Permits - Permit# 352 - 2425 Black Lake Road - 1/1/1977CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
OWNER
- _ .' DATE
ADDRESS
TELEPHONE
BLDR.-CONT.
Permit No.
TELEPHONE R,Z2 -��
COST—
PLATi/ 76 PARCEL
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 -Size
Sq.
Patio -Size
Sq.
Fence -Size
Ln.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
REMODELING -
Addition, � ����
��-
Interior Sq. Ft.
Sub Level Sq. Ft.
Roofing Sq. Ft.
Siding Sq. Ft.
Utility Bldg. -Size
Sq. Ft.
Ft. Plumbing
PERMIT FEE $
SURCHARGE $ U,UD
S.A.C. $N A
AVAIL. CHG.$ h11A"
OTHER $
Total $ JS
PERMIT ,...• ,
PLANNING COMMISSION
COUNCIL
In case permit is granted, I hereby agree to
accordance with description above set forth
visions of all ordinances of the City of Spr
of the State of Minnesota in.�such cases made
DATE �Q
APPLICAN'.
do the proposed
and according to
ing Park and of
work in
the pro -
all statutes
CITY OF SPRING PARK
P.O. Box 452
J� 4349 Warren Avenue
Spring Park, iMN 55384
BUILDING PERMIT APPLICATION
Permit No. Li _2_-1
OWNERl>-2� DATE
ADDRESS¢ %� t / '� -� �� � �� ,i � TELEPHONE �a�®
BLDR.-CONT. 4. ,: % l TELEPHONE ram,-?.9 -
Location of Proposed Improveme t
STREET ADDRESS -� .� !-sue a��-EST. COST
PLAT PARCEL 57)T%MZONING_
COMPLETION DATE
Application requirements
Survey ,x Energy Comp....... Heating Layout.. _,
Plat Plan ....... Elevations ........ Sewer --Water Location....
Structural Plan... Watershed.......... County Driveway Permit...��
Other
Tykes of Construction
NEW CONSTRUCTION REMODELING - ,�,.�%;°fin . �.� ,i �� �°ee <=`
Single Family Sq.
Multi -Family
Sq.
Commercial
Sq.
Industrial
Sq.
Garage -Size
Sq.
Deck -Size
Sq.
Patio -Size
Sq.
Fence Size
Ln.
Ft.
Ft.
_-Addition
Sq. Ft.
Ft.
--Interior
Level
Sq. Ft.
Ft.
—,-Sub
mRoofing
Sq. Ft.
Ft.
_.Si_�!ing
Sq. Ft.
Ft.
—.1?t 'll-i ty Bldg. -Size
Ft.
Sq. Ft.
Ft.
Plumbing
PERMIT FEE
SURCHARGE c`i - a 2. UU
S.A.C. $ f/�/?
AVAIL. CHG.$ Zllz
OTHER $
Total $
PERMIT APPROVAL
PLANNING COMMISSION
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"�ch case madq,and provided.
DATE _ APPLICANT
work in
the pro -
all statutes
LLU. e5e / (:In L'
Miller-Davi_ Co.. 'd.`^=eapoli=
47 ------------- -� .�.P. .......................
Otate of Minnesota,
County of.............C.)...................
J
Office of i'
rd"11146 '
erml
IN CONSIDERATION OF The statements and representations made by...........................................................................
X1
.......................................................................................
in........................application therefor duly filed in this office, which ap lication is hereby m de a part hereof, PERMISSION IS HEREBY
- L;
GRANTEDTo said. ......... ........................ �'��f .�fX'.L�lZG....................... ......................................................... as owner
to.....s :L.*..4-156ilding described as follows: kind of construction
(build,//erect, install, add to, alter, repair, move, wreck, as the case may be�
...................................................................................................................................................._...............................................---...................................................------------------.......--.....................
frontor 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....-�� .' �.. !G ...
...---......................................................... z�� 5 ....... .... r <7............................................ .........................................................
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 contracto s, agents, wo en and employees, shall
comply in all respects with the ordinances of the.............�.........................................of............ :2r�. .......�!..1�'�1 t....; that it does
not cover the use of public property, such as streets, sideways, alleys, etc., for which spec 1 permi must be secured; and that it does
not cover the following: ..............................................................
(Electrical work, plumbing, beating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand the.......... t L:r:r .:. .. ... .......................Of
attestedby its ......... ML........................................... this.........---...... L1 ..._.................
tte
�c ....................................
...and its corporate seal and
......................................19...72....
.........................................•---------........................
......... /r.-i/f L.�..........