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<br />
<br />CiTY OF RAMSEY
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<br />f~LJ I L [J II~¢~
<br /> DIVISION
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<br />[::lJI LDING PE F~ f-,'ilT
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<br />IMPOR TA NT - Complete A L L items. Mark boxes where applicable.
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<br />BUILDING jB~ock JSubdiv,,,on
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<br />IZone
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<br />JPlat & Parcel
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<br />TYPE AND COST OF BUILDING-A//applicants corn
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<br />13A. TYPE OF IMPROVEMENT
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<br />14B.
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<br />olete Parts A - D
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<br />S7 D. PROPOSED USE-- For "Wrecking" most recent u#.
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<br />I ~ New building
<br />2~----------~ Addition (If residential, enter number
<br /> ~-~f new hou=ing unit= added, if any, in Pert O)
<br />3 r-~ Repair, replacement or Alteration(See 2 above)
<br />4 ~ Wrecking (If multlfernlly residential,
<br /> enter number of units in building in Part D)
<br />5 ~] Moving (relocation)
<br />6 r~ Foundation only
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<br />OWN E RSH I P
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<br />I ~]Private (individual, corporation,
<br /> ~----nonprofit Institution, etc.)
<br />2 F-~ Public (Federal, State or
<br />local government)
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<br />RESIDENTIAL
<br />01 r~ one family
<br />02[--'~ Two family
<br />03[~ Three family
<br />04[---'~ Four family
<br />05~ Five or more family
<br />06r~ Transient hotel, motel,
<br /> or dormitory -- Enter number
<br />of unite _~ __
<br />07 ~ O~her -- Specify.
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<br />NON-RESIDENTIAL
<br />09 r"--] Amusemint, recreational
<br />10 ~ Church, other religiouI
<br />11 ~ IndustriiI
<br />12 ~--~ Parking garage
<br />13 ~ Service station, repair garage
<br />14 ~ Hospital, institutional
<br />15 r~ office, bank, professional
<br />16 ~ Public utility
<br />17 ~-~ School, library, other ed ucationa
<br />18 r~ Storet,:mercantlle
<br />19 ~ Other --.Specify '
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<br />15 C.~ COST.',; DATE.. ' .................
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<br /> 21 , Cost of Improvement ..............
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<br /> To be installed but not included in above co~t
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<br />27 a. Electrical ..................
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<br />33 b. Plumbing ..................
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<br />39 c. Heating, air conditioning .........
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<br />45 d. Other (elevator, etc.) ............
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<br /> TOTAL COST OF IMPROVEMENT
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<br />(Omit centI) '
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<br /> OOO. ~
<br />III. SELECTED CHARACTERISTICS OF BUILDING -- For new buildings=nd additions, complete Parts
<br /> E
<br /> L;
<br /> for wrecking, complete only Part J, for ail other'skip to I V.
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<br /> Delcribe in detail proposed use of buildingi, e.g., food procetting plant; ;:~, ·
<br />machine shop, laundry building et ho!pitel, atemintary achool, secondary Ichoot~
<br />college, parochial achool0 parking garage for depertmantstore, rental office building
<br />offlce'building at industrial plant. If u~e of existing:buildlng't~ b$ing, changadranter=
<br />proposed use.
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<br />60 E.
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<br /> 1. T. YPE OF MECHANICAL ,:.
<br />tWill there be central air conditioning
<br /> ' I [----] Yes 2 F~-'] N-~ :.:..
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<br /> Will there be an elevator?
<br /> &[--] yes -[~ No
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<br />PRINCIPAL TYPE OF FRAME
<br />I r-'-] Masonry (wall bearing)
<br />2 F--] Wood Frame
<br />3 ~ Structural stiel
<br />4 ~'] RIinforced concretI
<br />5 ~-] Other -- Specify
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<br />6i G. TYPE OF SEWAGE DISPOSAL I ~'~ pu_blic or private company ._
<br /> 2 ~ In;;lividual(septt~ t~nk,-etc.)--
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<br />62 H, TYPE OF WATER SUPPLY
<br /> 1 r-~ Public orprivate company
<br /> 2 r--] Individual (well, cistern)
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<br />63 PRINCIPALTYPEOF HEATING FUEL
<br /> I r--'] Gee
<br /> 2~0il
<br /> 3[~.J Electricity
<br /> 4F--] Coal
<br /> 4 I---t Other -- Specify
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<br />J.! DIMENSIONS ::~
<br />64 - Number of stories ..........
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<br /> Total ~quare feet;of flo~¥ area,- :~
<br /> all floorl, bated on exterior dimensions
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<br />Total land area, sq. ft .........
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<br />K. NO. OF OFF--STREET PARKING SPACES
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<br />66 Enclosed ................
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<br />68 Outdoort .... ; ...........
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<br />L. RESIDENTIALBUlLDINGSONLY
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<br />70 Number of bedrooms .........
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<br />73 Number of ~ Full .......
<br />74 bathrooml I Partial
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<br />IV. IDENTIFICATION - To be completed by all applicants.
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<br /> Name Mailing eddrest--Number, street, city, end State ZIP code Tel No.
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<br />Arehltect
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<br /> The owner of this building and the undersigned agree to conform to all applicable laws of RAMSEY, MINNESOTA ·
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<br /> O0 NOT WRITE IN THIS SPACE - FOR OFFICE USE
<br /> o~(~....~,) I Permit fees J D,t. permit i--ued ] Permit Numb.r..
<br />Appr
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<br /> OFFICE COPY
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<br />tApplication date
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<br /> t..v_
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<br />Yellow Copy to Owner
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