Permits - Permit# 449 - 2452 Black Lake Road - 1/1/1979 (2); CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
Permit No.
�, JEc�NE DATE �i /.l
OWNER �Liuy'/ems 7i� f" �7arirs
ADDRESS PCB 13OX /(JO fl Uv►C�ed wuo � /Y.y,„,- _StW6 TELEPHONE i - 1441z-31yz AgazA.
BLDR . -CONT . /�� s h �. ��, TELEPHONE �/ 3 - y-
Location of Proposed Improvement
STREET ADDRESS ,�Z q 2 B/uchi 4 u J�E Ad EST. COST
PLAT PARCEL ZONING
COMPLETION DATE _5�� /- l S' 7 `1
Application requirements
y7 > Energy Comp ...... .
Heating Layout
Survey .......... �'•�r
Plat Plan ....... �� Elevations Sewer -Water Location.... v
Structural Plan... ✓ Watershed........... County,Driveway Permit...
Other
Types of Construction
NEW CONSTRUCTION
Single Family Sq. Ft.
Multi -Family
Sq.
Ft.
Commercial
Sq.
Ft.
Industrial ,jA:;o Sq.
Garage-Sizea_3q..
Ft.
Ft. Tao
Deck -Size
I Sq.
Ft.
Patio -Size
Sq.
Ft.
Fence -Size-Ln.
Ft.
PERMIT FEE $ ` 0- b U
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft.
Roofing
Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg. -Size
Sq.
Ft.
PERMIT APPROVAL
SURCHARGE $ PLANNING COMMISSION f�.n,�,�.�-.u�� 'i'
PLAN CHK . FEE a 20. 11 o
S.A.C. $ COUNCIL
AVAIL. CHG.$ ATHER PERMITS REQUIRED:
OTHER $ Sewer/Water Connection
TOTAL $ 1/1 5V Plumbing Excavation
0 . 6,7 Demolition
In case permit is grant, 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 c46es made and provided.
0
DATE ? • APPLICANT
Poor Quality Document
Disclaimer
The original or copy of a document or page of a document
presented at the time of digital scanning contained within this
digital file may be of substandard quality for viewing, printing or
faxing needs.
CITY OF SPRING PARK
SPRING PARK, MINNESOTA
BUILDING PERMIT CHECK -OFF LIST
PLAT NAME - �' S
PARCEL ADDRESS4G - 4 -
ZONING PERMIT # DATE ISSUED
APPLICATION FOR a C a g a* P- A 6- P-
✓SURVEY a, ✓PLANS
PLAT PLAN SHOWING:
,-SO-CATION OF PROPOSED & EXISTING STRUCTURES...........
IFNO GARAGE - PROPOSED SITE .........................
LOCATION OF DRIVEWAY & OFF STREET PARKING............
--SETBACKS AS STATED IN ORDINANCE ......................
LOCATION OF WATER/SEWER .............................
SURFACEDRAINAGE PLAN ................................
COPY OF APPROVED VARIANCE (If needed) ............ ......._ /! 4-
ENERGYCOMP ............................................. �.
COPY OF EASEMENTS (If applicable) .......................
SOIL EVALUATION (If necessary) .........................
AREA CHECK:
ALIGNMENT SIZE STYLE DRAINAGE
PARKING SPACES REQUIRED AVAILABLE
OTHER PERMITS:
PLUMBING -�1 A S/W CONNECTION N1#
HENN. CO. OTHER
AVAILABILITY/SAC CHARGES DUE ............................
-'LOT SQ. FT. ''MOUSE SQ. FT.
✓GARAGE SQ. FT. -BECK SQ. FT.
,-'OTHER IMPERVIOUS SURFACES
FIRE DEPT. APPROVAL .(If required) ......................
BUILDING INSPECTOR COMMENTS , � � ) zrJa��
BUILDING INSP. APPROV
ADMINISTRATOR
PLANNING COMMISSION, COUNCIL
DATE