HomeMy WebLinkAboutPermit 3690B11
Ar
lICATION FOR BUILDING P"'''''MIT
SCOTT COUNTY, MINNESOi A
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LjfJ(g~g 3";-3
Tow~Shlp/Clty
~pring Lake Township
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Project Address
Post 011 ice City
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Permit number ..:L L. q 0 ...;z? -Il
Receipt number ~
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APPLICANT Fill OUT INFORMATION BELOW:
Applicant David Waeqe Phone (Home)440 4'i0? (Work)
Address --.ill 17125 Mao1", To,,",, City Prior LakS:tale MN Zip 'i'ii7?
Owner (if other than Applicant) R~i11'" aR ap"l i "",nt- Phone (Home) (Work)
Address City State Zip
Contractor Name none
Address
State Conlractor's license Number
Project legal Desc. street acldress
City
Phone (Home)
Slate
(Work)
Zip
Parcel No.
No. Acres
Sec
Lot
Block _ Subdivision Name
The above applicant applies for a permit to: n,_"hi nc1 p hnll"p
(erect, construct, enlarge, alter, repair. move. improve, remove or convert as case may be)
use.
(house, garage, deck, reroof, ele,)
Type of construction: Wood
Dimensions 01 structure
Masonry_Other _ Type of heating system
Estimated cost or value
$650.00
..- ---
( 137~,-O()J ~
Numberol Be,
" .
NOTE: A survey Is required by a registered surveyor lor all new home applications on leas than 10 acres.
"a survey Is not required, a Plot Plan must be submitted. Please contact the Building Department lor 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 an c unty ordinances. The applicant agrees to abide by all zoning
regulations, and utilize this structure ~or i~er ~d u~ /f .
V g, ~~.L..-, 'i-1 ?-q7
Appiicant's s~e ~
TOWNSHIP OR CITY USE ONLY ~~
Recommend Disappr~ova,; . ~u~ject to the fo;wing C~ndltlOns:
Signature ofTownshlp or City Clerk (orrepresentative) J ~... -:~ Date 5-12-97
~~COUNTYORCI LANNINGUSEONlY~
Minimum setbacks: Road Side Rear Lake/CreeklWetlanrl Zoning district
Approved Denied By Planning/Environmental Health, subject to existing regUlations and the
following conditions:
Signature Planning) Date
Signature (Environmental Health) Date
~~_COUNTYBUILDINGUSEONlY~
Approved J( ~ed Ullding Olfic' subj!lct t~~~gulations ~he_fO~;OndItIOns:
/(J.If7..e.~f_A Y~D%Pr~= fl~
SIgnature ~~ ~rij<'):'_' Date ~-::'7)-'?/
___________1 _______:-,.., ~
-------- --~ -------
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
5,~. 4-C:::-
06600-2805 (10~961M)
White. County Yellow-Township Pink.Applicant Gold.Township
COUNTY OF SCOTT
INSPECTION NOTICE
PERMIT NO. .-...,r" q 0 - ~.. \\
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PHONE: 496-8334 or 496-8475
DATE TIME
SCHEDULED '5-1-q1--11'.:sO
COMPLETED'f,' 7 - or] //: ~()
TOWNSH I PreI'f'fo
I'll
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:;;? 5" i~l\-t- \ <r_.
\A )0,... '2._ '\ ..
-67_\ ~
ADDRESS
OWNER
CONTRACTOR"
~ 1
o FOOTING
o FOUNDATION
o FRAMING
o INSUlTATIDN
o WALL BD
o FINAL
o PROGRESS
o DEMOl
o FIRE PREV
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTAll
o SEPTIC MAINT
o SEPTIC FINAL
o PL,LLMBING FINAL ~
X 'l"a_- ~_~~ >-
o SITE INSPECTION
o EXCAVATING/GRAD!NG/FILLlNG
o lAKESHORElWETLANDS
o COMPLAINT
o FOLLOW~UP
o FIREPLACE/CHIMNEY THROAT
o FIREPLACE/CHIMNEY FINAL
o GAS LINE PRESSURE
o
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8 PROJECT COMPLETION OAT'"
VWORK SATISFACTORY: PROCEED
I'D'tORRECT WORK & PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
o CORRECT UNSAFE CONDlTION WITHIN ..___ HOURS_ INSPECTOR WILL RETURN
o STOP WORK ORDER POSTED. CALL INSPECTOR
o INSPECTION REQUIRED. CALL TO ARRANGE ACCESS
COMMENTS:
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o PHOTO TAKEN
Courthouse Al02, 428 S. Hol
Call lor the next Inspe ,
Owner/Contr. ~~e .
Inspector ~O
06600-2607 (6-97 5M)
White Copy/Inspector's File Canary Copy/Records Pink Copy/Site