2001-10-02 P & Z Agenda - Laserfiche WebLink

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. r BUILDING PERMIT APPLICATION CITY OFCENTERVILLE SITE ADDRESS /;?.6S ,m~/N.'>T,ea3T (C'.e,.,-I-€,rv. //e.;:;;,)?U~) OWNER'S NMlE b::JfZJ LJ,e/U/A/'~ PHONE 6IZ-:FU-r:.r7-; g LEGAL DESCRIPTION LOT , BLOCK , TRACT: CONTRACTOR 5/!::'"COUM 57,6v,/ s}1;~ PHONE 65/- W:U8 CONTRACTOR'S NAl'vlE & ADDRESS LICENSE NUlVffiER: ~l'?/J ~..v7'" ~/L, V)&F/?7/".,..g, /lJ..v', 55092 , - , ~ TYPE OF WORK NEW L ADDITION REPAIR OTHER DESCRIBE WORK /.N'..s7h'U '3'/..Y1!r / 5#f~R:JpV-'.rp.o A/,,9U-,M</h...v:r$/'';...J' . ZONING CLASSJFICATION ENERGY CODE CATEGORY 1 ESTIl\iIATED VALUE # .I~ cD 2 APPROVED USE TYPE OF CONST SIZE OF BLDG (SQ. FT.) -- ************************************************************************ OFFICE USE ONLY: ZONING RICE CREEK WATERSHED SOIL REPORT FIRE DEPT. OTHER THE UNDRS!GNEDHEREBY MAKES APPUGATlGNFGR.A plm",llT TGUNDERTAKE CONSTRU8TIGN A"SPECIFIED ABOVE A,'1D AGREES TO COMPLY IN ALL RESPECTS WITH THE BUILDING CODE AND ALL CITY OF CENTERVILLE ODINANCES AND TO ASSUME RESPONSIBILITY FOR EMPLOYEES, AGENTS A,'lD SUB-CONTRACTORS AND CONSl\I'IT TO NECESSARY INSPECTIONS. ENFORCEMENT .'IUD ADMINISTRATION OF THE MfNNESOl'ASTA1;E BUll.DINO CODE IS A PUBLIC SE&VIGE AND IS OF NECESSITY, LTh1lTED IN NATURE. CONSF-QUENTLY, THIS BUILDING PERMIT AND THE SUBSEQUEl'lT BUILDING INSPECTIONS ARE NOT TO BE CONSTRUED TO RELIED UPON AS ANY TYPE OF W ARRAj\lTY, GUARNTEE, OR REPRESENTATION ON THE PARTOFTHE CITY THAT TIlE PLANS, CONSTRUCTION OR FINISHED PRODUCTS ARE NECESSARILY BY CONFORMANCE ,'lITH THE PR0'I1SIONS OF THE MINNESOTA STATE BUILDING com: OR OTHER APPLICABLE CONSTRUCTION STANDARDS. FURTHER, THE CITY ASSUMES NO RESPONSIBILITY OR UABIllTI EOR DAMAGES OF ANY NATURE ALLEGEDLY ARISING OUT OF THE ISSUANCE OF THIS PERMIT OR SUBSEQUENT INSPECTIONS. ~4~ APPLICANTS SIGNATURE J:f:kl ************************************************************************ $ VALUATION DATE PLANS APPROVED BUILDmG mSPECTOR BLDG. PERMIT NO.