Permits - Permit# 413 - 2471 Black Lake Road - 1/1/1978CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
Permit No.
OWNER ��`'��� ���� DATE
ADDRESS _a 1/7/ ✓� r - �i(� TELEPHONE
BLDR. -CONT. TELEPHONE
M• • I y • . - • n • • u
STREET ADDRESS �/7 �—i �� c ! c mac' !iP EST. COST �%30O
PLAT PARCEL 3 00%) ZONING�,,�.^,�,.�
COMPLETION DATE
ApDlication requirements
Survey Energy Comp....... Heating Layout..........
Plat Plan ....... Elevations ........ Sewer -Water Location....
Structural Plan..._ Watershed.......... County Driveway Permit..._
Other
Types of Construction
NEW CONSTRUCTION
Single Family
—'
Sq.
Ft.
Multi -Family
Sq.
Ft.
Commercial
Sq.
Ft.
Industrial �,�
�
Sq.
Ft.
„ * Garage -Size -; � Sq .
Ft.
Deck -Size
Sq.
Ft.
_
Patio -Size
0
Ft.
_ Fence. -Size
La.
Ft.
PERMIT FEE
SURCHARGE
S.A.C.
4
AVAIL. CHG.$'
OTHER
t
Total
$
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft.
Roofing
Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg. -Size
Sq.
F .
Plumbing
PERMIT APPROVAL
PLANNING COMMISSION
COUNCIL
In case permit is granted, I hereby agree to do the proposed
accordance with description above set forth and according to
visions of all ordinances of the City of Spring Park and of
of the State of Minnesota in such cases made and provided.
DATE ///%� APPLICANTC-
work in
the pro -
all statutes
D��
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CITY OF SPRING PARK
SPRING PARK, MINNESOTA
PLAT NAME
PARCEL 000 (D ADDRESS a
ZONING A} . PERMIT # DATE ISSUED
APPLICATION FOR
SURVEY PLANS -
PLAT PLAN SHOWING:
LOCATION OF PROPOSED & EXISTING STRUCTURES...........,
IFNO GARAGE - PROPOSED SITE .........................
LOCATION OF DRIVEWAY & OFF STREET PARKING............
SETBACKS AS STATED IN ORDINANCE ...................... d
LOCATIONOF WATER/SEWER .............................�
SURFACEDRAINAGE PLAN ..... ............ ...............:
COPY OF APPROVED VARIANCE (If needed) ...................
ENERGYCOMP .............................................
COPY OF EASEMENTS (If applicable)......................./�.�
SOIL EVALUATION (If necessary)
AREA CHECK: /
ALIGNMENT ✓ SIZE STYLE DRAINAGE
PARKING SPACES REQUIRED AVAILABLE
OTHER PERMITS:
PLUMBING S/W CONNECTION
HENN. CO. OTHER
AVAILABILITY/SAC CHARGES DUE ............................
LOT SQ. FT. a 9�Y, �� HOUSE SQ. FT._/,.__7 7_
GARAGE SQ. FT. 529 DECK SQ. FT.
OTHER IMPERVIOUS SURFACES
FIRE DEPT. APPROVAL .(If required)......................�,!
BUILDING INSPECTOR COMMENTS
FEES PAID all permits/avail/SAC P. C.
BLDG. INSP. review & approval COUNCIL
ADM.
CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
OWNER
ADDRESS
BLDR.-CONT.
Permit No.
Location of Proposed Improvement
00
STREET ADDRESS � �L EST. COST
PLAT PARCEL .3 00/7 ZONING
COMPLETION DATE
Application requirements
Survey Energy Comp....... Heating Layout..........
Plat Plan Elevations ........ Sewer -Water Location....
Structural Plan... Watershed.......... County Driveway Permit...
Other
Tames of Construction
NEW CONSTRUCTION.
Single Family
Sq.
Ft.�
Multi -Family
Sq.
Ft.
Commercial
Sq.
Ft.
Industrial ,,��y'
�
Sq.
Ft.
Garage -Size ,2 Sq.
Ft.
Deck -Size
Sq.
Ft.
Patio -Size
Sq.
Ft.
Fence -Size
Ln.
Ft.
PERMIT FEE $ 3,2 , D�
SURCHARGE
S.A.C. $
AVAIL. CHG.$
OTHER
Total $ i!/a
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft.
Roofing
Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg. -Size
Sq.
Ft.
Plumbing
PERMIT APPROVAL
PLANNING COMMISSION
COUNCIL
In case permit is granted, I hereby agree to do the proposed
accordance with description above set forth and according to
visions of all ordinances of the City of Spring Park and of
of the State of Minnesota in such cases made and provided.
DATE ���7� APPLICANT
work in
the pro -
all statutes