Permits - Permit# 446 - 2473 Black Lake Road - 1/1/1979CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
OWNER
ADDRES
Permit No.
DATE
TELEPHONE1-�=� S
BLDR. -CONY TE�EPHONE S 3S-,S o o 0
Location. of Proposed Improvement
STREET ADDRESS Teo( EST. COST2/��
PLAT
PARCEL ZONING
COMPLETION DATE A55 114 /VZi 7 l'
Application requirements
Survey .......... c/ Energy Comp.......
Plat Plan
Structural
Other
.0..... ✓ Elevations ........
Plan... Watershed..........
Tvpes 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
Sq.
Ft.
c 'Fence-Size�Ln.
Ft.
PERMIT FEE $ 6�
SURCHARGE $ / • G h
PLAN CHK. FEE 0
S.A.C. $
AVAIL. CHG.$
OTHER $
TOTAL $ a
► 7s�-
Heating Layout..........
Sewer -Water Location....
County Driveway Permit...
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft.
Roofing
Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg.
-Size
Sq.
Ft.
PERMIT APPROVAL
PLANNING COMMISSION �klivc.e / , , /9 y
COUNCIL G /
OTHER PERM ffS REQUIRED:
Sewer/Water Connection
Plumbing Excavation
Demolition
In case permit is granted, 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 cases grade and provided.
DATE s' 7 APPLICANT
-c-,_
I
kdoe
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259 33 i Miller -Davis Co.,
/. 0 4"
o
$ $P' of Iffitutz0vta,
County of........ ...................
0 iN
g
IN CONSIDE '
in........................application therefor duly
GRANTEDi To said ......................................
to ............ ten-.��.� a
n00.._....___ .._.._...........
•-----•--...... .....
ofZr
x.��.:
Officeof ...........--_- . -- ...... ....... .... --....
permit
OF The statements and representations made by
which applicado n is hereby made apart hereof, PERMISSION IS HEREBY
...._...L.- -- .--------- ------------- ..................•----••---............_................................
........................
as owner
............. d al uilding described as follows: kind of construction
(build, erect, install, add to, al0i, repair, move, wreck; as the case
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 ............................................ Block._.. .........................
................... t or addition .........................................................
.......................... ........................................................................... ............... _...r_._._---- -------- 11 ---- - ---- - -- - - ---------------------------------.............-----,------.---..------
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 contractgrs, agents, workmen an,d e4nployees,.shall
comply in all respects with the ordinances of the...............�.�............................................ of ...... . -21 J
not cover the use of public property, such as streets; sidewalYcs, alleys, etc., for which spe •al peril
not cover the following:.................................................... .
(Electrical work, plumbing, heating, plastering, etc., if such there be.)
for which special permits -must be secured.
Given under the had f the ......................... _.....�.....
attestedby its. ----•------------- --•--• ......................... is ............. ......_/
Attest:
..................................••-----....-•-------............--••-•---•-•----..............---..............•----.......--•--........
�._...._..._._._
.....C. that it does
must be secured; and that it does
I and
OWNER %. ,�E^Ff�
ADDRESS
BLDR.-CONT.
CITY OF SPRING PARK Permit No. G_^
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION Q
l� DATE '1"_ �a
epee /
Ank 6'rr • TELEPHONE
- C� TELEPHONE S-,� S o o �
Location of Proposed Improvement
1
STREET ADDRESS y G Rj. EST. COST
PLAT PARCEL ZONING
COMPLETION DATE �. J
A.4 77
Application requirements L%�pa1 v. sT s .Poste
Survey .......... ✓ Energy Comp.......
Plat Plan �i — Elevations ........
Structural plan ... Watershed..........
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
Sq.
Ft.
=' Fence -Size:=I.n.
Ft._
PERMIT FEE S ,I j D'�
SURCHARGE 6 / d /_1
PLAN CHK. FEE 0.
S.A.C.
AVAIL. CHG.�
OTHER
TOTAL 2 CS
Heating Layout..........
Sewer -Water Location....
County Driveway Permit...
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft.
Roofing
Sq.
Ft.
Siding
Sq.
Ft.
Utility Bldg. -Size
Sq.
Ft.
PERMIT APPROVAL
PLANNING COMMISSION 13,
COUNCIL /
.OTHER PERM S REQUIRED:
Sewer/Water Connection
Plumbing Excavation
Demolition
In case permit is granted, 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 cases
'pade and provided.
DATE s� �= APPLICANT
0