HomeMy WebLinkAboutPermit 2375B11
APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA
Spdng Lake
TOWNSHIP or CITY
PROJECT ADDRESS: Ib:l7'6/P'<7/'nwc>od
.;l 37S-,6-I/
PERMIT NUMBER
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'" RECEIPT NUMBER
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HOME PHONF' 445-4668
WORK PHONF' 447.-4017
HOME PHONF'
WORK PHONF'
PHONE: 447-2781
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APPLICANT NAME:
ADDRESS:
Mar'z As tell
1125 Merritt Court, Shakcpee 55379
Sarae
OWNER (If other than Applicant):
ADDRESS:
CONTRACTOR NAME' Berens Ccnst.
ADDRESS: 5706 East 190th Street, Prior Lake 55372
The above applicant applies fora permit to: Build a home, attached garage, well
(Build. alter, repair, move, install, as case may be)
TYPE OF CONSTRUCTION: Wood~Masonry_Other_ TYPE OF HEATING SYSTEM' Forced Ail:
DIMENSIONS OF STRUCTURE: House: 61' x 30' and 18' ;,22' Garage 22' x 22
97 iJ S';;L NUMBER OF POTENTIAL BEDROOM~' 2
. ,
Tract 3 - Northwood
ESTIMATED COST OR VALUF'
LEGAL DESCRIPTION OF PROPERTY:
SECTION' 4 LOT' BLOCK' SUBDIVISION NAME:
NUMBER OF ACRF"" 13.85 TAX PARCEL NUMBER: lj_-qO)lD()~ONING DISTRICT' UE
NOTE: A SURVEY IS REQUIRED BY A REGISTERED SURVEYOR FOR ALL NEW HOME APPlICATIONS on 10 ACRES or LESS,
A Plot Plan showing the following must accompany this application:
1. North Direction. 4. Dimension of structure(s).
2. Location of Proposed structure on lot. 5. Street name or road number.
3. Dimensions of front and side. set back. 6. Locations of existing structures.
Applicant hereby agrees that, in case above permit is granted, that all work shall be done and all materials which shall be used comply with the
plans and specifications herewith submitted and with the Ordinances of Said Township and County Applicable thereto.
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APPlica~s signature
TOWNSHIP USE ONL"
7. Location and size of Septic Tank and Drainfleld.
8. Location of well.
Recommend Approval: X bl::j .. ,jlecommend Disapproval:
subject to the following conditions: Htts-~' LJo--~LV.[~~.._ - Park Fee Paid
SIGNATURE OF TOWN CLERK: (Or representative)
COUNTY U
04..25..89
Date
DATF.04-25-39
Approved: ~ Denied' By Zoning Administrator subject to existing regulations and the following
mini":l.':lm setbacks from: Road /.1' (J/ Si.dP:3~ J Rear. ~ /J ./ with the following conditions: $8 . _ /J /J
4~L--_~~7~J .Rr7~/fl~#>-/?_:, .76 I.'~cf~>
SIGNATURF' ~ 4'1'/1'/ s:n:- /"/21/4' /Y' -" DATE:-S-"?t
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v C/ Y COUNTY USE ONLY
Approved' X Denied: By Building Official subject to existing regulations and the following conditions:
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SIGNATURE: ~~ ~_..,....,>;.. DATE:. ~A-A t:'
ADDITION~OMMENTS:
FEES:
Land Use Permit
Sewer Installation Permit
Plumbing Permit
Well Permit
State Surcharge
Building Permit
Plan Check
Fireplace/Wood Burning
Appliance
TOTAL FEE
08600-2805
Revised 6-85
1. In.pector'. Copy (While) 2. Townalllp Copy (Canary) 3. App!lcMl" Copy (Pink)
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Dtpartmtnt of .utlbing .Jn~ptdion
P Final Permitted D Conditional C.O. Expire.
This Cenific8te issued pursuant to the requirements of Section 307 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:
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2',75-J-11
Bldg. Permit No._ ., _
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Zoning District
Occupancy Typp
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Type Construction
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vgal Descriptior
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Site Addres<
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County Official
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Date:
COUNTY OF SCOTT
INSPECTION NOTICE CALLED,IN ,
PERMIT NO._~ ?'7'?:.f3-~// SCHEDULED ~l;l~
TOWNSHIP/QW" ~ L.- COMPLETED . J
ADDRES,Cl / ~;J <-/ t, '71'~,,, ~_ " d
OWNER "-?77aJ.' /7..,-::z!/'// .PHONE:
CONTRACTOR: A,.~ ~
rJ FOOTING rJ PLUMBING AI (10' SITE INspeCTION
o FRAMING 0 MECHANICAL 0 EXCAVATING/GRADING/FILLING
rJ INSULATION 0 WATER HOOKUP 0 lAKESHORE/WETLANDS
o WALL BO. 0 COMPLAINT
{) FINAL 0 SEWER HOOKUP 0 FOLLOW-UP
fJ PROGRESS 0 SEPTIC INSTALL :] SEPTIC FINAL
[] DEMOl. 0 SEPTICMAINT.::::J FIREPLACE/CHIMNEY
rJ FIRE PREY. )(PLUMBING FINAL :l
DATE
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n CORRECT WORK. CALL FOR REINSPECTIDN BEFORE COVERING
[] CORRECT UNSAFE CONDITION WITHIN HOURS. INSPpOR WILL RETURN.
fJ STOP ORDER POSTED. CALL INSPECTOR. I
rJ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
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OFACE OF PlANNING, INSPECTIONS AND ENVIRON~I NT~L HEALTH 496-8334
C8II for the next In8J.Ctl 4 houlllln adve' I.~.! .' /
OwnertContr. on sl , \iI' .-A/
Inspector :.- // ./'? A~/ \ I
06600- 2807 (12-88 3M) Whl1l Capyllnapottcr'a FIll Ca..ry Copy/Rocarda Pink Copy/SI1I
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COUNTY OF SCOTT
INSPECTION NOTICE
PERMIT NO. d237!'--tJ-l/
TOWNSHIP/OOl' J:L
ADDRESS k.,;Jt./r" IVCJ.e7HuJlXU) ~
OWNER ,A1A-t>...K. /lsrcf /
CONTRACTOR: ger.-A"'" ('n71<:;~
DATE TIME
CALLED.IN
SCHEDULED
COMPLETED
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fJ INSULA nON
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o SITE INSPECTION
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o lAKESHORElWETlANDS
o COMPLAINT
o FOllOW-UP
L: SEPTIC FINAL
o FIREPLACE/CHIMNEY
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(') WORK SATISFACTORY: PROCEED
'il CORRECT WORK & PROCEED
/A"<:ORRECT WORK. CALL FOA REINSPECT ION BEFORE COVERING
fJ CORRECT UNSAFE CONOITION WITHIN HOURS. INSPECTOR WILL RETURN.
n STOP ORDER POSTED. CALL INSPECTOR.
rJ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
o PHOTO TAKEN
OFACE OF PlANNING, INSPECTIONS AND ENVIRONMENTAL HEALTH 496.8334
Cell tor the next Inspection 24 hours In advance.
Owner/Contr. on slta
Inspector
06600-2807
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(12-88 3M) White Copy/ln.pect..'. All Canary Copy/Rlcord. Pink Copy/Site
COUNTY OF SCOTT DATE TIME
INSPECTION NOTICE CALLED.IN
PERMIT NO. :J-=37.-r-d:-// SCHEDULED 1y/:f!P /1);30$
TOWNSHIP~ S'L COMPLETED /..:;: ~ let:' "-;;rS-
ADDRESS /i,d-. '110 71,."~.6vv,--,,.!.&:/-
OWNER '?'?1'~ d~- PHONE:
CONTRACTOR:
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~o WALL 80.
FINAL
rJ OGRESS
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[] FIRE PREV.
o SEWER HOOKUP
o SEPTIC INSf ALL.
o SEPTIC MAl NT.
o PLUMBING FINAL
[] PLUMBING AI
o MECHANICAL
o WATER HOOKUP
["] SITE INSPECTION
o EXCAVATlNG/GRADING/FILL.ING
o LAKESHORE/WETLANDS
o COMPLAINT
o FOLLOW.UP
w SEPTIC FINAL
LJ FIREPLACE/CHIMNEY
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COMMENTS:
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["] WORK SATISFACTORY: PROCEED 0 PHOTO TAKEN
[J CORRECT WORK & PROCEeD
n CORRECT WORK. CALL FOR AEINSPECTIQN BEfORE COVERING
fJ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL. RETURN.
o STOP OROER POSTED. CALL INSPECTOR
rJ INSPECTION REQUIRED. CALL. TO ARRANGE ACCESS.
OFACE OF PlANNING, INSPECTIONS AND ENVIRONMENTAL HEALTH 496.8334
Call for the next Inspection 24 hours In advance.
Ownarfcon~
Inspector /'./';? ~
06600- 2807 (12-88 3M) Whitt Copy/lnspoctcr'IFHI Canary CopylReconl. PInk Copy/SIto