|
TYPE AND COST OF BUILDING-Al/applicant= co~p/ete Par~ A - D
<br />
<br />13 A, TYPE OF IMI;ROVEMENT 1.~_ New building
<br /> 2 F'] A~ldltlon (If reBIdentlel, enter number
<br /> of new houBIng unlta added, If any, In Pert D)
<br />'' 3 [---'] Repair. replacement or Alteration (S~2 above)
<br /> 4 F----J WrKklng (If multlfemlly reBldentlel,
<br /> - ~nter number of unltl in building tn Part D)
<br /> IA F"--] Moving (relocation) ' ·
<br /> 6 r~ Foundation only
<br />
<br />4 B. OWNERSHIP
<br /> 1 ~Private (individual, corporation,
<br /> .nonprofit in~ltutlon,
<br /> 2 ~ Public (F~leral, State focal gove.rnment)
<br />
<br /> 57 D. PROPOSED USE -- For'Wr~cklng~ mo~t recent u~e. ... - . ,, " :'..' '
<br />
<br /> RESIDENTIAL . · NON.I~ESIDENTIAL* '--' ."
<br /> 01 [--"] One f,mlly ,. ' , ' , ag F--] Am~ement,
<br /> O2~T~femlly '~. ~' ~ ' 10~Church,'~herrellgloul
<br /> 03~Thrae f,mlly - ..': ,- 11 ~ Indu~ial ~ '-.' .',.. .
<br /> ~ Four ~mlly .- - ' " 12 ~Parklng ~ra~ . ' ' .
<br /> 05~ FI, ~ ~r, family .. ' .... ..':.; 13~Se~i~ etlon,
<br /> ~ Transient hotel, motel, ' ""e r ' .14~ H~I~I, in~ltutloMI
<br /> ' ' . ' or dormitory-- En~r num~ - 1B~ affix, Mnk,~ofe~lonll
<br /> ..- - ofun~__ ~ 16~Publlcutllity:~' .- .
<br /> ' ' 07~ O~r-- spclfy... ' ~'~.'..17~S~ool, llb~ry, oth,r ~u~tioMI.
<br />
<br /> · ' '. ,- ~, fL-...' ,, .~:~. ' :- -' : -< ''~ ~o~ -' s~,~ ..... ' ..
<br />
<br />(Omit mn~} ':- ' '. '"' D,~lbe'ln d,~il pm~ u, of building, e.g., food pro~lng
<br />' . ~chlne ~op, lau~ry building at ho~pltal, elemen~ry ~chool, ~mndary
<br />
<br />/ . ~ '. offl~ building at I~rlal panL If u~ of exl~lng building II ~lng c~n~d, enter
<br /> - - ~o~u~..-.,-,..~ ~':. '.:' .'-' '; -~ ...' .: '[:. , ,'t '
<br /> . . ; , . .,. ,-'~.{::'~. ,..-;" , :.~. -
<br />
<br />5 C, COST.. DATE ..................
<br />
<br /> :21 Co~t of improv~ment.'...' ..... '. o ; .
<br /> To be In,ailed but not included in above co~
<br />
<br /> 33 b. Plumt~lng ..................
<br />
<br /> 39 ,* Heating, mir conditioning
<br />
<br /> 45 d. Oth-~ (elevator, etc.)
<br />
<br /> For new bui/dings and additions, comp/eta Parts E -- L,'.- -.:;-: - ;,.. ::.;: ~";i i ' .
<br />I1.-SELE,CTED CHARACTERISTICS OF BUILDING -- -: for wrecking, complete only Part J,.for all other skip to IV: L:-~;'"'.L:~ '-~.~:"::". i~',.-. :':' ;' .'
<br />
<br /> lll~here be central air conditioning' /~L~.~ Indivlduel(iept~t~nk, etc.} '! - -; · oil floorl, be,ed on exterlordimenaion, -
<br />
<br /> WIIIth~ebaanelevetor? ' " ' S2 H. TYPE OF WATER SUPPLY ' ' "' '~":
<br />
<br /> /~l~lvldu,I (well, ci~em) '' K. NO. OF OFF--STREET PARKING SPACES
<br />
<br />~ E, PRINCIPAL TYPE OF FRAME ~ PR'INCIPALTYPE OF HEATING FUEL . <... '.~ ';.,' ;-;';-'. ::,..,.' .-
<br />
<br />Name - Mailing eddrm-- Numi~', t~reet, city, and State ZIP m~le *'. 'Tel No.
<br /> · ::~. :..:~ ?-:' :..: .-': *:'.:. ' .
<br />
<br />The owner of this building and the undersigned agree to conform to all applicable laws of RAMSEY, MINNESOTA -22'¥. ' ; ..: ." ;.:'
<br />
<br />)proved by
<br />
<br />
<br />
|