Permits - Permit# 360 - 2429 Black Lake Road - 1/1/1977OWNER
CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
W
Permit No. .36 t>.
DATE Lc..,Aj�.4, /1 TT
ADDRESS A c l( 4 A /f S,c7 , , j TELEPHONE
BLDR.-CONT.
2 6= TELEPHONE
Location of Prorosed Improvement
STREET
ADDRESS __
lq 5 I l3 L' C--
EST. COST Z2
PLAT
70 <4 6 P
010 PARCEL L50 -e- 757)C�
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.
Ft.�
Multi -Family
Sq.
Ft.
Commercial
Sq.
Ft.
Industrial
Sq.
Ft.
Garage -Size
Sq.
Ft.
Deck -Size�icy Sq.
Ft.
Patio -Size
Sq.
Ft.
Fence -Size
Lai.
Ft.
PERMIT FEE
$
��
SURCHARGE
$
S.A.C.
$
AVAIL. CHG.$
OTHER
$
Total
59
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft..
Roofing
Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg.
-Size
Sq. Ft.
Plumbing
PERMIT APPROVAL
PLANNING COMMISSION
COUNCIL
In case permit is granted, a hereby agree to do the proposed work in
accordance with description above set forth and according to the pro-
visions of all ordinances of the City of Spring Park and of all statutes
of the State of Minnesota in such cases made and provided.
DATE "I(I Z-- / APPLICANT
J