HomeMy WebLinkAboutPermit 3895B11
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AP' ICATION FOR BUILDING PEIIIT 4- "f t. - ,? 35"3-
Townshlpt:JIiE SCOTT COUNTY, MINNESOTA
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- COUNTY USE ONLY ~~--....-.....,.....~~ ---
Project Address / ry D ~ Q YV"-Lf 1<.. t....O,...(( ____Permltnumber-"1~q~ ~B-\I
PostOfliceCity 7ip Receipt number I 'f::? I S
~~~~
Applicant JA,.,"".s LIl 'It So rl _,_____,_,___,_ Phone (Home) 4 ~'7 -~ '1.:1lWork)
Address I 70 R D rtflpLe).. fJrJe.- City .l"~JC>'j<. J,..,.kE!Otate /'-f tV Zip sJ' 57 ~
Owner (if olher than Applicant) :E11 J<-1 ~ Phone (Home) (Work)
Address S If ~ C- City State Zip
Contractor Name DIl}...,.. J-J 11 >>~ Phone (Home) 26,!? zo,p*,ork)
Address City C,q n".. n. State rflll, Zip
State Contractor's License Number
Project Legal Desc. Parcel No. 1/ -0/3 011-0 No. Acres
Sec--L-1- Lot Block _ Subdivision Name
The above applicant applies for a permit to: usp'
(erect, construct, enlarge, alter, repair, move. improve. remove or convert as case may be) (house, garage. deck, reroof, elc.)
Typeofconstructlon:Wood V Masonry_Other _ Typeofheatingsystem # C:'I."cJ;i; '" ~,s-e..
Dimensions of structure !1 '" I X /:;. I o..rI r\o" I 4. s:. e../J <=."'^ Sf 1"< r- (j k
estimated cost orvalue d 6-: D tJ tt), 0 0 Numberof B., .. . ;.; / It- ~
- , I
NOTE: A survey Is required by a registered surveyor for all new home applications on less than 10 acreso
If a survey Is not required, a Plot Plan must be submilled. 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 ordinanceso The applicant agrees to abide by all zoning
regulations, and utilize this structure fO~ :_~illed u~ _ /J "7_.r) 6 ,-.::r )
~':x-J0Vj'TL(4 /A ^~AU\ .::;;> ",
Applicant's'Slgnature Date
TOWNSHIP OR CITY USE ONLY ..-...--~...............
Recommend Appro al ecommend Disapproval subject to the following conditions:
SignatureofTownshiPorC~lerk(orrepresentatiVe) j, ~ -~~ DateZ-A~0-~5
-- - - - - - - -- COUNTY OR C' /PLANNING USE ONLY - - ~ - - - -....,
- - - - - - - fT'1"p ..." _ __ _ _ __ _ _____
Minimum setbacks: Road Side Rear Lake/CreekiWetland 70nlng district
Approved ,Y Denied By Planning/Environmental Health, subject to existing regulations and the
following conditions: -
Signature Planning) ~~~ ~-L_--:"//f '- Date ~-..:</~lf'
Signature (Environmental Health) ---LiL- ~l y~~-;td Date 'f-/{.JiJi
~~-.....~ COUNTY BUILDING USE ONLY ~
Approved .V~ <, Denied By Building Official sulWct to exis in regulatio/:1 a;?d ~ followjQg con5"1ions:
,air /'yvunJ.v-o,:.t>Ir -,J- k/n-r\..- I~ '-~ ~
Signature -VO'YY1 !k;,"'-/>____ ' DateiL:.~C,-~<6
-~~~
Additional Comments:
FEES: Land Use Permit
Sewer Installation Permit
Plumbing Permit
Plbg./Mech. State Surcharge
Bldg. State Surcharge
Building Permit
Plan Check
Erosion Control
LJ- .~?_
I ell. (Y)
'In. 'ZiJ
TOTAL FEE
(2i)~ I /512. CS2
06600-2805 (10-96 1M)
WhiteoCounty YellowoTownship PinkoApplicant GoldoTownship
COUNTY OF SCOTT
INSPECTION NOTICE
03895
SL
Bll
PHONE: 612-496-8334 OR 612-496-8475
DA:I:E / / TIME:
SCHED~ggO/03/20- -"IlJ:30
COMPLETED 3 2"0- t:?O )D' ~
PERMIT NO
TOWNSHIP/CITY
ADDRESS
OWNER
17080 MAPLE LANE
LARSON
rONTRACTOR SELF
TYPE OF INSPECTION
COMMENTS:
deck final
, /7
( !/iSJ
, ;1
i /ILI
-&.A
""Mo, r( 1,.
I
LIYt P-
o,
532~J(;
. --;7 ..). :J -o/q'
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~;;~ Satisfactory: Proceed
o Correct Work Can for Reinspection before Covering
o Correct Unsafe Condition within _ Hours Inspector will Return
o Correct Work & Proceed
o Stop Work Order Posted Can Inspector
o Inspection Required Can to Arrange Access
BUILDING INSPECTION OFFICE: 200 Fourth Avenue West, Shakopee, MN 55379- 1220
~ _ ~allfi ,the next inspection 24 hours in advance
Owner/Conlf. on site IJ.~ ~ ~ Inspe r .--
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