2003-08-05 P & Z Agenda - Laserfiche WebLink

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r €i,,;,.,iit-; "!;;"~teTVifre 'l;;sMHislia/M..'V BUILDING PERMIT APPLICATION CITY OF CENTERVllLE STIE ADDRESS: J b 1'" 5cs(l.eL 5T. LOT: BLOCK: OWNER'S NAME: l7!tV I P CONTRACTOR: 5 e:c... F SUBDMSION: P. !<- r (...IRN TELEPHONE#: 6 ~3-o31 '1 ~e:LL. 2.35'- $' 5"7~ EXEMPT - Attach Documentation LICENSE #: CONTRACTOR'S NAME & ADDRESS: ,/ ,/. ~y 1j.~ ~S;'r ~ TYPE OF WORK: NEW t<- ADDmON REPAIR _ OTHER DESCRIBE WORK: 7. Z'X 2:2..' qltfLRqB" I 1'5J1 J<.Z1-' 5HEJ/ , ZONING CLASSIFICATION: L1-l ENERGY CODE CATEGORY: 1 2 a <!>0 APPROVED USE: ESTIMATED VALUE: CJ I "" 0 0> . . TYPE OF CONST: 1"(2./1 K ep SIZE OF BLDG: (SQ. FT.): Y 3 L-l , 3 'T~ , ************************************************ OFFICE USE ONLY: ZONING: RICE CREEK WATERSHED: SOll- REPORT: FlREDEPT.: OTHER: THE UNDERSIGNED MAKES APPLICATION FORE A PERMIT TO UNDERTAKE CONSTRUCTION AS SPECIFIED ABOVE AND AGREES TO COMPLY IN ALL RESPECTS WITH THE BUILDING CODE AND ALL CITY OF CENTERVlLLE ORDINANCES AND TO ASSUME RESPONSIBILITY FOR EMPLOYEES, AGENTS AND SUB-CON1RACTORS AND CONSENT TO NECESSARY INSPECTIONS. ENFORCEMENT AND ADMINISTR.i\.TION OF THE MINNESOTA STATE BUILDING CODE IS A PUBLIC SERVICE AND IS OF NECESSITY, LIMIIED INNATURE, CONSEQUENTLY, TIllS BUILDING PERMIT AND THE SUBSEQUENT BUILDING INSPECTIONS ARE NOT TO BE CONSTRUED TO BE RELIED UPON AS ANY TYPE OF WARRANTY, GUARANTEE, OR REPRESENIATION ON THE PART OF THE CITY TIfAT THE PLANS, CONSTRUCTION OR FINISHED PRODUCTS ARE NECESSARILY BY CONFORMANCE WITH THE PROVISIONS OF THE MINNESOTA STATE BUILDING CODE OR 01HER APPLICABLE CONSTRUCTION STANDARDS. FURTHER, THE CITY ASSUMES NO RESPONSIBILITY OR LIABILITY FOR DAMAGES OF ANY NATURE ALLEGEDLY ARISING OUT OF THE lSSUANCE OF TIllS PERMIT OR SUBSEQUENT INSPECTIONS. 17~ APPLICANT'S SIGNATURE 7-~O -o~ - DATE * * ** ~* ** **** *** * * * ** ** * * * * ** * ** * * * * * * ** * * ** * * ** * $ /~ .ft?d VALUATION BLDG. PEFJvllT #