Permits - Permit# 466 - 2478 Black Lake Road - 1/1/1980CITY OF SPRING PARK
P.O. Box 452
4341 Warren Avenue
Spring Park, MN 55354
BUILDING PERMIT APPLICATION
62
OWNER f� ( 6 k-;l
ADDRESS 2 � % 4 /mac
Permit No. `�(o
B
DATE � . -:? — �y
d> TELEPHONE
BLDR.-CONT. Se/ TELEPHONE
Location of Proposed Improvement
STREET ADDRESS
5�aw_e rt�o ve EST. COST /
PLAT', PARCEL 0 ZONING
go
COMPLETIO DATE S4rkolweY V
Apolication requirements
Survey .......... /Energy Comp.......
Plat Plan 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.—
Fencee -Size
Ln.
Ft.�
PERMIT FEE -S _� e , ® 0
SURCHARGE S %D
PLAN CHK. FEE 0
S.A.C. $ _
AVAIL. CHG 4
OTHER 6-7
TOTAL.
PERMIT
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. _
APPROVAL
_q /
PLANNING COMMISSI ��9/11 ...
COUNCIL
MHER PERMITS REQUIRED:
Sewer/Water Connection
Plumbing Excavation
Demolition
In case permit is granted, I hereby agree to do
accordance with description above set forth and
visions of all ordinances of the City of Spring
of the State of Minnesota in such cases, a an
DATE APPLICANT
the proposed work in
according to the pro -
Park and of all statutes
,--p�rvided.
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CITY OF SPRING PARK
SPRING PARK, MINNESOTA
APPLICATION FOR BUILDING PERMIT ,
f
PLAT �o 3 PERMIT NO.
PARCEL Y-A'y�-l�yyi S ESTIMATED CO T
ZONING %7`i1!� PERMIT FEE /
COMPLETION DATE SUR TAX
OWNER C �� ✓o I,v�1
ADDRESS TELEPHONE N0. %/ l'
CONTRACTOR
ADDRESS
TYPE OF
p / pTELEPHONE NO. AV-2
WO
RKo�I ild✓cGr '�Of,P oc���e /S i �1e`/ —
SIZE: Heights) a'Xal' Width ;,t ` Depth 61
TYPE OF CONSTRUCTION 0 E c- W TYPE OF FRAME x, w j O t s;
EXTERIOR FINISH P�c-fl w o o D TYPE OF ROOF z x 6 QA FTL 2
TYPE OF HEATING AIR CONDITIONING
NUMBER OF OFF-STREET PARKING SPACES
PRESENT USE OF LAND_ 4 �_ A w :y
NONRESIDENTIAL ONLY:
NUMBER OF 'OCCUPANTS
NUMBER OF SEATS
NUMBER OF EMPLOYEES ELEVATOR
NUMBER OF LOADING BERTHS PARKING
The undersigned hereby represents upon all of the penalties of law, for
the purpose of inducing the City of Spring Park to take the action
requested, that all statements herein are true and that all work herein
mentioned will be done in accordance with the ordinances of the City,
Statutes of the State of Minnesota, and ruling of the Building Inspec,;ov. .
I agree to pay any all costs incurred for engineering and/ or legal
fees that I so request or is requested by Planning Commission or Council.
� io�77
ME
Administrator7clerk-Treasurer BUILDING INSPECTOR
PROPERTY LINE
DIMENSIONS
Total square feet of floor area,
all floors, based on exterior
di mensl ons ..... .
T .----Total -land-oreasq: fu. -.-- -- `6 -`- --"
SPOT BUILDING/s SHOWING SET BACK
PROPERTY LI NE
STREET
SCALE: 1/8" 1 FT.