Permits - Permit# 405 - 4340 Channel Road - 1/1/1978Joe Gothmann
P.O. Box 352
Mound, MN 55364
Building permit for 4340 Channel Road
Permit fee $126.50
Sur charge 20.00
No provision for refund of sur charge.
One half building permit fee retained
for plan check.
Amount of refund $63.25
CITY OF SPRING PARE'
P. 0. BOX 452
SPRING PARK, MN 55384
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CITY OF SPRING PARK Permit No.�
P.O. Box 452
4349 Warren Avenue
t y Spring Park, MN 55384
BUILDING PERMIT APPLICATION
OWNER -6 L U L&h &.A� /V DATE 41
5 . �h Y TELEPHONE
ADDRESS P19 /� D x � i _ /YID .11� �� —
BLDR. -CONT. T D - LQ T & h;7 d /VN' TELEPHONE '
STREET
EST. COST `�C% a ��-?• ��•
PLAT 110 R 6 w !� PARCEL ZONING
COMPLETION DATE
Application requirements
Survey ........... Energy Comp....... Heating Layout..........
Plat Plan ....... Elevations ........ Sewer -Water Location....
Structural Plan... Watershed.......... County Driveway Permit...
Other
Types of Construction
NEW CONSTRUCTION
— Single Family
Sq.
Multi -Family
Sq.
® Commercial
Sq.
Industrial
Sq.
Garage -Size
Sq.
Deck-SizeSq.
Patio -Size
Sq.
Fence -Size
Ln.
Ft.
Ft.
Ft.
Ft.
Ft._
Ft._
Ft.
Ft._
PERMIT FEE
.�V
SURCHARGE
S.A.C.
AVAIL. CHG.$
OTHER
$
Total
$
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft.
Roofing
'Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg. -Size
Sq.
F .
Plumbing
PERMIT APPROVAL
PLANNING COMMI
COUNCIL
In case permit is granted, I hereby agree to do the proposed
accordance with description above set forth and according to
visions of all ordinances of the City of Spring Park and of
of the State of Minnesota in such cases made and provjded.
DATE �-' /,3 " �� APPLICANT
work in
the pro -
all statutes
CITY OF SPRING PARK
SPRING PARK, MINNESOTA
Y
BUILDING PERMIT CHECK-C
PLANAME
PARCEL 7-S D ADDRESS_
ZONING ,,,,/ PERMIT #
APPLICATION FOR
SURVEY L-- P NS
DATE ISSUED
PLAT PLAN SHOWING:
LOCATION OF PROPOSED & EXISTING STRUCTURES...........
IFNO GARAGE - PROPOSED SITE .........................
LOCATION OF DRIVEWAY & OFF STREET PARKING............
SETBACKS AS STATED IN ORDINANCE ...................... ri
LOCATIONOF WATER/SEWER .............................
*rSURFACE DRAINAGE PLAN.
COPY OF APPROVED VARIANCE (If needed) ................... �.
ENERGYCOMP .............................................
COPY OF EASEMENTS (If applicable),......... .... IVIX.
SOIL EVALUATION (If necessary) .........................�
AREA CHECK:
ALIGNMENT SIZE "I' - STYLE__tL_DRAINAGE
PARKING SPACES REQUIRED ,2 AVAILABLE
OTHER PERMITS:
PLUMBING S/W CONNECTION %C
HENN. CO. OTHER
AVAILABILITY/SAC RGES DUE ............................
LOT SQ. FT. /Q, /Zy HOUSE SQ. FT. 9
GARAGE SQ. FT. --2.,7 1, DECK SQ. FT.'p
OTHER IMPERVIOUS SURFACES Vov e
FIRE DEPT. APPROVAL (If required) ......................
BUILDING INSPECTOR ComNrF T\TT.
FEES PAID all permits/avail/SAC P. C.
BLDG. INSP. review & approval COUNCIL
��. , ��/� . � c��•--rd_-�--tea.-�►�--���e0--- , •
. L�
�/rC.-!j �c/� G..aiC�-4. � � l,� r'_ /✓L d � /� f QJi
CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
Permit No.
OWNER S L r,, UT l — I .2 -I-Iv
ADDRESS d Y,.`� ��? iJ/I 10%1 1✓i� 6 / TELEPHONE% y3
BLDR. -CONT. X !Q E 6-0 T if JW fir jLA) TELEPHONE_
STREET ADDRES K A�/},U/(IL - R D 5 eJe I lV G NP _EST. COS
PLAT PARCEL 7 ZONING
COMPLETION DATE
Application requirements
Survey Energy Comp....... Heating Layout..........
Plat Plan Elevations Sewer -Water Location....
Structural Plan... .Watershed.......... County Driveway Permit...
Other
Types of Construction
NEW CONSTRUCTION.
Single Family
Sq.
Multi -Family
Sq.
Commercial
Sq.
Industrial
Sq.
Garage -Size
Sq.
)C Deck-Size�Sq.
Patio -Size
Sq.
Fence -Size
Lii.
PERMIT FEE
SURCHARGE
S.A.C. $
AVAIL. CHG.$
OTHER $
Total $
Fib.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft. i
Roofing
Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg. -Size
Sq. Ft.
Plumbing
PERMIT APPROVAL
7WAWMI
PLANNING COMMI
COUNCIL /N0- p 9-,
✓" J
%D
In case permit is granted, I hereby agree to do the proposed
accordance with description above set forth and according to
visions of all ordinances of the City of Spring Park and of
of the State of Minnesota in such cases made and provided.
DATE APPLICANT
work in
the pro -
all statutes