Permits - Permit# 566 - 2398 Black Lake Road - 1/1/1982PERMIT NO. 6 6
CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
OWNER DATEz-
ADDRESS 3 c L - a TELEPHONE_ %/- �/ c
BLDR--CONT TELEPHONE
Location of Froposed Improvement
STREET ADDRESS,
PLAT :� ff'o yC-
'"1c Y2ar,J Q� Q V
—�--�- � �,�, / s EST. COS D
PARCEL �, o ZONING
COMPLETION DATE PIN NO.. -7 - a 3 _ y3 D
Application Requirements
Survey Energy Comp. . .
Plat Plan. . . . .=Elevations
. ._ Heating Layout. . .
. .
Structural Plan'..._watershed
Other. . . .
. .
. . . .�.
._ Sewer/Water location.
_ County Driveway
. .—
permit. .—
Types of Construction
:dew Construction
Remodeling
Single family
Multi family
Sq. ft.
Sq. ft.
_`Addition
Sq.
ft.
Commercial-
Sq. ft.
-_____Interior
Sq.
ft.
Industrial
Garage -size
Sq. ft.
Sq. ft11
Sub level
. Roofing -Re
Sq.
Sq.
ft.
ft. 10
Deck --size
Patio --size
,
Sq. ft.
Sq. ft.
_Siding
`_Utility Bldg.
Sq.
Sq.
ft.
ft.____.__
ence--size _ _
Ln. ft.
PERMIT FEE
SURCHARGE,
PLAN CAECK FEE
S.A.C.
AVAIL. CHG.
OTHER
TOTAL
PERMIT APPROVAL
PLANNING COMMIS ON
COUNCIL W
OTHER PERMITS REQUIRED
Sewer/Water Connection
Plumbing Excavation
Demolition
In case permit is granted, I hereby agree to do the proposed work
with description above set forth and according to the provisions
ordinances of the City of Spring Park and of all statutes of the
Minnesota in such -cases made and provided.
�/ 15' -92--
in accordance
of all the
State of
Form No. 259—(Rev. slo-eon O O Miller•Davie Co., Minneapolis T
lp.00
. . . ........ 1;.V-4 ......
County of--_... �......... _............ _...
_ Office of
4.
ISuilbing Permit
IN CONSIDERATION OF The statements and representations made by--.—.. •- ....................................
- -
__...... ..__........ _�_
in.____ ..........application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
«.;, _ _ _ .____._..___.........—_...... _._.__. _�___......_.__...._as owner
GRANTED To said.-----•------••--••---.....1�...�...._.... - - _
to ..... ........... ........................................... .... ..... -•-•-••-•-•••-............ _..... .-_...___...... __....... ....-_........... __...._a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
/L ....:.... ....... .. .__------------ _------------- _.__--- _-._... _...... _ __._..._..------- —---- _—_ . ..... --_-------------------------- --- -
frontor width in feet ... _............. _.................................. _• side or length in feet ............... -.......... -....... .......... _._; height in feet _._.--------------------------------------- ;
number of stories ..... -...................................... - contents ..... ...................... _................................... cubic feet _ -----..... .�.a__square feet, upon that
tract of land described as follows: Lot ------- .------------- _-
---- ---- _ --- ---- Block _ .._......_....... _ - __..... _ .__...-•-; plat or addition. _P'_Z2-_V r10:;2.Q...-._
..... ---..................... .......... .............................. .... ....... .. I!........ ....
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and ham_ contractors, agents, workers and employees, shall
comply in all respects with the ordinances of the .............. . ..._........-•------•---•------...of.._...�� .....�Q-�—_._... that it does
f public property, such as streets, sidewalks�lleys, etc., for which special permits must be sewed; and that it does
not cover the use o p p pe ry,
not cover the followin P
(Electrical work plumbing,beating,]aster' etc., if such there be.)
for which special permits must be secured. _
Given under the hand of the..... _ .,--.—of said_ � _ end its corporate seal and
attested by its..... _ _ ... ...._ . _ of.
Alt