HomeMy WebLinkAboutPermit 3958B11
AF'
JCATION FOR BUILDING P[ MIT
SCOTT COUNTY, MINNESOTA
Township/City
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- COUNTY USE ONLY ~-.....-~.............,.
-
Project Address
Post Office City
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permitnumber~IJ
Receipt number)4~
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Applicant
Address
APPLICANT FILL OUT INFORMATION BELOW:
.~,. U' So .u.rL+ L ..' Phone (Home) ~7-/t:: 7V (Work)
/7 I') I -:;:: de (lr City DntHk.*,State U1V1 Zip
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Phone (Home) (Work)
State Zip
Phone (Home) *7-/(,,11 (Work) -Y/t../OOO
City qr(,;r4.&.... State '11<... Zip Sian)_
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S-S3 7 Z-
Owner (if other than Applicant)
Address
City
Contractor Name .s"N ")t..,.d..t.L r
Address ,'1 I 7 I ::z:-rl ,.
State Contractor's License Number
Project Legal Desc.
/ .r
Parcel No.
No. Acres
Sec
Lot
Block _ Subdivision Name
The above applicant applies for a permit to'
(erect. construct. enlarge, alter, repair, move, improve, remove or convert as case may be)
uc:oo
(house, garage, deck. reroof.etc_)
Type of construction: Wood
Dimensions of structure
Estimated cost or value
Masonry_Other _ Typeolheatingsystem
;)7 .s~If."I~..:s
flj9.FJ. CO
Numberof Bedrooms
NOTE: A survey Is required by a registered surveyor for all new home applications on less than 10 Icres.
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
"",'''ioo,. wd """" thi, """'ffi t" '" '7fi'."' "M_. . / , /
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'A ~ant's Signature Date
~~-......-. TOWNSHIP OR CITY USE ONLY ~~
Recommend Approval
Recommend Disapproval
subject to the following conditions:
Signature of Township or City Clerk (or representative)
Date
~-"""-COUNTYOR CITY PLANNING USE ONLY ~
Minimum setbacks: Road
Approved Denied
following conditions:
Signature Planning)
Signature (Environmental Health)
Side. Rear Lake/CreeklWetlar1d 70nlng district
By Planning/Environmental Health, subject to existing regulations and the
Date
Date
~~COUNTYBUILDINGUSEONLY~
Approved ,./" nenied By Building Official subject to existing regulations and the following conditions:
41....'- t-4@'/I. .L It-. -47'e/l...IAI.- 7n "" ~<C '7 C 7AZ<~ ". .CJK)"L. 9 ~
Slgnsture ~rY><.A~ ,.1..)/ . u___ Datur:...=;~
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Additional Comments: FEES: land Use Permit
Sewer Installation Permit
Plumbing Permit
Plbg./Mech. State Surcharge
Bldg. State Surcharge
Building Permit
Plan Check
Erosion Control
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TOTAL FEE
~OY . t:)"l 75
06600-2805 (10-961M)
While.County Yellow. Township Pink.Applicant Gold. Township
COUNTY OF SCOTT
INSPECTION NOTICE
PERMIT NO. ~. B-1 1
TOWNSHIPterrr~
ADDRESS. n n I 100a
OWNER ~(}()H'h1""Ll.Y"
CONTRACTOR:_ ~ J.1
o ~MBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o SEPTIC MAINT
o SEPTIC FINAL
o Pl)J.MBI~~I~~
)2' 16r~
o FOOTING
o FOUNDATION
o fRAMING
o INSULTATION
o WALL BO
o FINAL
o PROGRESS
o DEMOL
o FIRE PREY
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8~ PROJECT COMPLETION DATE
WORK SATISFACTORY PROCEED
RRECT WORK & PROCEED
COMMENTS:
~~
PHONE: 496-8334 or 496-8475
DATE TIME
SCHEDULED~qy 2:CO
COMPLETEn
Clldt'..-
o SITE INSPECTION
o EXCAVATINGGRADINGiFILUNG
o LAKESHOREiWETLANDS
o COMPLAINT
o FOlLOW-UP
o FIREPLACE/CHIMNEY THROAT
o FIREPLACE CHIMNEY FINAL
o GAS LINE PRESSURE
o
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o PHOTO TAKEN
o CORRECT WORK CALL FOR REINSPECTION 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
Courthouse A 102,428 S. Holmes 5' , Shakopee. MN 55379
Call for the next inspection: 4 hours in advance
Owner/C ,
I_~' ,11-----'
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While COin ':tor' F, Canary Copy 'Records
BUILDING INSPECTION OFFICE
I nspecto
Pink Copy/Site