HomeMy WebLinkAboutPermit 1732B12
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PERMIT NUMB~R . ,
WI ~ 11.3 t::"C:;--
, /1>... (). r .,~_., RECEIPT NUMBER
PROJECT ADDRESS: 0T'~ ~rUL./
APPLICANT NAME: ~'fl.L a?~/>J"V.l~ ' HOME PHONE__!l!L?-SI'1JL
ADDRESS: -it, a 46 ,X;,( ~d.di ~~~RK PHONE'
b 6',:,:3 7.:2-
OWNER (If other than Applicant)' a~ HOME PHONF'
ADDRESS: . WORK PHONF'
CONTRACTORNAME:~l ~~1I~~ 7' PH~N~E:.
ADDRESS:JIo.;J.<{o '!2j,~ >z... ~:zk)./1!~ ~ J.:$P
The above applicant applies fora permit to: .Jl~.' h)!l41 ~~D1') +- Lt)df
/ (Build, alter, repair, move, install, as case may ~
TYPE OF CONSTRUCTION: woodLMasonry_Other_ TYPE OF HEATING SYSTEM~a.4. -:1~ ~
DIMENSIONS OF STRUCTURE: A ~ 'I.5;:L
.~
ESTIMATED COST OR VALUF' SS olr'O -
LEGAL DESCRIPTION OF PROPER; N lJ ~
SECTION: II LOT:9rfb BLOCK' S~BDIVISION NAME: h1~ ~
NUMBER OF ACRES: TAX PARCEL NUMBER: 11- 01100 7-Cl70NING DISTRICT:J-:2.
.
NOTE: A REGISTERED LAND SURVEY IS REQUIRED 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 f=lroposed 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 Qw~nd County Applicable th~reto.
_ A' /A~ ~~ ~.....,.... I.{ -1/ -81./
/ Applicant's signat;lfe / Date
. TOWNSHIP USE ONLyl .
Recommend Approval: ~ Recommend Di.SfPproval:
subject to the fOllowing conditions: ~~f"'t, / )(}.JJ~
SIGNATURE OF TOWN CLERK: (Or representativ~1J ~).j)'f/~Ul~
COUNTY USE ONLY
Approved: V Denied' By Zonina Administrator subject to existing regulations and the following
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minimum setbacks from: Road ""{ t; Side IS' Rear?{)' with the following conditions:
~~,R \IM^;~ #
SIG~A~~RE: - -~ <vf 7' ~
Approved' X Denied:
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SIGNATURF. <'\)(\N\I.'~,
,
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Q)~b5"376(
I ,
PLICATION FOR BU,'lDING PERMIT
SCOTT COUNty, MINNESOTA
I'
10'
1'f,
NUMBER OF POTENTIAL BEDROOMS:
I
7. Location and size of Septic Tank and Drainfield.
8. Location of well.
DA TE:-'f - II-!!t
DATE:J-I(~ ~
COUNTY USE ONLY
By BUildin~O icial subject to existing regulations and the fOllowing conditions:
\'\.~ S n
\'\ hJ\f, . ~ DATE: ,(. A'('lA..\L \~ ~I
J
FEES: Land Use Permit
Building Permit
Plan Check
Fireplace/Wood Burning
Appliance
TOTAL FEE
'-I- D.
L.j () , f)O
Oi
:3 /,
.,,3 ~<;" 0~
) 7 7. ~()
{;
t~S:OO
Sewer Installation Permit
, J,
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~;JY
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Plumbing Permit
Well Permit
State Surcharge
Form No.1
Revised 1-84
1. County Copy (White) 2, Township Copy (Canary) 3, Applicant's Copy (Pink)
Form No. 294
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I $/ 655.00
Miller-Davia Co" Minneapolia
....~
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l':~t 8-12 !I
No.
,/
State of Minnesota,
16 of
Ap..11. lQe4
Buildino Official
IS.
County of
C:/"I\TT
Office "f
Bunding Permit
IN CONSIDERATION OF The statements made by GeorgI! Borgerding
in . application therefor duly filed in this office, which allplicai!3f1 is hereby made a part hereof, '
PERMISSION IS HEREBY GRANTED To saitl George !lorge ng as owner
to construct new IlOIIle
~
, upon that tract of land described as follows: Lot 9 6 6 Block
Address
which tract is of the size and area specified in said application.
. plat or additiol'
I'IlIPle /\ere'
This permit is granted upon the express conditions that said owner and h_ contractors, agents, workers
and employees, shall complY in all respect!!. with the ordinanc!l,s of th!l, ,
BulldiDG Off1ci&1 of xott {;O\lflty
Given under the hand of thp- BulldinQ Offici.,
seal and attested by it. PlanninG Dtrectol'this
Attest:
rof said
day ('f
COllftt.Y
and its corporate '
19~
,
Plaftfti~ D1rar.tftr Bu1ldint Offici.l
~:t~~~:ut.~.~tr~"~~1--jfP~. ~r~ .'=\....,;...~.~B!i- .
~, '- \ /1'3),- !~t:;;:, OF SCOTT - BUll.DlNG INSPECTION DIVISION
~Oi\c, PLUMBING INSTALLATION PERMIT , .
~-. 'j) / 1701-18 J~ph f-q1lf2.
6(o-\-~'" Permission is hereby granted to install plumbing at the following location: f .
LEGAL DESCRIPTION: :5 II /., 0 r q -.r 4~ /11 fl p l <"" t! c R t:E: ~ 1
OWNER: l;'eD~('J:: &~~rC\1Il)'< .'
~ I') L
ADDRESS & PHONE: 11..,;;l./.O ..s-T. J-'AulAlltc tRite -AK(<, ~'/7-S/'i6
v ~.
PLUMBING CONTRACTOR: ' L1C. NO.
ADDRESS & PHONE:
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 the State an99unty applicable thereto. Il
~~.tJU~{1A t-~-<T~
~ /' Applicant's Signature (j - Date
.
,'f
\
BUILDING OFFICIAL
~
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~""''''''-:'-'~'''''''''W':'''''''L..,~.._..;
COUNTY OF SCOTT DATE
INSPECTION NOTICE CALLED.IN
PERMIT No.\l?-'d--~ SCHEDULED '\l::.;}0l
TOWNSHIP/CIT~~ \( Q , COMPbETED\ Vz..O
ADDRESSn D~<l ~'-)[\~O ~
OWNER_J:l\\i 'l'.~, ~~\N--.Cjl<.--PHONE:
CONTRACTOR: \;) ~ A ~ ~ \)
TIME
6',f)D
2... c:;. 5
o FOOTING
o FRAMING
o INSULATION J /
~~~~ SO, (;) V1
~GRESS
~ [J DEMOL.
~ D FIRE PREVo
"-
~ COMMENTS: rs '~S"'Z:
<:
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GeE\\~ '-~'l.\";;'U~~~ ~'~.TVI"I'- Fl'\rT~-
pO ~_r//"'" J" b(\-r:-~.v? W""", f3'<> 0 {_
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v ~nJSATISFACTORY: PROCEED 0 PHOTO TAKEN
~ECT WORK & PROCEED
, ~ \,,~,-,,'.ECTWORK. CALL FDA REINSPECTIQN BEFORE COVEAING
o CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POSTED. CALL INSPECTOR.
o INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o SEPTIC MAINT.
o PLUMBING FINAL
o SITE INSPECTION
o EXCAVATING/GRADING/FILLING
o LAKESHORE/WETlANDS
n COMPLAINT
::J FOlLOW.UP
o SEPTIC FINAL
~
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OFFICE OF PlANNING, INSPECTIONS ANO ENVIRONMENTAL HEALTH - 44~7750, .,1. 353
Call for the nextlnapec~ 24 hours In D. '\...$'
~slte-.i.()~ ft.~
Inspector \') F\ l'l \-\ .
r
00601H807 While Copylln.",..",'. File Canary Copy/Reconl. Pink Copy/SIle