Permits - Permit# 333 - 2468 Black Lake Road - 1/1/1976CITY OF SPRING PARK
SPRING PARK, MINNESOTA
APPLICATION FOR BUILDING PERMIT
PLATXD FSS
PARCEL S o 2D
ZONING�_�Q���(
COMPLETION DATE ® c __5 6
OWNER
ADDRESSL..
CONTRACTOR
PERMIT NO. 3m
ESTIMATED COST 6 00OC2
PERMIT FEE 0100
SUR TAX , l a
TELEPHONE NO. 'rig �7/- ?8"/ O
ADDRESS TELEPHONE NO.
TYPE OF WORK
SIZE: Height Width :P o Depth ,O
TYPE OF CONSTRUCTION TYPE
EXTERIOR FINISH ���� TYPE
TYPE OF HEATING
NUMBER OF OFF-STREET PARKING SPACES
PRESENT USE OF LAND
NONRESIDENTIAL ONLY:
NU14BER OF OCCUPANTS
NUMBER OF EMPLOYEES
OF FRAME
OF ROOF
AIR CONDITIONING
NUMBER OF SEATS
ELEVATOR
NUMBER OF LOADING BERTHS PARKING
The undersigned
the purpose of
requested, that
mentioned will
Statutes of the
I agree to pay
fees that I so
hereby represents upon all of the penalties of law, for
inducing the City of Spring Park to take the action
all statements herein are true and that all work herein
be done in accordance with the ordinances of the City,
State of Minnesota, and ruling of the Building InspecT�oc°.
any all costs incurred for engineering and/ or legal
request or is requested by Planning Commission or Council.
/d Z 7 Zz ('
DATE
ministrator er - easurer BU4SPIE-C-tOR
PROPERTY LINE
DIMENSIONS
Total square feet of floor area,
all floors, based an exterior
di mensi ons ..... .
Total land area, sq. ft.
SPOT BUILDING/s SHOWING SETBACKS
STREET
PROPERTY LI NE
SCALE: 1/8" 1 FT.
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CITY OF SPRING PARK
• SPRING PARK, MINNESOTA
APPLICATION FOR BUILDING PERMIT
PLAT_G �S
PARCEL y
ZONING
PERMIT NO.
ESTIMATED COST
PERMIT FEE c2 0
COMPLETION DATE d-,*I- __� 6 l % % SUR TAX
OWNER
ADDRESS �;16 j"'
CONTRACTOR
TELEPHONE NO. '41 i / - ?,?/ O
ADDRESS TELEPHONE NO.
TYPE OF WORK
SIZE: Height Width n Depth /'O
TYPE OF CONSTRUCTION TYPE
EXTERIOR FINISH �� TYPE
TYPE OF HEATING
NUMBER OF OFF-STREET PARKING SPACES•
PRESENT USE OF LAND
OF FRAME
OF ROOF --
AIR CONDITIONING —
NONRESIDENTIAL ONLY:
NUMMER OF OCCUPANTS NUMBER. OF SEATS
NUMBER OF EYLDLOYEES ELEVATOR
NUMBER OF LOADING BERTHS PARKING
The undersigned
the purpose of
requested, that
mentioned will
Statutes of the
I agree to pay
fees that I so
hereby represents upon all 'of the penalties of la•.a, for
inducing the City of Spring Park -to take the action:
all statements herein are true and that all work herein
be done in accordance with the ordinances of the Ci'l-J,
State of Minnesota, and ruling of the Building Insp lrl:_o.:' ,
any all costs incurred for engineering and/ or. legal
request or is requested by Planning Commission or Counc 1.
./oz 2 %('
ministrator er - easurer U N R
259
miller -Mavis i,o-
.................� i ��s _ — ®o............ �3............................
atat? of HDBIIB>p�b��aH, L.�� y .........of...... lL�r� .......,�2.Cs�/Cn
County of-----.....�Ci................... Office of -.......
i v
IN CONSIDERATION OF The statements and rresentations made by ............................................
, / A
in........................application therefor duly filed in. this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
.�__GRANTED To said ...................................... �G _ - --- - - -------............................................ _........................................................ as owner
to...............r� .. !.... _....... _.------a building described as follows: kind of construction
(build, erect, install, add to, alter, repair, ve, wreck, as the case may be)
.............................................................................................................................................___.........-.................-..................................-..........................................................................._.......
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 ----------------------------.......Vo.................................... ;Plat or addition ......... 6-Siff . ....................
which tract is of the size and area specified in said application.
This permit is granted upon the express conditions that said owner and his contract o s, agents, wen Janemployees, shall
comply in all respects with the ordinances of the .............. :................. -..- ................... of._.. s ;that it does
not cover the use of public property, such as streets, sidewa , alleys, etc., for which sp al per7smust be secured; and that it does
not cover the following: .............................................................................
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits must be secured.
Given under the hand of the....-� .........tom.aa.. ............ .....__.__........ .. an its corporate seal and
of said.... �"' ..)...........
attestedby its .............. ........................�---this.............. ?�-..........--......day of-----.............---------- :J.�1 ... 19...7.�..--
Attt:_ -
^
............. -�66 )
�/�/-----............9/,.!'...........................................................................
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