Permits - Permit# 471 - 2486 Black Lake Road - 1/1/1980CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
Permit No. V71
OWNER �p�i
�Z�!a, DATE
ADDRESS R K� 246.E �C� + TELEPHONE :fz%
BLDR.-CONT. L-' TELEPHONE _3 f f
Location of Proposed Improvement
STREET ADDRESS Z�� ����� �1�� EST. COST / 2
PLAT ' ,-5�O E j PARCEL %-,5_6 (D ZONING
COMPLETION DATE
Application requirements
Survey .......... Energy Comp.......
Plat Plan ....... Elevations ........
Structural Plan... Watershed..........
Other
Types of Construction
NEW CONSTRUCTION
Single Family
Sq.
Multi -Family
Sq.
Commercial
Sq.
Industrial
Sq.
Garage -Size Sq.
3c S'z� Sq.
o -e Sq.
Fence -Size Ln.
PERMIT FEE $ /19.
SURCHARGE $ o
PLAN CHK. FEE 0
S.A.C. ' j
AVAIL. CHG 4
OTHER $
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
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_�G�a��e�Q
COUNCIL S
OTHER PERVETS REQUIRED:
Sewer/Water Connection
TOTAL 6 o 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 Spri Park and of all statutes
of the State of Minnesota in such casWi4ade �d provided.
Poor Quality Document
Disclaimer
The original or copy of a document or page of a document
presented at the time of digital scanning contained within this
digital file may be of substandard quality for viewing, printing or
faxing.needs.
CITY OF SPRING PARK
SPRING PARK, MINI,IESOT1,
BUILDING PERMIT REQUIREMENT & CHECKOFF LIST
NAME
ADDRESS
PID#
ZONING
REQUIRED
r
to �S —1��0
FILED
City Application ..............................
Site plan (drawn to scale) showing:
Lot area in square footage....................
Location of all structures .....................
If no garage - proposed site ..................
Measurements of all setbacks ..................
Location of water & sewer .. ...... ...........
Location of driveway & parking stalls ... ......IV.4
Elevation of site ............................
Direction of drainage flow ...................
Complete set of working plans.
Heating layout plan showing B.T.U. loss of
each room and furnace rating ..................
Energy Conservation Evaluation..........,.......
/V_
Window schedule............. .............. ...
I _
Copy of approved variance or other city appl...
Copy of any easement required..................
Soil evaluation if necessary..... ............ o
_
City Availability fees ........................
SACfees .......................................
Meter deposit ..................................
114-
Fire Department approval .......................
Other permits that must be applied for:
Plumbing Demolition
Sewer/water connection
Excavation
Appear before Planning Commission - Date
Appear before City Council - Date
COMMENTS:
Any and all cost incurred for -engineering and/or legal fees at the
request of the applicant, Planning Commission, City Council or
Building Official shall be reimbursed by the applicant.
City Ordinance shall supersede anything that is found on the plans
or approved through error, either by a plan checker or City Official.
259 /.Xad
/')_00
Miller -Davis Co.,
Wau of ..of
County of___A4 Office of
Vuiibing Permit
IN CONSIDERATION OF The statements and representations made by._.—.._.—......._..._.........._ .................... . ..
in.2__application therefor duly filed in this office, which application is hereby made a part hereof, PERMISSION IS HEREBY
GRANTED To said._-_........_......_............. owner
building described as follows: kind of construction
(build, erect, install, add to, alter, repair, move, wreck, as the can may be)
.&?� _ 4. - . ........ __. . . . . ...... . . . .........
front or width in feet—_.....___....____...._._.._._......._.._; side or length in feet-__..._—._......_......_..........._._; height in feet-----_.._._ . ........ .
number of stories—_—_—__.......; contents feet; --_--__._--square feet, upon that
tract of land described as follows: Block—.--... plat or addition-
. .. . . . . . . ............... . .... . ..................
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 contractors, agents, workmen and employees, shall
comply in all respects with the ordinances of that it does
not cover the use of public property, such as streets, sidewalks, alleys, etc., for which special permits must be secured; and that it does
not cover the following:_
(Electrical work, plumbing, bearing, plastering, etc., if such there be.)
for which special permits must be secured.
'V
Given under the hand of the. ---..-of said-- — — _QA�___.and its corporate seal and
attested by 9-2 1_4.� r . _.......day
Attest: