Permits - Permit# 188 - 4333 Channel Road - 1/1/1973W.Oto
MILLER-DAV19 CO..
Ot ate of Minnesota, .....: ......
County of.....,1 .. ..7
.....Lr�................. Office of ... 4-ell-
...:....c�"d
3BU1,16ing Perm 1"t
IN CONSIDERATION OF The statements and representations made by
in_____ —application therefor duly filed in this office, which
GRANTED To said
ion is hereby made a part hereof, PERMISSION IS HEREBY
..., owner
a building described as follows; kind of construction
(bald, erect, loll, add to, alter, repair, move, wreck, as the acre may be)
front or width id feet.-,, ; side or length in feet _ ; height in feet -.....
number of stories _ ..; contents -cubic feet; _ _ _ --square feet, upon that
tract of land described as follows: Lot __ Alock ;plat or addition_ ?13 D -,2DO D
which tract is of the size and area specified in said application.
permit is granted upon the
ditions that said
' .................:..........of... ... '. � .nts, w en and employees, shall
complyinall respects with the ordinances of then � � owner an his contractors, a e N that it does
not cover the use of public property, such as streets, sidewalks, dlleys, etc., for which special 1 p�ermidmust be secured; and that it does
not cover the following: __
(Electrial work, plumbing, beating, plastering, etc., if such there be.)
for which special permits must be secured. S.
Given under the hand of the...........of said ....... 7�. .{:.e.L. .. M, ..... ...and its corporate seal and
attested by its _L - l O c-
this •___.....day of. .._._..._,
Att
.............. es ................. ....... ...:............................
...............C.::.i..% ............................ �..�.'....
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APPLICATION FOR BUILDING PERMIT,
VILLAGE OF SPRING PARK:
SPRING PARK, MINNESOTA
/ r , Please Print or Type
P/NER (Na e)
�^ (Address) (Tel. No.)
PERMIT NUMBER
h c-
,CHITECT (Name)
(Address) ( Tel. No-)
ESTI MATED COST
r c-,
!ILDER (Name)
(Address) (Tel- No.)
PERMIT FEET
DATE
PLUMBING FEE
$
GAL DESCRIPTION (Obtoi nabl a
from Assessor's Office)
TOTAL
PLAT NUMBER
PARCEL NUMBER ZONING DISTRICT
$
f �'/ ()
(L%' .
`� �7�C)
COMPLETION DATE
� 6ie"-( Cl
20POSED USE"
NUMBER OF OFF—STREET
PARKING SPACES
-sidential
Nonresidential,. Y
Enclosed
One family — Amusement, recreational
Outdoors
Two or more family _ Enter
— Church, other religious
I
number of units — ---
Industrial
Tronsienthotel, motel _�
or dormitory — Enter number — Par king Garage
SPACES REQ._
of units _—_____—__
_ Service station, repair garage
— Garage
_ Hospital, institutional
SPACES ON PLAN
— Carport
— Offl ce, bank, professional
— Other — Specify
— Publ Ic Utility
NUMBER OF OCCUPANTS
OR SEATS
�f4, Gi y F 1) t�%c�� _ School , library, other educational
_ Stores, mercantile
Tanks, towers
OCCUPANTS
Other — Specify
SEATS
PE 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
E OF STRUCTURE (Height) (Width, (Depth)
NO. OF STORIES
" 7 ra p " ;
/ O O
I
E OF CONSTRUCTION
EXTERIORFINISH
TYPE OF ROOF
4/
PRINCIPAL TYPE OF H;EATING
PRINCIPAL_ TYPE OF FRAME
Gas
TYPE OF MECHANICAL
Masonry (wall bearing)
— Oil
__ Gr.
Nil I there be central air conditioning?
Wood frame
— Electricity
__ F. A.
Wtr.
__ Yes No
Structural steel
Coal
Other — Specify
�Z
Stm.
Will there be an elevator?
Reinforced concrete
/ Other _Specify/
_ Yes 11K No
:h.
,c✓ 3 S 3 Si. '/717 3
S..S7>
(COMPLETE REVERSE)
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