Permits - Permit# 265 - 4309 Channel Road - 1/1/1975APPLICATION FOR BUILDING PERMIT
VILLAGE OF SPRING PARK
SPRING PARK, MINNESOTA
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OWNER t (Name) (Address) (Tel. No.)
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PERMIT NUMBER
0�16 6
ARCHITECT (Name)
(Address) ( Tel. No.)
ESTI MATED COST Obi
BUILDER (Name)
(Address) (Tel. No.)
PERMIT FEE
DATE
PLUMBING FEE
LEGAL DESCRIPTION (Obtainable from Assessor's Office)
TOTAL
PLAT NUMBER
PARCEL NUMBER ZONING DISTRICT
$ �O,S0
COMPLETION DATE
G
PROPOSED USE-
NUMBER OF OFF—STREET
PARKING SPACES
Residential
Nonresidential
Enclosed
XOne family
Amusement, recreational
Outdoors
I
Two or more family — Enter
,Church, other religious
number of units ------
Industrial
Tronsienthotel, motel,
or dormitory — Enter number
Par king Garage .
SPACES REQ.
of units----------t—
Service station, repair garage,
— Garage
_ Hospital, institutional
SPACES ON PLAN
— Carport
Offi ce, bank, professional
Other — Specify
Publ is Utility
School , library, other educational
NUMBER OF OCCUPANTS
OR SEATS
Stores, mercantile
Tanks, towers
OCCUPANTS
Other — Specify
SEATS
TYPE OF WORK e w 0 O
ct C I�
LOADING BERTHS
NEW CONSTRUCTION
ALTERATIONS ADDITION _ FI NI SH ATTIC
NUMBER REQUIRED
FINISH BASEMENT- P-ORCH . GARAGE REROOF RESIDE
NUMBER PROVIDED
MISC.
SIZE OF EACH
SIZE OF STRUCTURE (Height) (Width, (Depth)
NO. OF STORIES
I
TYPE OF CONSTRUCTION
EXTERIOR FINISH
TYPE OF ROOF
�c
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PRINCIPAL TYPE OF HEATING
PRINCIPAL TYPE OF FRAME
Gas
TYPE OF MECHANICAL
Masonry (wall bearing)
oil
Gr.
Will there be central air conditioning?
Wood frame
Electricit y
F.A.
No
Structural steel
Coal
Wtr.
_Yes i
Re[ nforced concrete
_ Other — Specify
Stm.
Will there be an elevator?
Other — Specify
—.Yes No
(COMPLETE REVERSE)
o
PROPERTY LINE
DIMENSIONS
Total square feet of floor area,
all floors, based on exterior
di mensi ons ..... .
Total land area, sq. ft.
SPOT BUILDING/s SHOWING SET BACKS
STREET
PROPERTY LI NE
SCALE: 1/8" ' 1 FT.
The undersigned hereby represents upon all of the penalties
of law, for the purpose of inducing the Village of Spring Park
to take the action requested, that all statements herein are
true and that all work herein mentioned will be done in accor-
dance with the ordinances of the Village, Statutes of the State
of Minnesota, and rulings of the Building Inspecto s.
APPROVED.
YILLAGE OF SPRING PARK A ICANT
DATE: DATE: