Permits - Permit# 200 - 2447 Black Lake Road - 1/1/1973APPLICATION FOR BUILDING PERMIT
VILLAGE OF SPRING PARK
SPRING PARK, MINNESOTA
Please Print or Type
NJE / (Nom )
(Address) (Tel. No.)
PERMIT NUMBER
ARCHITECT (Name)
(Address) ( Tel. No.)
I ESTI MATEQ,CQSZ
(f(%
BUILDER (Name)
(Address) (Tel. No.)
PERMIT FEE
$-
DAT§2
PLUMBING FEE
0.41e ®,7 -7. a� i
$
LEGAL DESCRIPTION (Obtainable from Assessor's Office)
TOTAL
PLAT NUMBER
PARCEL NUMBER ZONING DISTRICT
$
COMPLETION DATE
l�o = 0',
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,
or dormitory — Enter number
—� Par king Garage
SPACES REQ._.
Of units ----------
Service station, repair garage
Garage
Hospital, Institutional
SPACES ON PLAN
Carport
Offi ce, 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 FINISH ATTIC
NUMBER REQUIRED
FINISH BASEMENT PORCH GARAGE REROOF ,*i!L RESIDE
NUMBER PROVIDED
MISC.
SIZE OF EACH
SIZE OF STRUCTURE (Height) (Width, (Depth)
NO. OF S ORIES
TYPE OF CONSTRUCTION
EXTERIOR FINISH
TYPE OF ROOF
PRINCIPAL TYPE OF HEATING
PRINCIPAL TYPE OF FRAME
Gas
TYPE OF MECHANICAL
_ Oil
Gr.
Nil I there be central air conditioning?
Masonry (wall bearing)
Wood frame
Electr I cit y
F. A.
No
Structural steel
Coal
Other — Specify
Wtr.
Stm.
_Yes
Will there be an elevator?
Reinforced concrete
Other — Specify
Yes No
t - ( COMPLETE REVERSE)
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r NO. 259
MILLER-DAVIS CO..
O$ate of Minnesota,
Countyof....... ................. .... � ........................
Of.... .. ....... .............. _(9 . ........
Officeof ....................................................... ...... :.......................
JB uiIain g 1v er mi
IN CONSIDERATION OF The statements and representations made by
is application therefor duly fired in this office, which
GRANTED To sai
(build, erect, install, eU CN eltei, repair, move, wreck, as the case may be)
is Hereby made a part hereof, PERMISSION IS HEREBY
owner
described as follows: kind of construction
front or 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_._ � —J Block (; ; plat /or
,Gadditi�
which tract is of the size and area specified in said application.~w
This permit is granted upon the express conditions that said owner and his contractors, a8ents, workmen d employees, shall
comply in all respects with the ordinances of the ......... P...............................of...... ... ................. ; that it does
not cover the use of public property, such as streets, sidewalks, E eys, etc., for which special perm4fs must be secured; and that it does
not cover the following:.
(Electdoal work, plambin& beating, plastering, etc, if sach them be.)
for which special permits must be secured.
Given under the hand of the .......... ...................
attested by ite t '
said ......... ........ and its corporate seal and
......may of. — . 19
ttest:
._...........A ........... _ ..._..........._ ... . _ ....... ,
_.............. _.. _. ..._......._ . _ r .:...... :.......... .