Permits - Permit# 531 - 2486 Black Lake Road - 1/1/1981P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
rermrM--rirv�—
S3,/
OWNER � DATE ^ �/
ADDRESS j-4-AZ&L/� LA--V i kV TELEPHONE y7
BLDR .-COINT. Phu, L 1405 TELEPHONE
Location Of Proposed Improvement
STREET
STREET ADDRESS_ _ EST. COSTT/
PLAT '` fa a'd r:�-: PARCEL d ZONING
COMPLETION DATE
Application requirements
Survey veep...... Energy Comp....... Heating Layout..........
Plat Plan Elevations ........_ Sewer -Water Location....
Structural Plan..._ Watershed.......... County Driveway Permit...
Other
Types of Construction
NEW CONSTRUCTION
Single Family
Sq.
Ft.
Multi -Family
Sq.
Ft._
Commercial
Sq.
Ft.
�-' Industrial
Sq.
Ft.
�- Garage -Size
Sq. Sq.
Ft.�
Deck _ -Size
Sq.
Ft.�
_____
Patio -Size __,Sq.
Ft.�
Fence-Size,,,,_,_,�Ln.
Ft._
PERMIT FEE ��D o d PERMIT
REMODELING
Addition
Sq.
Ft.
Interior
Sq.
Ft.
Sub Level
Sq.
Ft.
Roofing
Sq.
_
Ft.
Siding
Sq.
Ft.
_Utility Bldg.
-Size
Sq.
APPROVAL
SURCHARGE S PLANNING COMMISSI
PLAN CHK. VEE
S.A.C. ' i COUNCIL
AVAIL. CHO,S OTHER PERMITS REQUIRED:
OTHSR = Sewer/Water Connection
TOTAL Plumbing Excavation
` if 10 Demolition
In case permit is graKed, I.hereby agree to
accordance with description above set forth e
visions of all ordinances of the City o Spri
of the St to t Minnesota in such c s �mede,
DATE APPLICANT
do the propose
d
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.
I
NO. 25- 3 I
PINS l `'-// 2 /a- - oo-2-I ADD RESS --)- Yr,4 24 AGE 44 k �5-
Permission is hereby granted to IUD /V Z_RA 2 A�F,E:-
to install or construct the improvements applied for. This permit is granted upon the
condition that the person to whom it is granted, and his agents, employees and wark-
men,-shaU conform in all respects to the Ordinances of the City of Spring Park and to
the Statutes of the State of Minnesota in such cases made and provided; this.permit
may be revoked at any time upon violation of any of the provisions of said Ordi-
nances, Statutes, or for any misrepresentation in the appli
Approved by Date2_2 �/
NOTE: This Card must be placed in a conspicuous place on the premises
on which work is to be done.