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BUILDING INSPECTII
<br />CITY OF RAMSEY DIVISION
<br />
<br /> IStreet A d/~ el s
<br /> LOCATION !Lot /~-/0 /
<br />OF I
<br />:BUILDING mock JSubd,v,.ion ~~
<br />
<br />BUILDING PERMIT
<br />
<br />IMPOR TAN T - Complete A L L item$. Mark boxe$ where applicable.
<br />
<br /> ~
<br />
<br />JPlat & Pmrce!
<br />
<br />TYPE AND COST OF BUILDING-A/lapp//cants corr
<br />
<br />13 A. TYPE OF IMPROVEMENT
<br />I ~'New building
<br /> 2 ~ Addition (if ree`identlaI, enter number
<br /> of new houe`ing unite, added, if any, In Per[ D}
<br /> 3 {----] Repair, replacement or Alteration (See 2 above)
<br /> 4 [] Wrecking (If multlfemily ree`identlel,
<br /> enter number of units In building in Pert D)
<br /> 5 ~--] Moving (relocation)
<br />
<br />~lete Part~ A - D ,
<br />
<br />57 0, PROPOSED USE-- For "Wrecking" most recent uae.
<br />
<br />RESIDENTIAL
<br />01 ["~One family
<br />02l-~ Two family
<br />03[--I Three family
<br />04F~ Four family
<br />051--"--] Five or more family
<br />
<br />NON-RESIDENTIAL
<br />09 r~ Amusement. recreational
<br />1or-'-] Church, other religious
<br />11 F-~ Industrial
<br />12 I"~ Perking garage
<br />13 r-~ Service ~tetlon, repair garage
<br />
<br />G [] Foundation only
<br />
<br />14 B. OWNERSHIP
<br /> 1 ~j~Pr|vata (tndlviduel, corporation,
<br /> nonprofit Institution, etc,)
<br /> 2 ~ Public (Federal, State
<br /> or
<br /> local government)
<br />
<br />15 C. COST. DATE
<br />
<br /> 21 Cost of improvement
<br />
<br /> To be In,tailed but not Included In above cost
<br /> 27 e. Electrical
<br />
<br /> 33 b. Plumbing
<br />
<br /> 39 c. Heating, alr conditioning .........
<br />
<br /> 45 d. Other (elevator, etc. J ............
<br />
<br /> TOTAL COST OF IMPROVEMENT
<br />
<br />06~ Transient hotel, motel,
<br /> or dormitory -- Enter number
<br /> of units )
<br />07[~'~ Ot~ner -- Specify
<br />
<br />14F--~ Hospital, institutional
<br />15 ~--] Office, bank, profe~ionel
<br />16r~ Public utility
<br />17 r'~ School, library, other educational
<br />18 r-~ stores, mercantile
<br />19 J--"} Other ~ Specify.
<br />
<br />(Omit centa)
<br />
<br /> D~criba In detail propo#d uae of buildings, e,g., food processing p~'nt,
<br />machine shop, laundry building at hospital, elementary school, ~econdary ~chool.
<br />college, parochial school, parking garage for department store, rental office building,
<br />office building et Industrial plant. If u~ of existing building is being changed, enter
<br />proposed u~.
<br />
<br /> $
<br />
<br />111. SELECTED CHARACTERISTICS OF BUILDING- For new buildings and additions, complete Parts E-- L;
<br /> for wrecking, comp/eM only Part J, for all other skip to I V.
<br />
<br /> 61 Go
<br />
<br />60 E.
<br />
<br />1. TYPE OF MECHANICAL
<br />t Will
<br /> there be en elevator?
<br />
<br />Will there be central mir conditioning
<br />I ~I/Y~ 2 ~"-~ No
<br />
<br />PRINCIPAL TYPE OF FRAME
<br />I ~--] Masonry (well bearlngJ
<br />2 ~Wood Frame
<br />3 [-~ Structural ~teel
<br />4 ~ Reinforced concrete
<br />5 ~] Other -- Specify
<br />
<br />62 H.
<br />
<br />63 PR
<br />
<br />TYPE OF SEWAGE DISPOSAL
<br />I r~ Public or private company
<br />2~]ndlvlduel(sepflt tank,'etc.}
<br />
<br />TYPE OF WATER SUPPLY
<br />I ~ Public or private company
<br />2 ~ Individual {well, cistern)
<br />
<br />INCIPALTYPE OF HEATING FUEL
<br />1 ~-] Gas
<br />2
<br />3 [----} Electricity
<br />4 F-~ Coal
<br />4r--] Other - specify...
<br />
<br />J. DIMENSIONS
<br />
<br /> Number of storle~ ..........
<br />
<br /> Total square fe~t of floor area,
<br /> ell floor~, based on exterior dimensions
<br />
<br />Total lend area, sq. ft .... ' .....
<br />
<br />K. NO. OF OFF--STREET PARKING SPACES
<br />66 =~ ..... - .. .......
<br />E~ Outdoors .... : ...........
<br />
<br />L. RESIDENTIALBUILDINGSONLY
<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 a// app//can~.
<br />
<br />Name Nlellln~ address--Number, aZreet, city, end State ZiP code Tel No.
<br />
<br />The owner of this building and the undersigned agree to rm to all applicable laws of RAMSEY, MINNESOTA
<br />
<br />· ' DO NOT WRITE /N THIS SPACE- FOR OF~FICE UEE
<br />
<br />IDete perml~ I~ueCl
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<br />Number
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