|
CITY OF
<br />
<br />LOCATION
<br />OF
<br />BUILDING
<br />
<br />RAMSEY BUiLDiNG INSPECi~
<br /> DIVISION
<br />
<br />BUILDING PERMIT
<br />
<br />IMPORTANT- Complete ALL items. Mark boxes where applicable.
<br />
<br />TYPE AND COST OF BUlLDING-Allapplicant~ coq
<br />
<br />Lot
<br />
<br /> )Isle Part~ A - D
<br />
<br />IPlat & Parcel
<br />
<br />13A.
<br />
<br />14B.
<br />
<br />TYPE OF IMPROVEMENT
<br />1 ~ New building
<br />2 ~ Addition {If residential, enter number
<br /> of new housing units added, if any, In Part D)
<br />3 ~ Repair, replacement or Alteration (See 2 above)
<br />4 [~ Wrecking (If multlfemily residential,
<br /> ' ' enter number of unit= in building in Part D}
<br />5 r~ Moving (relocation)
<br />6 ~-~ Foundation only
<br />
<br />OWNERSHIP
<br />
<br />I ~-] Private (individual, corporation,
<br /> · ' nonprofit institution, etc.)
<br />2 ~'~ Public (Federal, State or
<br />local government)
<br />
<br />57 D. PROPOSED USE-- For"Wrecking' most recent use.
<br />
<br />RESIDENTIAL
<br />01 I~ One family
<br />
<br />02r--~ Two family
<br />03[~ Three family
<br />04~ Four family
<br />05F-~ Five or more family
<br />0S[~] Transient hotel, motel,
<br /> or dormitory -- Enter number
<br /> of units )
<br />07["~ Other -- Specify
<br />
<br />NON-RESIDENTIAL '
<br />09 ~ Amusement, recreational
<br />10 ~ Church, other religious
<br />11 I~ Industrial
<br />12 I'~ Parking garage
<br />13 ~ Service station, repair garage
<br />141-~ Ho=pit=l, institutional
<br />15 ~ Office, bank, professional
<br />16 F--~ Public utility
<br />17 r--'] School, library, other educational
<br />18 ~ Stores, mercantile
<br />19 ~ Other -- Specify
<br />
<br />15C.
<br />
<br /> 21
<br />
<br />27
<br />
<br />33
<br />
<br />39
<br />
<br />45
<br />
<br />COST. DATE ..................
<br />
<br /> Cost of improvement
<br />
<br />To be Installed but not Included in above colt
<br />
<br /> a. Electrical ..................
<br />
<br /> b. Plumbing ..................
<br />
<br /> c. Heating, air conditioning .........
<br />
<br /> d. Other (elevator, etc.) ............
<br />
<br /> TOTAL COST OF IMPROVEMENT
<br />
<br /> (Omit cents)
<br />
<br />$
<br />
<br />III. SELECTED CHARACTERISTICS OF BUILDING -
<br />
<br /> Describe In detail proposed use of buildings, a.g., food processing plant,
<br /> machine shop, laundry building at hospital, elementary school, secondary school,
<br /> college, parochial school, parking garage for department store, rental office building,
<br /> office building et Industrial plant. If use of existing building la being changed, enter
<br />
<br />d. ,, V u.,, o,,d e
<br />
<br />For ney buildings and additions, complete Parts E - L;
<br />for wrecking, complete only Part J, for ali other ~/p to IV.
<br />
<br />59.1
<br />60 E.
<br />
<br />1. TYPE OF MECHANICAL
<br />
<br /> Will there be central air conditioning
<br /> . I [~1Ye~ 2[~No
<br />
<br /> Will there be an elevator?
<br /> &~-] Yes --[~-'~ No
<br />
<br />PRINCIPAL TYPE OF FRAME
<br />I ~ Masonry (wall bearing)
<br />:2 ['---'J Wood Frame
<br />3 ~ Structural steel
<br />4 ~-] Reinforced concrete
<br />B ~ Other-- Specify
<br />
<br />61 G. TYPE OF SEWAGE DISPOSAL
<br /> I ~ Public or private company
<br /> 2 I'~ Indivldual(SePt[~ tank, etc.)
<br />
<br />62 H. TYPE OF WATER SUPPLY
<br /> 1 F'~ Public or private company
<br /> 2 ~ Individual (well, cistern)
<br />
<br />63 PRINCIPALTYPEOF HEATING FUEL
<br /> I I-~ Ge=
<br /> 21--"] O11
<br /> 3[----] Electricity
<br /> 4 F'---] CeaI
<br /> 4 ~ other -- Specify
<br />
<br />J. DIMENSIONS
<br />
<br />64 Number of stories ..........
<br />
<br /> Total square feet of floor area,
<br /> all floors, baaed on exterior dimensions
<br />
<br /> Total land area, sq. ~t .........
<br />
<br />K. NO. OF OFF--STREET PARKING SPACES
<br />
<br />66 Enclosed ................
<br />68 Outdoors .... ; ...........
<br />
<br />L. RESlOENTIAL BUILDINGS ONLY
<br />
<br />70 Number of bedrooms .........
<br />
<br />73 Number of ~ Full .......
<br />74 bathrooms I Partial '
<br />
<br />IV. IDENTIFICATION - To be comp/eted by al/ applicant~.
<br />
<br /> Name Mailing address--Number, ~treet. cltv, and State ZIP code Tel No,
<br />I.
<br />3wnar
<br />~ontractor
<br />
<br />The owner of this building and the undersigned agree to conform to all applicable laws of RAMSEY, MINNESOTA
<br />
<br /> DO NOT WRITE IN THIS SPACE . FOR OFFICE USE
<br /> OFFICE COPY Yellow ~py to ~ner
<br />
<br />
<br />
|