2003-07-09 CC Packet - Laserfiche WebLink

Home Browse Search

BUILDING PERMIT APPLICATION CITY OF CENTERVILLE SITE ADDRESS: f b cr~ 50 rz."GL~ 5T, OWNER'S NAl\1E: () A V J D Pz f~ j L- ( ~ j.j PHONE: {; 5 -3 -03 ? '1 LEGAL DESCRIPTION: LOT ,BLOCK , TRACT: CONTRACTOR: 5eLF PHONE: G 53,-03' "7 '1 CONTRACTOR'S LICENSE NUMBER: TYPE OF WORK.: NEW K ADDmON REPAIR. OTHER DESCRIBE WORK: Z. 2.. i 7'-l.(8; q/J-fl,-jJejt3 D-e:NC> I gl-:;J. Z4 J 4h~~ ZONING CLASSIFICATION: ENERGY CODE CATEGORY: 1_ 2_ ESTlMATEDVALUE: S-, ?,OO,.Co , APPROVED USE: TYPE OF CONST: SIZE OF BLDG: (SQ. FT.) -' " 0 ~6 c~'Q; F"T SPECIAL APPROVALS REQUIRED: ZONING SOIL REPORT RlCE CREEK WATERSHED FIRE DEPT. OTHER THE UNDRSIGNED HEREBY MAKES APPLICATION FOR A PERMIT TO UNDERTAKE CONSTRUCTION AS SPECIFIED ABOVE AND AGREES TO COMPLY IN ALL RESPECTS WITH THE BUILDING CODE AND ALL CITY OF CENTERVILLE ODINANCES AND TO ASSUME RESPONSffiILITY FOR EMPLOYEES, AGENTS AND SUB-CONTRACTORS AND CONSENT TO NECESSARY INSPECTIONS. ENFORCEMENT AND ADMINISTRATION OF THE MINNESOTA STATE BUILDING CODE IS A PUBLIC SERVICE AND IS OF NECESSITY, LIMITED IN NATURE. CONSEQUENTLY, THIS BUILDING PERMIT AND THE SUBSEQUENT BUILDING INSPECTIONS ARE NOT TO BE CONSTRUED TO RELIED UPON AS ANY TYPE OF WARRANTY, GUARNTEE. OR REPRESENTATION ON THE PART OF THE CITY THAT THE PLANS, CONSTRUCTION OR FINISHED PRODUCTS ARE NECESSARILY BY CONFORMANCE WITH THE PROVISIONS OF THE MINNESOTA STATE BUllDING CODE OR OTHER APPLICABLE CONSTRUCTION STANDARDS. FURTHER, THE CITY ASSUMES NO RESPONSffiILITY OR LIABILITY FOR DAMAGES OF ANY NATURE ALLEGEDLY ARISING OUT OF THE ISSUANCE OF THIS PERMIT OR SUBSEQUENT INSPECTIONS. iJJ2lv~ APPLICANTS SIGNATURE ~-;3-9cr DATE ************************************************************************ DATE PLANS APPROVED $ VALUATION BUILDING INSPECTOR BLDG. PERMIT NO.