Permits - Permit# 4-16-73 - 2447 Black Lake Road - 1/1/1973 (2)APPLICATION FOR BUILDING PERMIT
VILLAGE OF SPRING PARK
SPRING PARK, MINNESOTA
Please Print or Type .
OWNER (Name)
(Address) (Tel. No.)
PERMIT NUMBER
if—IckatriS
,[ cK AAAe,f,4 - Y. 2;
ARCHITECT (Name)
(Address) ( Tel. No.)
ESTI MATED COST
$ QOO, 00
BUILDER (Name)
(Address) (Tel. NO.)
PERMIT IfEE �V P
DATE
PLUMBING FEE
_
r6 197.3
$
LEGAL DESCRIPTION (Obtainable from Assessor's Office)
TOTAL
PLAT NUMBER PARCEL
NUMBER ZONING DISTRICT
$ QOO, 00
COMPLETfON DATE
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 ------------ i--
Service station, repair garage
Garage
Hospital, institutional
SPACES ON PLAN
Carport
Office, bank, professional
Other — Specify
Pubi 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 _ FI NI SH ATTIC
NUMBER REQUIRED
FINISH BASEMENT PORCH . GARAGE
RE.ROOF __ RESIDE
NUMBER PROVIDED_
MISC.
SIZE OF EACH
SIZE OF STRUCTURE (Height) (Width, (Depth)
NO. OF STORIES
0?0'
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.
Will there be central air conditioning?
Wood frame
Electr i cif y
F. A.
No
St ructural steel
Coal
Wtr.
_Yes
Rol nforced concrete
Other — Specify
Stm.
T
Will there be an elevator?
Other — Specify
— Yes No
(COMPLETE REVERSE)
PROPERTY LINE
DIMENSIONS .
02
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
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
VILLAGE OF SPRING PARK APPLICANT
DATE: DATE: g