HomeMy WebLinkAboutPermit 4278B11
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Project Address ./ 7/:L/ /J11.U;'fboJ Y/ IJ Permit number !::L'J.7g-i!>..r/
Post Olllce City 7ip Receipt number '1 ~;(ly..
.ICATlON FOR BUILDING Pf-""IT
SCOTT COUNTY, MINNESOTA
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APPLICANT Fill OUT INFORMATION BELOW:
Applicant / 1M. (!~IJI! A-Q.... PhOne(HOme)~1D'<1't)~ork)
Address nJ~LflvdJt;tAJ,J~&ity ('. L,A-Ire Slate HIff zip$'o~7;;:1.
Owner (if other than Applicant) .SIU1 e. Phone (Home) (Work)
Address City State Zip
Contractor Name :5'~ Jr 0 Phone (Home) (Work)
Address City Slate Zip
State Contractor's license Number
Project legal Desc. A 6-0 t/<cil ddl?<t".5-:i
Parcel No. 1/6/'10010 No. Acres ~ '1,5
Sec lot Block _ Subdivision Name
The above applicant applies for a permit to:t:J....>) 'J..L, /u.' LL I;;' 611~V"',;r; 11~r"c. S kID..:>
(erect, construct. enlarge, alter, repair, move, improve, remove or convert as case may be) (tt9sr/IQJra~t!!J r5f~~~~
Type 01 construction: Wood Masonry ~Other Type 01 heating system
Dimensions 01 structure & l tv e'JI-L.l.. /.J,J / ([b f!J K.
Estimated cost onalue ,?5.e;-t!) 1!> / Number of Bedrooml
NOTE: A survey Is required by a registered surveyor for all new home applications on leIS thin 10 acres.
If a survey is not required, a Plot Plan must be submitted. Please contact the Building Department for a complete list
of items required for permit approval.
Applicant hereby agrees that, upon issuance of this permit, all work shall be done and all materials used shall be in
compliance with any applicable township, city and county ordinances. The applicant agrees to abide by all zoning
regulations, and utilize this s.truct~e(7 0 7-;,1- q 1
Applicant's Signature Date
~ - ;-~TOWNSHIPORCITYUSEONlY ~~
Recommend APPrO~ ecommend Disapproval ~ubject to the following conditions:
~~~:o:~,~,~~~::::.~~
Minimum setbacks: Road./OC' Ru.lside IS' Rear $" LakelCreekJWetlar1d 70nlng dlstrlctJ< -;;)
Approved V Denied By Planning/Environmental Health, subject to existing regulations and the
fOllowing conditions:
Signature Planning) 9CJ..,O..:-"
Signature (Environmental Hea
v71~JL:
C:D{16tu~~ :fnr /3fV1
COUNTY BUllOIN USE ONLY _
Date 8/ y /99
Date 1) I 7 i9f
I r ,
~
Approved K nenierj By Buildin99lficial subjec 0 existing~lalions and the 10 win cond~t10ns~
A~/~..&-.7 />>-'Vl~ orVl o~J..kS ,/jP/7A . 1"''-:> .~
Signature _~.-Av7f .-"1n,~,.'; C) Date <i.tt!lJ
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Additional Comments:
FEES: Land Use Permit
Sewer Installation Permit
Plumbing Permit
Plbg./Mech. State Surcharge
Bldg. State Surcharge
Building Permit
Pian Check
,5'0
/5: aIJ
Erosion Control
TOTAL FEE
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06600-2805 (10-961M)
White. County Yellow. Township Pink.Applicant Gold. Township
COUNTY OF SCOTT
INSPECTION NOTICE
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c..-;n r-a..d
5 <-/:p
o FOOTING
o FOUNDATION
o FRAMING
):.. 0 INSULATION
~ 0 WALL1b "-
"- INAL '5e~"'"
oq:~AOG 55 ~;n
(J) ODEMOL ,~
~ 0 FIRE PREY
~ COMMENTS:
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8 PROJECT COMPLETION DATE'
IJlt!IyORK SATISFACTORY. PROCEED
, D~CT WORK & PROCEED
o COARECT WORK CALL FOR REINSPECT ION BEFORE COVERING
o CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN
o STOP WORK ORDER POSTED, CALL INSPECTOR
o INSPECTION REQUIRED. CALL TO ARRANGE ACCESS
PERMIT NO.
TOWNSHIP/CITY
ADDRESS
OWNER
CONTRACTOR'
o PLUMBING AI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o SEPTIC MAl NT
o SEPTIC FINAL
o PLUMBING FINAL
~
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~
PHONE: 496-8334 or 496-8475
DATE TIME
SCHEDULEDR::L~ -9 'J 3 ~~
COMPLETEDiB..9~~ -PQ2J
.K~
o sITe INSPECTION
o EXCAVATING;GRADING/FILlING
o LAKESHQRE/WETLANOS
o COMPLAINT
o FOLLOW-UP
o FIREPLACE/CHIMNEY THROAT
o FIREPLACE/CHIMNEY FINAL
o GAS LINE PRESSURE
o
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BUILDING INSPECTION OFFICE
o PHOTO TAKEN
Courthouse A102, 428 S. Holmes St., Shakopee, MN 55379
Call for the next in~n 24 h~ in advan,6/
Owner/Contr. on site /.........- (.. X
Inspector ~<VYM~~./
06600-2807 (6-975M) White Copy/Inspector's File Canary CopyiRecords Pink Copy/Site