06-22-1999 Council Agenda - Laserfiche WebLink

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cc z 3 O CITY(OF LITTLE CANADA 515 Little Canada Road, Lithe Canada, Minnesota 55117 BUILDING PERMIT NO , Si' 484 -2177 DO NOT WRITE IN THIS SPACE Name Address 7 (7/' (4,g �� City S .4- /^L71 r/ Zip 5 j- // 7 Tel, Na,' 33 57/ Name Address City '1 - -._.;.iii( /r Zip To. No. Name Address City Zip Tel. No. Registration Number Permit Fee 574/62 S /39, C9 State Surcharge 3 0 S 9 24' Plan Check Fee t il F / s r? / , SAC Charge (Units) i 3 (0 $ y%5- Gam• s ad Sewer Water Park $ / -fa-)O ro 7 —Q8Za Other S Penalty S TOTAL FEE PAID $ / /.:. Receipt No. Date Structure ,1 Used As �_) Zone 2 — 7. DEMOLISH C BUILD ADO LY 0 ALTER 0 REPAIR u MOVE 0 NUMBER WIDTH D DEPTH S STREET SIDE YARD /SETBACK I FRONT YARD SETBACK LOT BLOCK ADDITION OR TRACT 3 / .5? 7,-_-/L., � . % GL L . L / cY�s .fm,-/ n.•/ / -�r LEGAL DESCRIPTION WIDTH LENGTH HEIGHT TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE DETAILS AKw i ICE: Do 2101- Disturb A7{ hrai Drdnage DETT.(AILS OR REMARKS: /ZQ(J ` -toe ei VAL FOR SURCHARGE NOTICE • • SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. •JATURE OF CONTRACTOR OR AUI ZED AGENT (DATE) SIGNATURE.OE "OWNER (IF OWNER BUILDER) (DATE) PERMIT ISSUED • BUILDING OFFICIAL (DATL, 00 NOT W RITE IN THIS SPACE Type of Occupancy Division Const. Group Size of Bldg. No. of Max. (Total) Sq. Ft. Stories Occ. Load Fire Use Fire Sprinklers Zone Zone Required ZYes 2No No. of OFF STREET PARKING SPACES: Dwelling Units Covered Uncovered Speoia( Approvals i Required Received Not Required BOARD OF APPEAL PLANNING COMM. VILLAGE COUNCIL SPECIAL USE FIRE DEPT SOIL RFPn0T Page 74 WIDTH D DEPTH S SIDE YARD/SETBACK S SIDE YARD /SETBACK I FRONT YARD SETBACK SIZE' ` ` ®� o / � / c c9°* % / 5 WIDTH LENGTH HEIGHT TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE DETAILS AKw i ICE: Do 2101- Disturb A7{ hrai Drdnage DETT.(AILS OR REMARKS: /ZQ(J ` -toe ei VAL FOR SURCHARGE NOTICE • • SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. •JATURE OF CONTRACTOR OR AUI ZED AGENT (DATE) SIGNATURE.OE "OWNER (IF OWNER BUILDER) (DATE) PERMIT ISSUED • BUILDING OFFICIAL (DATL, 00 NOT W RITE IN THIS SPACE Type of Occupancy Division Const. Group Size of Bldg. No. of Max. (Total) Sq. Ft. Stories Occ. Load Fire Use Fire Sprinklers Zone Zone Required ZYes 2No No. of OFF STREET PARKING SPACES: Dwelling Units Covered Uncovered Speoia( Approvals i Required Received Not Required BOARD OF APPEAL PLANNING COMM. VILLAGE COUNCIL SPECIAL USE FIRE DEPT SOIL RFPn0T Page 74 AKw i ICE: Do 2101- Disturb A7{ hrai Drdnage DETT.(AILS OR REMARKS: /ZQ(J ` -toe ei VAL FOR SURCHARGE NOTICE • • SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. •JATURE OF CONTRACTOR OR AUI ZED AGENT (DATE) SIGNATURE.OE "OWNER (IF OWNER BUILDER) (DATE) PERMIT ISSUED • BUILDING OFFICIAL (DATL, 00 NOT W RITE IN THIS SPACE Type of Occupancy Division Const. Group Size of Bldg. No. of Max. (Total) Sq. Ft. Stories Occ. Load Fire Use Fire Sprinklers Zone Zone Required ZYes 2No No. of OFF STREET PARKING SPACES: Dwelling Units Covered Uncovered Speoia( Approvals i Required Received Not Required BOARD OF APPEAL PLANNING COMM. VILLAGE COUNCIL SPECIAL USE FIRE DEPT SOIL RFPn0T Page 74