Permits - Permit# 230 - 4325 Channel Road - 1/1/19741
APPLICATION FOR BUOLDING PERMIT
VILLAGE OF SPRING PARK
SPRING PARK, MINNESOTA
Please Print or Type
OWNER (Name)
(Address) I. No.
PERMIT NUMBER
e32A-G�tG���
ARCHITECT (Nome)
(Address) ( Tel. No.)
ESTI MATED COST
BUILDER (Name)
(Address) (Tel. No.)
PERMIT FEE
DATE
PLUMBING FEE
LEGAL DESCRIPTION (Obtainable from Assessor's Office)
TOTAL
PLAT NUMBER
PARCEL NUMBER ZONING DISTRICT
COMPLETION DATE
PROPOSED USE—
NUMBER OF OFF—STREET I
PARKING SPACES
Residential
Nonresidential Enclosed
One family
Amusement, recreational Outdoors
( �/
Two or more family _ Enter
Church, other religious
number of units ------
Industrial
__ Tronsienthotel, motel,
Par king Garage SPACES REQ.
or dormitory — Enter number
of units ----------
Service station, repair garage
— Garage
Hospital, institutional SPACES ON PLAN
— Carport
Office, 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
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 (wall bearing)
_ oil
J
Gr.
F. A.
Wil I there be central air conditioning?
_� Wood frame
EIectr i cit y
Yes No
__ Structural steel
Coal
Wtr.
Rel nforced concrete
Other — Specify
Stm•
Will there be an elevator?
Other — Specify
Yes No
ti' z
(COMPLETE REVERSE)
—_....r..
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estate of Minnesota,
County of .... ...................
T
IN CONSIDERATION OF The
in -_-----application therefor duly filed in this office, which
GRANTED To said-
.iLLER-DAVIS CO..
Ml!:NEA"L
Of..... ...............
�7
Office of ............ .........
C I.: M t
and representations made by-- — - - ---- . . . ..........
. ...... ....
ation is hereby made a part hereof, PERMISSION IS HEREBY
-- --- /;. ...... own
er
"L
. ... . .... . .... . . . ..... building described as follows: kind of construction
(ba" erect, fiLmll, a" to, alter, repair, move, wreck, as the case may be)
front or width in feet side or length in eight in
. ........... . .... h
number of stories contents . __--cubic feet; — - -------- —....___square feet, upon that
tract of land described as follows: Lot.. plat of 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 the..........::` I ..................... .. .......................... ......... ; that it does
not cover the use of public property, such as streets, sidewalks, alleys, etc., for which s�Secial permits must be secured; and that It does
not cover the following:......—._. . . . .. . . .................. . . . ...... __ . ...... . . . . ...... .
(Electrical work, plumbing, heating, plastering, etc., ifsuch there be.)
for which special permits must be secured.
Given under the hand of the ....... ................. of said .......... ............... and its corporate seat and
attested by ita_
this ---- - ------ day of —19 7-
Att-at-
77
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