Permits - Permit# 242 - 2486 Black Lake Road - 1/1/1974259
[P of Minnesota,
W-r-DAVIS CO.. MTNNE:APOjLS
-of-, ............... ......
Office of .......
P
ofift JQUI Ing "N' "'kmit
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representations made
in...__ .—application therefor duly filed in this office, which app�ilcation is hereby made a part hereof, PERMISSION IS HEREBY
I y
(b" erect, RwAIL uW to, alter, repair, move, wreck, as the case may be)
front or width in side or length in feet_.....
=za building described as follows: kind of construction
feet.......... ___ .......
number of contents .....___.._..._----_ ----_.........cubic feet; .--------------------------._..._...__...square feet, upon that
tract of land described as follows: Lot .... . . ............. ; plat or addition ..... L)
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 the ........................ ........................... Of.... L-% e ........ !�.. that it does
not cover the use of public property, such as streets, sidewalks, alleys, etc., for which special perrrffts must be sectired; and that it does
not cover the following:...
for which special permits must be secured.-,)
.......... . .................. ....................... ............ -and its corporate seal and
Given under the hand of the ...... .. ..of said .....
attested by its: ------ day of . ..... --19-zz
....................................................... e ......................................
...................... .. ... .......................
........................ ... .... .............
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VILLAGE OF SPRING PARK (`
SPRING PARK, MINNESOTA
Please Print or Type
OWNER (Name)
(Address) (Tel. No.)
PERMIT NUMBER
ARCHITECT (Name)
(Address) (Tel. No.)
ESTI MATED COST
--
—
�
BUILDER (Name)
(Address) (Tel. No.)
PERMIT FEE
e, L r`
$
DATE
PLUMBING FEE
LEGAL DESCRIPTION (Obtai nobl a from Assessor's
Office)
TOTAL
PLAT NUMBER
PARCEL NUMBER ZONING DISTRICT
$ _ C%
COMPLETION DATE --
PROPOSED USE—
NUMBER OF OFF—STREET j
PARKING SPACES
j
Residential
Nonresidential Enclosed
i
— One family
Amusement, recreational Outdoors
Two or more family _ Enter
Church, other religious
number of units — — — — —
Industrial
Transient hotel, motel,
or dormitory — Enter number
SPACES REQ.__,.
par king Garage
ng
of units — — — — — — — — — —
— Service station, repair garage
— Garage
_ Hospital, institutional SPACES ON PLAN
— Carport
— Office, bank, professional
— Other — Specify
— Pub] is Utility
--i
School , library, other educational NUMBER OF OCCUPANTS
OR SEATS
_ Stores, mercantile
Tanks, towers OCCUPANTS
—_
_ Other — Specify
SEATS
TYPE OF WORK � .--z ��11 az— .i� c ...
C
LOADING BERTHS
—
NEW CONSTRUCTION ALTERATIONS ADDITION FI NI SH ATTIC _
NUMBER REQUIRED
FINISH BASEMENT PORCH
GARAGE _ REROOF RESIDE
NUMBER PROVIDED
MISC.
SIZE OF EACH
SIZE OF STRUCTURE (Height) (Width (Depth)
NO. OF STORIES
TYPE OF CONSTRUCTION
EXTERIOR FINISH
TYPE OF ROOF
PRINCIPAL TYPE OF HEATING
PRINCIPAL TYPE OF FRAME
_ Gas
TYPE OF MECHANICAL
Masonry (well bearing)
Oil
Gr.
Wil I there be central air condi tioning?
Wood frame
_ Electr i cit y
F. A.
Yes No
Structural steel
__ Coal
Wtr.
—
Rei nforced concrete
_ Other — Specify
Stm.
Will there be an elevator?
Other — Specify
Yes _ No
(COMPLETE REVERSE)