HomeMy WebLinkAboutPermit 1660B12
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\1,___. ~ APPLICATION FOR BUILDING PERMIT /h(,() -B -J.:2.
~SHIPrlll . ~OTT C?UNTY, MINNESOTA PERMIT NUMBER
Owner: Nam'" ~ lt5~.#- ~ Phone' L/cl7- 3()3.2-
Address: 17d-./ I,,) J~CJN' ~~ ~.3 7 rr
Applicant: (If other than owner) Name: ~f_.. t!.~
Address' Phon~---;--
Theaborve ~bap~lietrforz~ermitto __ . "' .v1A")~ ~
-= / L (Build, all.r, repair, wfKk as e... may btll
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PERMIT APPLIED FOR: (Check those applicable) BUILDING (Estimated Cost) '-!.s; uocj
LJ~~ 4-({
Numberof Bedrooms: .~
Legal Description of Property' N LV Yu-
Township: Ui- _ Section: l ( Ra~ge: :;J- ~r Lot:--I.$. Block:
Zoning District: Agricultural: Residential: _1<.2.. Commercial:
A Plot Plan showing the following must accompany this application:
1. North Direction 5. Street name or road number
2. Location of Proposea Structure on lot 6. Locations of existing structures
3. Dimensions of front and side set.back 7. Location and size of Septic Tank and Drainfield
4. Dimension of structure(s) 8. Location of Well. Distance from Septic Tank and Drainfield
Applicant hereby agrees that, in case above permit is granted, that all work shall be done and all materials which
shall be used shall comply with the plans and specifications herewith submitted and with the Ordinances of Said
Township and County applicable thereto. ~_ (? /~~ t, _ 1- g-3
Applicant'. Signature -- Date
KIND OF CONSTRUCTION:
General Contractor:.Jj3~ ~
SUbdivision:~
Industrial:
Recommend Approval:
subject to the following conditions'
Reasons for disapproval' I I ' ,-"
SIGNATURE OF TOWN CLERK: (Or representative)..wd~ ~ DATE:
~
TOWNSHIP USE ONL"
Recommend Disapproval: __' "._"'_
Approval recommended
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COUNTY USE ONLY
Approved: ./ _ Denied: ___.. By Zoning Administrator subject to existing regulations and the following
con,diti~n~: A's1:!.~~ ,P~~~ ~~J-jl!f)' /- .e-J l2'j'Ul"tJ"7.
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SIGNATUR'",. ~./: APT J.r": ~L_ DATE:_~..-j ~ If '3
COUNTY USE ONLY
Approved:
conditions:
Signature:
tI
Denied:
By Building Official subject to existing regulations and the following
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FEES: Land Use Permit
Sewer Installation Permit C/O. <rD Receipt # JO/,-~96
Plumbing Permit tj..{j. .s-o
Well Permit ' '\ -=- 0--0
State Surcharge .....7.;) __ J,. 7Q
Building Permit ,.;? (/7 o. ,j-b
Plan Check /:?D.OlJ-
Fireplace/Wood Bumlng
Appliance So dr, 7.1-
TOTAL FEE
1. County Copy (While) 2. Township Copy (Canary) 3. Applicant's Copy (Pink)
Form No.1
Revised 7-82
Fo,'m No. 294
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502.75
State of Minnesota,
Scott
Miller-Davis Co., Minneapolis
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No.~-R-'? 'I
14tIJ of JUlie. 1983
Office of Bui1dina Offi~l
IS.
BUILDING
Permit
upon that tract of land described as follows: Lot 17 Block
Address
which tract is of the size and area specified in said application.
. plat or addition "pl. Ie!'?"
IN CONSIDERATION OF The statements made by Robert Banitt.
7721 W. l26th St.. Savaae. Minnesota 55378
in tits. application therefor duly filed in this office, which application is hereby made a part hereof, '
PERMISSION IS HEREBY GRANTED To said !.lobert IlWU as owner
to build a sinale fuilv Ilome as I!!!r Dlaps suhlllitted
This permit is granted upon the express conditions that said owner and h-1s.... contractors, agents, workers '
and employees, shall comply in all respects with the ordinances of the
Countv of %ott
I Given under the hand I'.,f th~ 8!-1114ino Offici.1 of said County and Its corporate
seal and attested by ito P~~mI1DQ Directorthis 14tb da~~"" A I-I. .
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Attest:."...:. lI1'V /' / {, cbiL",,,.....J
I .: PlaM1na Director Building Offici.l
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QLtrtifiratr nf OOrrnpanty
SCOTT COUNTY
1Dtpartmtnt of .uilbtng Jn~ptttton
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances
of the County regulating building construction or use. For the following:
Use Classification
Rldg. Permit N"
Occupancy Tyro
Type ConstructioJ1
tr;
7,oning District
_Fire Zoop
Owner of Buildin~
_Addres"
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Legal Descripti......
County Official
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Building Official
Datp-
Date'
POST IN A CONSPICUOUS PLACE
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