Permits - Permit# 491 - 2429 Black Lake Road - 1/1/1980City of Spri
BUILDING
NO. H9i
ng Park
PERMIT
PINS /9-// 7- - .2- ADDRESS 2 Z-2 2 ,2LA C k 4.4
Permission is hereby granted to I)-h UI D HA" SE /1/
to install or construct the improvements applied for. This permit is granted upon the
condition that the person to whom it is granted,. and his agents, employees and work
men,._sh_ all conform in all respects to the Ordinances of the City of Spring Park and to
the Statutes of the State of-Min-nesota in such cases made and provided; this permit
may be revoked at -any time upon violation of any of the provisions of said Ordi-
nances, Statutes, or for any misrepresentation in the applicat*
NOTE: This Card must be placed in a conspicuous place on the premises
on which work is to be done.
259 '7' /
Miller -Davis Co.,
$ _.... -....... . J_.._..... _... _......
y 0 4-L� C�'
Mab of Ainnrsoftt,
Countyof.__.._.._.......---............_.---
Office of _O_��—`�3`— - ...........� ...
JBuf I bi n g V e r Mir t
IN CONSIDERATION OF The statements and representations made by. _ __.__.....__...................
......... _.... --... _............... _._.........---------.--•.. �d� �� �� _.._........._._._.._...................... _.._ ._.._.. _......_._—_.._----... _-- .........................
---...
in.......4 .......application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION -IS HEREBY
GRANTED To said ....................... ' _._.
_—.................-.._.....--_.........._ -- •--.....- -—----- ---------- --.... -....... _.... _..as owner
to.._ ......... ---.... .......:�� �:�&.z.........._._.-.--_-_-----._------ _._...... ... _ .._........ _._._a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the case may be)
front or width in feet ................_..._..............................__; side or length in feet ._-........ _.......... _._.................. _.-; height in feet __---_..... _— .......... _... _ . ;
number of stories ._..... __........ ......................: contents. ---....... ._.-..... __ ...._.._--.--------- _...... cubic feet; ---.-----•----_- _---y..._ _square feet, upon that
tract of land described as follows: Lot-.13.�_.lS� .e� Block—_-_.._....__._.-_._._...._..__.._._..._.; plat or addition io.Z!�!/.....`I,�
__? Ya Z_...... ,.,� 9- a o
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 contractors, agents, workmen and employees, shall
comply in all respects with the ordinances of the__...
not cover the use of public property, such as streets,
that it does
alleys, etc., for which special permits must be secured; and that it does
not cover the following: ............... . ...... . . . ........ _..........._..... (
Electrical work,plumbing,
beaung,
plastering, etc if such there be.)
for which special permits must be secured.
Given under the hand of the:..x __._.__....of said_. -..._. __.and its corporate seal and
attested by its.....__------ . .... _... day
19 9O
_..
CITY L �PRi!vG PARK
SPRING "%AK I MINNESOV,
BUILDING PERMIT RiQ'JIRE14ENT & CHECK OFF LIST
NAME
ADDRESS
--
--
ZONING
PID#
FILED
REQUIRED_
✓
City Application......I................
Site plan (drawn to scale) showing:
Lot area in square footage ...........
'—"—
Location of all struct--.gyres.................... .=
.�..---
Ifno garage - proposed site ..................
""--
Measurements of all setbacks ...................=
-'-!
Location of water & sewer .....................______
Location of driveway & parking stalls .........
"'"--"—
Elevation of site ......................•......
Direction,of drainage flow....................
Complete set of working plans .............•••••
B.T.U. loss of
Heating layout plan shcwing
each room and furnace rating...
v�
Energy Con!;ervati,an Eva.luation..................
Window schedule.. ............................. `=
city appl...
Copy of approved variance or other
Copy ot any easement required ..................
Soil Pvaluation if necessary ...••••••••••••••••----
"""-�
City Availability fees .........................
-�_
SAC fees . . . . . . . . . . . . . . . . . . . . . . . . ��-
'._"'""".__
Meter deposit ..................................__
Fire Department approval ......................._,_
Other permits that must be applied for: Demolition
te' Plumbing --.—
`"� Sewer/water connection
Excavation
Appear before Planning Commission - ate 9!0
"'—
Appear before City Council - Date ;tj i ?V
91
COMMENTS:
Any and all cost incurred for engineering and/or legal fees at the
Buildingrequest oOfficialapplicants
beFreimbugrsedcommissions
applicCouncil or
ant
Cite Ordinance shall supersede anything that is found on the plans
or approved through error, either by a plan checker or City Official.
BLx 452�_..t.
4341) Warren Avenue
Spring Park, MN 55384.
. V. W- R
BUILDING PERMIT APPLICATION
OWNER
�Z Z_e" TELEPHONE y 7 / - 2/ / f
ADDRESS
TELEPHONE
BLDR.-CO-NT-
Location of ronosed Improvement
STREET
ADDRHSS y a EST. COST
PARCEL_ V S- d _ZONING
PLAT PI'IV %' 3 /
COMPLETION DATE
Application requirements
Energy Comp ....... Heating Layout..........
Survey ••••�•• " ' --- Elevations ........ � Sewer -Water Location.... �f�,.
Plat Plan --�- Watershed Elevations
........._ ✓ County Driveway Permit...
e+■...■mural Plan...
Other
Types of Construction REMODELING
NEW CONSTRUCTION
Single Family
Sq.
"-- Nu,lti-Family
Sq.
Compnercial
Sq.
Industrial
Sq •
Garage -Size,=
q•
Dock., -Si se___„_
Sq •
Patio Size Sq
Fence-Size��_._.
•
PERMIT FEE % o
Ft.
Ft.
Ft.
Ft.
Ft. _
Ft.
Ft.
n
Addition
Sq.
Ft. _
Interior
Sq.
Ft.
lSub Level
Sq.
Ft.
--Roofing
Sq.
Ft.
-Siding
Sq.
Ft.
--Utility Bldg. -Size
Sq.
PERMIT Al?PROVAL
SURCHAkGE __ �/ PLANNING COMMISSION � ��1� �d
PLAN CliK. WEE # yd . 06 -- COUNCIL , _.9� �Y-d
N.A.C. -
AVAIL. CHO. ii OTHER PEI Sewer/Water
OTHER � :..�........ plumbing _„_ Excavatiorn
TOTAL Demolition
In case peMit is granteds I hereby agree to do the proposed work in
accordance with description above set forth and according to the pro-
visipns of all ordinances iof the n suchCity casesfmadeing andpark and provided.t all statutes
at the State of Minnesota
DATE APPLICANT
Permit No.
CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
APPLICATION FOR INSIDE PLUMBING PERMITS
OWNER DATE.
LOCATION OF PROPOSED IMM}PROVEMENT
k6e,'_
STREET ADDRESS � / /
PLAT
PARCEL
,Rasa- lst 2nd
Base- 1st 2nd
fixtures .__gent__
oor__
Floor _Fixturzs
a
to
0
Hater Closet
Floor Drains
'—JTater_SQ£tene
th.Tubs. -__
Showers
Dishviasher
sins
I -later, Heater_._
Sinks
Special Wastes
:Dash Tray
Total-- - ---
—
--
-
SURCHARGE .: o
TOTAL
RECEIPT NO. 9 y
The undersigned hereby represents upon all of the penalties of law;that
all statements made herein are true and that all work herein mentioned
will be done -in accordance with the Ordinances of the City of Spring Park
and7he Statute f the State of Minnesota.
can
Approved
Inspector