HomeMy WebLinkAboutPermit 1608B12
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') f' ""cvta fu1 APPLICA nON FOR BUILDING PERMIT J ~ jy - Lf -J ""
TOVWSHIP SCOTT COUNTY, MINNESOTA PERMIT NUMBER
Owner: Name:J2A\lJ1LL~^~ ~Phone:~~h
Address:JMl77 flfj,<,.uuJ bit... U IViV. . .M-., S-S-..>7J
. , /
Applicant: (If other than owner) Nam '....
Address: Phone:__
TheaboveapPlicantappliest"fP""~ '~'I'" - Wi,^",/~/r;. ,k".,.",. I~.;/;,~ : 1..:"';"'( I
shP"fjror.~_. ~_
(Build, .Iler, r....ir. wreck... cue may bel
PERMITS APPLIED FOR: (Check those ~ppliCable) BUILDING (Estimated Cost) v/inJA"'c,. ~<. ~ 7tP()O
WELL'
KIND OF CONSTRUCTION: t=PAW:-
Number of Bedrooms: 4. General Contractor: 51",,/+!
Legal Description of Property. ~ E. Y4
Township: \ \ '-\ Section; ~ ~Range:~ or Lot: Block:
Zoning District: Agricultural: Residential: _.___.' Commercial: _
A Plot Plan showing the following must accompany this application:
1. North Direction 5. Street name or road number
2. Location of Proposeo 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(s) 8. Location of Well. Distance from Septic Tank and Drainfield
Applicant hereby agrees that, in case above permit i ranted, that all work shall be done and all materials which
shall be used shall comply with the plans and speci ations h re . h su itted and with the Ordinances of Said
Township and County applicable thereto.
Subdivision:
Industrial:
J()-~7-l3u
Applicant's ignatur
Date
TOWNSHIP USE ONLY
Recommend Approval' X' Recommend DiS:I3P~I: _A>' . Approval recommended
subject to the following conditions: 4---'/~ -F~ ~ ,<7 /,.J~~P'-. ~
Reasons for disapproval' M~ 1r;- 'LI. u-.. //. r--
SIGNATUREOFTOWNCLERK: (Orrepresentative)__._ ....~.f:,)",.)__ DATE: /O-,-:l7-~
COUNTY USE ONL"
Approved:
conditions:
- Denied:._ ,. ... By Zoning Administrator subject to existing regulations and the following
I. /'
.n_.~
SIGNATURE'
DATE:.
Approved:
conditions:
Signature:
rL. Denied:
COUNTY USE ONLY
B~~OffiC. ialsubject to existing regulations and the following
:;-IL#/&V /() -_~ 7 - R~.
FEES; Land Use Permit
Sewer Installation Permit
Receipt # J c; D~t/
Plumbing Permit
Well Permit
Building Permit
<-,.~ -d-n,., ,
~,. .-.~{,)S.OO(~ U<X)
State Surcharge
Plan Check
Fireplace/Wood Bumlng
Appliance; '1"
TOTAL FEE ~. '. )~ I.(}~~U
1. County Copy (White) 2. Township Copy (Canary) 3, Appllesnt'. Copy (Pink)
Form No.1
Revised 7,82
Form No. 294 . I (p ~1 j 6 -' /:J-J . " _. _.. __ Miller-Davis Co., Minneapolis
-. F. > ~~~~>"';;"""'~~~'t'f-"~'t'~-'i..~~
~ 128.50 (lIoubl. fee) . No. 1608-8-12 . i~
29t!1nf October. 1982
State of Minnesota,
Scott
JI.
County of
Office of Buildino Offim1
BUILDING
Permit
~
I upon that tract of land described as follows: Lot Block
Address HE!. Sectiln 4
~ which tract is of the size and area specified in said application.
I This permit is granted upon the express conditions that said owner and h-K contractors, agents, workers
and employees, shall comply in all res&:ts with the ordinances of the
ntv 'If Scott -
I Given under the hand of tho Bul1dfnn Offil:""l of said Countv and 1.'tS corporllte '
seal and attested by its P1,annina Dfrec:tm'thie 19U1 day of October - . 19~ '
'Attest: i j " /7 /) 4Y1 If ./f-)
)_/ PlannlllQ Director. '~BuffJil\9~~-
l:s;~-~,,~_~.~~- Jl -~~IF'-~~:~}f~.tt:: il/~>ff"4~. ~ =
: plat or addition
~ 1647/~~;IfJ:~a:~:t?~;~~~Mte.=~~e ~5379DaVid LBarton.
! in hts application therefor duly filed in this office, which application is hereby made a part hereof,
PERMISSION IS HEREBY GRANTED To sairl David E. Barton. 'Is owner
to, repair home - windows. doors. fnsulation. wlrina " eeetroclc