square feet, upon that
tract of land described as follows: Lot- Block _ __ ; plat or addition 7.�-__
._............
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner andthzk contractors, agents, workers and employees, shall
comply in all respects with the ordinances of the........_.......__ _ of__ . _ _' ._._...._; that it does
not cover the use of public property, such as
not cover the.following:._..._..____....___
(Electrical work,
sidewalks, aDeys, etc., for which special permits must be secured; and that it does
heating, plastering, etc., ff such there be.)
for which special permits must be secured.
Given under the hand of the_ . . ... . ......of said_ —.-- --------_..__and its corporate seal and
attested by its_._ _..._ _ this_ _.__ __._day of_ �— _ _ ___..................19_�Y_...
Attest•
SINS 14Y— i/7 — J-..3 — Zal ao . r ..ADDRESS. A A,&z AM
Building Ynspec#ioas Permit No. Plumbing Inspections — Permit No.
DATE
INSPECTOR
Footin
Framing Insulation
-Mal
Others
DATE
INSPECTOR
Rough In.
Air Test
]Final
PERMIT NO.
DATE
INSPECTOR
sewer—
Water—
Mectric—
NOTE: Contractor is responsible to tall for these inspections.
This Card must be placed in a conspicuous place on the premises
on which work is to be done.