Permits - Permit# 5-7-71 - 4317 Channel Road - 1/1/1971APPLICATION FOR BUILDING PERMIT
VILLAGE OF SPRING PARK
SPRING PARK, MINNESOTA
Please Print or Type
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OWNER (Name)
(Ad ross) (To[. No.)
PERMIT NUMBER
ARCHITECT (Name
`
(Address) ` ( Tel. No.)
ESTI MATED COST
7 V a
a /c f/a 7 %
$ as 0
BUILDER !I (Name)
(Address) (Tel. No.)
PERMIT FEE— Ov
h
h
$
DATE
PLUMBING FEE
$ 1
L�
LEGAL DESCRIPTION (Obtainable from Assessor's Office)
TOTAL d
PLAT NUMBER
PARCEL NUMBER ZONING DISTRICT
$ /
COMPLETION DATE
/%S ,
PROPOSED USE—
NUMBER OF OFF—STREET
PARKING SPACES
Residential
Nonresidential
Enclosed
One family
— Amusement, recreational
Outdoors
Two or more family — Enter
— Church, other religious
number of units ------
Industrial
Translenthotel, motel,
or dormitory — Enter number
�� Par king Garage
SPACES REQ.
of unite -----------*---
Service station, repair garage
Garage
_, Hospital, Institutional
SPACES ON PLAN
Carport
Offl ce, bank, professional
_ Other — Specify
Publ le Utility
School , library, other educational
NUMBER OF OCCUPANTS
OR SEATS
— Stores, mercantile
Tanks, towers
OCCUPANTS
Other — Specify
SEATS
TYPE OF WORK
LOADING BERTHS
NEW CONSTRUCTION
ALTERATIONS ADDITION _ FINI SH ATTIC
NUMBER REQUIRED —
FINISH BASEMENT _,;. PORCH.. • GARAGE REROOF __ RESIDE
NUMBER PROVIDED
MISC.
SI ZE OF EACH
SIZE OF STRUCTURE (Hei ht) (WI dth, (Depth)
N0. OF STORIES
TYPE OF CONSTRUCTION
EXTERIOR FINISH
TYPE OF ROOF
G Ya ,n
-moo Q 0( sld l K •
J
/f(s / lfma f
PRINCIPAL TYPE OF HEATING
PRINCIPAL TYPE OF FRAME
Gas
TYPE OF MECHANICAL
----Mory all bearing)
Oil
-- Gr•
Will there be central air conditioning?
_� Woo frame
Electr I cit y
F. A.
Yes No
Structural steel
Coal
T Wtr.
T_
Rel nforced concrete
Other — Specify
$tm.
Will there be an elevator?
^_ Other — Specify
Yes No
(COMPLETE REVERSE)
PROPERTY LINE
DIMENSIONS
Total square feet of floor area,
all floors, based on exterior
di mensi ons ..... .
Total land area, sq. ft.
I
SPOT BUILDING/s SHOWING SET BACKS
STREET
y`
vj
PROPERTY LI NE
SCALE: 1/8" 1 FT.
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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 Inspectors.
APPROVED
VILLAGE OF SPRING PARK APPLICANT
DATE: DATE: Z ' j �