Permits - Permit# 4-13-78 - 2444 Black Lake Road - 1/1/1978P.O. Box 452
Spring Park, Park, MN 55384
BUILDING PERMIT APPLICATION
OWNER C' g V I LL. E" DATE
1;7/-
BLDR.-CONY. ��► I C ►Z U r u: ,� TELEPHONE LZ/- s /� S '
. COST L0466.900
PLAT �► fob .5� PARCEL y.3�C�Li ZONING
COMPLETION HATE
Application requirements
Survey ..........: _ Energy Comp....... Heating Layout..........
Plat Plan ....... Elevations ........ Sewer -Water Location....
Structural Plan...- Watershed .......... County Driveway Permit...
Other
'_saes of Construction
NEW CONSTRUCTION
Single Family Sq.
Multi -Family Sq.
Commercial Sq.
Industrial Sq.
IMS Garage-Siz = q.
Dock -S1ze� i' §q.
-- Patio -Size Sq.
Fence -Size_
PERMIT FEE $
Ft.q I?.
Ft._
Ft.__
Ft
Ft.
Ft.�
Ft._
Ft._
SURCHARGE n.
S.A.C. $_L10(7 0() 3��1
AVAIL. CHG.
OTHER $
Total $
PERMIT
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
-Sub Level
Sq.
Ft.
-Roofing
Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg. -Size
Sq.
FT.
Plumbing
APPROVAL
LI
a
PLANNING COMMISSION
COUNCIL
In case permit is granted, I 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 41- 13 - 2 APPLICANT
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CITY OF SPRING PARK
BUILDING PERMIT CHECK -OFF LIST
PLAT 6 - NAME
PARCEL 1/_50D ADDRESS v
ZONING PERMIT # DATE ISSUED
APPLICATION FOR
SURVEY ,/ NS
PLAT PLAN SHOWING:
LOCATION OF PROPOSED & EXISTING STRUCTURES...........
IFNO GARAGE - PROPOSED SITE .........................
/ &.-LOCATION OF DRIVEWAY & OFF STREET PARKING............
SETBACKS AS STATED IN ORDINANCE ......................
LOCATION OF WATER/SEWER
1� SURFACE DRAINAGE PLAN ................................
COPY OF APPROVED VARIANCE (If needed) ...................
ENERGYCOMP .............................................
COPY OF EASEMENTS (If applicable) ....................... /9
SOIL EVALUATION (If necessary) .........................
AREA CHECK:
ALIGNMENT SIZE dZ2 STYLE 46 DRAINAGE �,
PARKING SPACES REQUIRED AVAILABLE _'2
OTHER PERMITS:
PLUMBING S/W CONNECTION iC
HENN. CO. 14 OTHER
AVAILABILITY/SAC C'AARGES DUE., ...
LOT SQ. FT. Ad, o HOUSE SQ. FT. nI l2 — Zy x -375
GARAGE SQ. FT. DECK SQ. FT. e!5�9 — eR Y f„
OTHER IMPERVIOUS SURFACES )V d �g . ol
FIREDEPT. APPROVAL (If required) ...................... 119
BUILDING INSPECTOR COMMENTS /
FEES PAID all permits/avail/SAC (o P. C.
BLDG. INSP. review & approval COUNCIL / �/�
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