|
<br />BUILDING PERMIT
<br />
<br />VILLAGE OF CENTERVILLE, MINN.
<br />
<br />Date:
<br />
<br />/ '-/.- >"is
<br />
<br />Permit No.
<br />
<br />~'3 b - ~",;
<br />
<br />t,_ 1
<br />I
<br />
<br />Owner
<br />
<br />- ;> ~; '\
<br />
<br />,_ /" ;""'f",.2'~-'..:..'1
<br />
<br />Builder:
<br />
<br />Address
<br />
<br />/
<br />
<br />.. ""i'-
<br />
<br />_"t,-_~'-'
<br />
<br />Address
<br />
<br />LOCATION OF PROPOSED BUILDING
<br />
<br />~,
<br />
<br />Zoning Classification
<br />
<br />Number
<br />
<br />Street
<br />
<br />
<br />
<br />~.. ,V"---
<br />
<br />LEGAL DESCRIPTION
<br />
<br />Part of Lot
<br />
<br />Lot
<br />
<br />Block
<br />
<br />Addt'n or Sub-Div.
<br />
<br />DESCRIPTION OF PROPOSED WORK
<br />
<br />Description:.
<br />
<br />'" ;,'
<br />
<br />'C.' _<,.,.j~-
<br />
<br />Type of Construction:
<br />
<br />Occupancy
<br />
<br />Valuation $ -';/:" ,:), v 'j
<br />(Contract or Market Value)
<br />
<br />No. of Stories:
<br />
<br />Area:
<br />
<br />(Largest Horizontal Cross Section)
<br />
<br />VARIANCES
<br />
<br />Description of Ordinance Variance(s) if granted with this permit:
<br />
<br />ASSESSMENTS (Due with This Permit)
<br />
<br />Parks
<br />
<br />San. Sewer
<br />
<br />Water
<br />
<br />Storm Sewer
<br />
<br />- \
<br />
<br />Street
<br />
<br />Other
<br />
<br />Total
<br />
<br />PERMIT FEES
<br />
<br /> Fee Per Schedule Surcharge Totals
<br />, '; ".-. .....-.\ (0 c.. r )
<br /> -' _.,- ,- , :,..-,./ -'
<br /> , {";-, '0 ~, '~ " 1 ~'l
<br /> ,,, ,. ,- ~ .,' ...
<br /> ::J ." .,'
<br /> t:-; ..
<br />
<br />~'''':J---
<br />
<br />Permission is hereby granted to ' .'f"" ,,"1:-,,," -, i'._<",'~"">o,__" to '0" ".-'
<br />a building as herein described. This permit is granted upon the express condition that the person, partnership, firm or corpora-
<br />tion to whom it is granted, together with his agents, employees, workmen and subcontractors agree to abide by and conform to all
<br />Ordinancels of the Village of Centerville regarding the construction, alteration, maintenance, repair and demolition of buildings
<br />within the City; and that this permit may be revoked at any time upon evidence of violations of any of the provisions of said
<br />Ordinances.
<br />
<br />The permitee furtheragr.e.es to commence_.~he work covered by this permit within sixty (60) days of the date hereof and to complete
<br />all such'work by '", V";, i}:;' C. . Suspension or abandonment of such work for a period ot ODe hundred and
<br />twenty (120) 'liays shall result in the automatic revOICation of this permit as provided by Ordinance.
<br />
<br />J~_.,( ,J;~~-~~ ..._-'
<br />
<br />:s,,:,,}--~
<br />
<br />_._0" ~ ,~_.,,<,::.\ '
<br />
<br />PERMlTEE
<br />
<br />:l
<br />
<br />BUILDING INSP.
<br />
<br />---.,
<br />
<br />By
<br />
<br />Bit)
<br />
<br />: ,",
<br />".' "'~':_""".--'.
<br />
|