Permits - Permit# 8-16-73 - 2444 Black Lake Road - 1/1/1973....APPLICATION FOR BUILDING. PERMIT
VILLAGE OF SPRING PARK
SPRING PARK, MINNESOTA
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OWNER (Name)
(Address) (Tel. No.)
PERMIT NUMBER
5571 Shoreline Blvd.
ARCHITECT (Name)
(Address) ( Tel. No.)
ESTI MATED COST
472-5768
N/C
BUILDER (Name)
(Address) (Tel. No.)
PERMIT FEE
DATE
PLUMBING FEE
Tract B Registered
Land Survey 1352
August 16 1973
$
LEGAL DESCRIPTION (Obtai noble from Assessor's
Office)
TOTAL
PLAT NUMBER
PARCEL NUMBER ZONING DISTRICT
$
COMPLETION DATE
Parcel C
PROPOSED USE—'
NUMBER OF OFF—STREET
PARKING SPACES
Residential
Nonresidential
Enclosed
One family Amusement, recreational
Outdoors
_ Two or more family —Enter
Church, other religious
number of units ------
Industrial
Transienthotel, motel,
Par king Garage
SPACES REQ.
or dormitory — Enter number
of units-----------t--
Service station, repair garage
— Garage
Hospital, institutional
SPACES ON PLAN
— Carport
�_ Office, 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
LOADING BERTHS
NEW CONSTRUCTION ALTERATIONS ADDITION FINI SH ATTIC
NUMBER REQUIRED
FINISHBASEMENT—.PORCH .
GARAGE _ REROOF . RESIDE
NUMBER PROVIDED
Misc. Demolition of old garage
SIZE OF EACH
SIZE OF STRUCTURE (Height) (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
Gr•
Wil I there be central air conditioning?
Wood frame
Electr i cif y
F. A.
No
Structural steel
Coal
Wtr•
_Yes
Reinforced concrete
Other — Specify
'Stm.
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
di mensi ons ..... .
Total land area, sq. ft.
SPOT BUILDING/s SHOWING SET BACKS
n-1-1-rT r
STREET
PROPERTY LI 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.
APPROVED �s�
VILLAGE OF SPRING PARK APPLICANT
DATE: DATE: 06 zn