Permits - Permit# 6-5-81 - 2473 Black Lake Road - 1/1/1981rerul.1 M nu a
Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
OWNER
DATE
TELEPHONE
BLDR.-00-NT.
S'x` r- TELEPHONE, s_^
I ecetioll nt Emnglld Improvement
STREET ADDRESS 4 1 3
EST. COST
PLAT -,
PARCEL ZONING
COMPLETION DATE --- A zT �n u -_ F" j a I s 44. 74 S 19 P_
A20lic2ti0 requirements
SurveyEnergy Comp....... Heating Layout..........
•'••'• " " Sewer -Water Location....
Plat plan ....... -_ Elevations ........,
Structural Plan..•__ watershed.......... County Driveway Permit...
Other
Z W a of Construction
NSW CONSTRUCTION REMODELING
Single Family Sq.
Multi -Family Sq.
Commercial Sq.
Industrial Sq •
Garage -Sic 6..jftsmtL.,Sq•
Deck : -Si zelSq.
Patio -Size S9 •
.� Fence -Size,,,__ •
PERMIT FES $,
SURCHARGE 4
PLAN Me 08 •
OTT o C� 1
TOTAL �
Ft.
Ft.__
Ft . �_•_ __
Ft.
Ft. �
Ft •.r._.
Ft.
Ft.
Addition
Sq.
Ft.
'—Interior
Sq.
Ft.
—Sub Level
Sq.
Ft.
'—Roofing
Sq.
Ft.
—Siding
Sq.
Ft.
=Utility Bldg.
-Size
Sq.
A7.
PERMIT APPROVAL
PLANNING COMMISSION,-,man-..--.-� 166
COUNCIL
OTHER PERMITS REDUIREDi
Sewer/Water Connection
Plumbing ,_Excavation
Demolition
In osse p*Mllt Is grentedo I.hereby agree to do the proposed Work in
socordanoe with description .above set forth and according to the pro-
vlslon0 of all ordinances of the City.of Spring Park and of all statutes
of tkae State of Minnesota in $„�ti r1rk1QAA made end nrovided.
DATR c_ /,,c /a APPLICANT