HomeMy WebLinkAboutPermit 1208B12
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.1_.~ '. .~~.. APPLICATION FOR B~ILDING PERMIT
~SHIP SCOTT COUNTY. MINNESOTA
Owner. Name. ..a./:!~.i/.....Jf?...i?'b..r:.s.?.:.I'i..//.m"""'7J......m...m...m....... Phone. .'i?-!2~~./ZQ.z:
Address. ..S(7.'i(:Z.....t.rL....ir.<!<M:/~......l/:c:d;ir....jc/L.................. .................m........................... .....
Appl.icant. (If other than owner) Name. ........................m......m..mm.....m.......m......,...................................................................
Address. ..~............m......mm........................m.........._.............m..............m.mm........m.. Phone: ..._.._...m.................
The above applicant applies for a permit to ...c:O.k:.>-.I."'~..c;r.:...m..A-.e~......d.q.I"'...~........m_m.......................
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PERMIT NUMBER
......uu_._n......_..u_h........uu..__n..._......_h...._.__..uu.__.n..____~_nnnu_~________..._.n____.~._n_.h___n.u_u.__n____._____.__.___....__nn....._nn...._........_..
l!uild, alter, repair, wreck - 01 cose may be)
PERMITS APPLIED FOR. (Check those applicable) BUILDING (Estimated Castl.....3i!i}..t2.aO-mm.........m...........................
WELL. ......m..........c:/..~~m..~::::::~::~..~.....:~::...:.::::~::::::~::::::=::=:::::::::::::::::::::
KIND OF CONSTRUCTION. .....t042.cI...mb:'Zf-"Le..___.._...m_.................._mm...._........._...m_.............m...m................
___._UU._h_._......UUhu.....nnnUUhn_..........._..___nnn_..._......_______.....__n.______n.......___n._n_uu___.____._..__._____.._h_uuuunuuu.nnn_.__.___n..
Number of Bedrooms. ......m2.........m__m..._.............m...:....... General Contractor, L..J~(C.2:y.{.'d.d-mC.CU.....fA.L:....--.
Legal Description of Property. .?C2.::t___..Lm__&A::..L_.._C~S.Z::!2/.----..A.&1.,(.Q.':t----....--dmm.m--."--'''"j,(;
TownshiP'~'7...?qke Section. __.LO.. Range. ...z.;?. or Lot. m.'7m. Block. --.-I--.m Subdivision.Cv.p/.-<>/..d: or.
Zoning District: Agricultural: ______,__.__._...~______ Residential: ...*_________ Commercial: _mommn...._..__ Industriol: m___.__nmn____
A Plot Plan showing the following must accompany this application.
1. North Direction 5. Street name or road number
2. Location of Proposed 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 Is) B. Location of well. Distance from Septic Tank and Drainlield
Applicant hereby agrees that, in case above permit is granted, that oil work shall be done ond all materials which shall
be used sholl comply with the plans and specifications herewith sUbifd with the Ordinances of Soid .Township
and County applicoble thereto. ..a"2Z<<~;t!!..~~f!:..-'-d.m..m. _.mZ~k::.. ..4K.'__"d'"
Applicant's Signature yo./._J ~.L.
TOWNSHIP USE ONLY
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Recammend Approval. ...d.______...............__........... Recommend Dlsapprova" m_......_m.m..__.m..m.____ Approval recommended
subject to the following conditions. ........m_....__m.......____.._____...m...m.mm.......__...mm__..mm.._.._____m__..__m.mm__...mm.__m__....
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./. C~UNTY U.S~ ONLY. . .
Approved. ....m.......mm Denied. ....mm._m.... By Zoning Administrator sublect to eXlStln regulations and the following
conditions, --..~.--.....dm...--m...m..-.md..--m---.-m--._mmA-p.P.R m VE --
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NA URE. '.m__. ,"m . .....~"')......Qd"""" .. .m. . ."m.. '.m
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BUILDING PERMIT .-.-- , K O...;! t1uilding Official
WELL __._m.mm.....mm t. :llste of Minnesota
STATE SURCHARGE FEE $ /9.,"5D No0510
TOTAL FEE .m........ $ / q fA ,l9-() RECEIPT NUMBER, __.....ftt.6..Y../....__.__m......m
FEES PAID.
INSPECTIONS.
Form No. 1
Reviled 2.16.78
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Site Inspection no...............................no.......h...m.m....no=~.L~.~.....noDatemJ.:=..f.L..]g_..nn
Plan Review ....no.n.h......_...h..h.....__.....no.n........m.no..no.;:}~.~no_...Datem.'i.~j=..7f[..n__....
Footing Inspection ................no................hno................no.h.;;:s::~__~__._no Date......1;d.S~.zg.
Fram i ng /Energy .........no....no.....................h..h.......no....no.;:r~__S:::-.._m Date...no!.?..=}~L.:..2.en
Lath or Drywall .......no........__........hno.......nhmh............;I~:'-..S::_mhno.... Dote......k:_2:.?~.7?.h.
Plumbing ................................................no....no............;:r~.C...h.hno...Date.h..jcz..~3L-:...7K.
Heating h.............no.....h......no......no.......no..........no......nnI!0..~........Date...../g.::3L:.ze...
Final/Energy .................................no............................::1:~___~........__..Daten...7'!:...~.=..?J.....h.
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Occupancy Permit ...___.hn_hh________________________...__h_________..~__n_.._____~h__n.___. Date.______hU______Uh_____..i.....h
1. County Copy
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~trtificate nf OOccnpancy
SCO IT COUNTY
1Department of .utlbtng 3Jnspedton
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 Classificati"..
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'Rl~g. Permit No.
Occupancy Typf'
Type Constructiop
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'loning Distrif't
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Fire Zon"
Owner of Building_ 'h;: :'t
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POST IN A CONSPICUOUS PLACE
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/qrJ . COUNTY OF SCOTT - BUILDING INSPECTION DIVISION
PLUMBING INSTAllATION PERMIT
Permission is hereby granted to install plumbing at the following location:
LEGALDESC'J'jON' klo 9JFJ Odd ;;I- 'l g -/ -Ju
OWNER: ~ f 1JJ~ ~ (
ADDRESS & PHONE: 49 t J W. ;j~.J Udk DJ
PLUMBING CONTRACTOR: 'f ~~~A (A~ f!.t.l;W ~L1C. NO.
ADDRESS & PHONE: Y ~.trl O!~
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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 ~County a!l~.J9le there~o. C1 d
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/.:2 Off _ g _ /:J. Appiicant's Signature ~ ?It ~e
BUILDING OFFICIAL
/:2 09- 8-/:1-.
'1-/'3-71
DATE