Permits - Permit# 271 - 2424 Black Lake Road - 1/1/1975APPLICATION FOR BUILDING PERMIT
VILLAGE OF SPRING PARK
SPRING PARK, MINNESOTA
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OWNER ( ame)
(Address) (Tel. No.)
PERMIT NUMBER
�/, -
�71
ARCHITECT (Name)
(Address) ( Tel. No.)
ESTI MATED COST
$ 4O
BUI ER (Name)
(Address) (Tel- No.)
PERMIT FEE
DATE
PLUMBING FEE
LEGAL DESCRIPTION (Obtainable from
Assessor's Office)
TOTAL
PLAT NUMBER
PARCEL NUMBER ZONING DISTRICT
$ S-D
COMPLETION DATE
k� / / / O O
p Z4 0
PROPOSED USE—
NUMBER OF OFF—STREET
PARKING SPACES
Residential
Nonresidential
Enclosed
-4 One family
— Amusement, recreational
Outdoors
Two or more family — Enter
— Church, other religious
number of units ------
— Industrial
Tronsienthotel, motel,
or dormitory — Enter number
— Par king Garage
SPACES REG.
of units ----------
— Service station, repair garage
Garage
_ Hospital, institutional
SPACES ON PLAN
Carport
— Offi ce, bank, professional
Other — Specify
— Publ is Utility
School , library, other educational
NUMBER OF OCCUPANTS
OR SEATS
Stores, mercantile
Tanks, towers
OCCUPANTS
Other — Specify
SEATS
TYPE OF WORK n /
_ /) %% —�/ /�
''
[
UFI
LOADING BERTHS
%'%
NEW CONSTRUCTION UALTERATIONNS
ADDITION _ NI SH ATTIC
NUMBER REQUIRED
FINISH BASEMENT - ..PORCH
GARAGE RE.ROOF __ RESIDE
NUMBER PROVIDED
MISC.
SIZE OF EACH
SIZE OF STRUCTURE (Haight) (Width, (Depth)
NO. OF STORIES
TYPE OF CONSTRUCTION
EXTERIOR FINISH
TYPE OF ROOF
PRINCIPAL TYPE OF HEATING
PRINCIPAL TYPE OF FRAME
Gas
TYPE OF MECHANICAL
Masonry (wall bearing)
Oil
G►.
Will there be central air conditioning?
Wood frame"
Electr i cit y
F. A.
Yes No
Structural steel
Coal
Wtr.
_
Rei nforced concrete
Other — Specify
$tm.
Will there be an elevator?
Other — Specify
— Yes No
(COMPLETE REVERSE)
PROPERTY LINE
DIMENSIONS
Total square feet of floor area,
all floors, based on exterior
dimensions ..... .
Total land area, sq. ft.
SPOT BUILDING/s SHOWING SET BACKS
STREET
PROPERTY L.I NE
SCALE: 1/8" 1 FT.
The undersigned hereby represents upon all of the penalties
of law, for the purpose of inducing the Village of Spring Park
to take the action requested, that all statements herein are
true and that all work herein mentioned will be done in accor-
dance with the ordinances of the Village, Statutes of the State
of Minnesota, and rulings of the Building Inspectors.
AP R E D
V L GE OF,SPG PARK% J APPLICANT
DATE: DATE:
259
MILLER-DAVIS Co.. ml
atate of
.... .. of .....
A../lCount........................
.....................
Office of
............. .... ........................
permit
IN CONSIDERATION OF The statements and r��resentadons made by___.
_-application therefor duly filed in this office, which
GRANTED To said ---__A'
to
pficatior. is hereby made a- part hereof, PERMISSION IS HEREBy
— ----- as owner
(build, erect, install, add ro, alter, rePgLr, move, wreck, as the CjLse may be') g escribed as follows: kind of construction
-a buildind
WN
front Or width in — — - - ------ — ---------
number of stories_. - -------- - ---- .... side or length in feet-._...-_.___...__.....-........ .. . . . . ; height in feeL . ......
. ......... ; contents--- .............. feet; tract of land described as follows: Lo
t...._ feet, upon that
.---Block.----...--- . . ..... plat or additionj�'e�6-LZ=16-�220
L
which tract is of the size and area specified in -said application. .. . ....
This Permit is granted upon the express conditions that said owner and his contract
rs, agents, wo*ej3 and employees, shall
Comply in all respects with the ordinances of the ...................... . . ............ .................... �of...
9 4. 1 . ..... Z . . ...... ; that it does
em cover the following:.....___ �2 must be secured: and that it does
not cover the use of Public Property, such as streets sidewalks Ays, etc., z
tc., for which sp 'cia
for which special permits must
Given under the hand
attested by its-- //X'1-1
- f;7
(Electrical ical work, PdZmb Plastering, etc., if such ro be.)
....... ....... of said............ez
-11 ') .. :�� ............ d its corporate seal and
A ------ of
................
........... ........
....................... 7
... . ........
be secured.
of the.....