HomeMy WebLinkAboutPermit 3435B11
Township/City
AP. JCATION FOR BUILDING Pl,VIIT
SCOTT COUNTY, MINNESOTA
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- COUNTY USE ONLY ~
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Project Address
Post Office City
Zip :553 '-:7_...J.
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APPLICANT Fill OUT INFORMATION BELOW:
Applicant ,,'-' ~n q[ n~ fOnQrns.ey Phone (Homelf40- 14?1;
Address 17020 Mushtown Rd. Cityprior LakeEtatEt1N
Owner (if other than Applicant) N / A Phone (Home)
Address City State
Driver's license Number H"," ?4_? 1 4_4q7 _ 1 1 n
Contractor Name 119m" Restor<itiJ2n Services Phone (Home)
Address 1323 West 50th st. CityMinneaooliState MN
State Contractor's license Number
04RR7
Permit number 3t/-3f:./Prll
Receipt number '708 c::;
(Work) NL n
Zipi5372
(Work)
Zip
(Work) 827-5767
Zip 55419
Project legal DescMapl " n...rQ" T.nt-. 007 I'. S' Parcel NOR 110] '0080 No. Acres ,ILl
Ser lot Ea~.r&l~OSub~vis~OnNamel"l",:,1P n...n'"
The above applicant applies fora permit to: Rpmn14pl An py; ~t-_i nn nnrrh
(BrBct, construct, enlarge, aller, repair~ move, Improve, remove or conven as cue may bel
Type 01 construction: Wood J'io.o.d r>'1asonry _Other __. Type 01 heating system lilt n
Dimensions 01 structure 14' X 10'
Estlmatedcostorvalue j2. 500.00 .____f[;, II3LI/''1.. ) NumberofBedroom. N/A
NOTE: A survey Is required by a registered surv~ home applications on less than 10 acres.
If a survey is not required, a Plot Plan must be submitted. Please contact the Building Department lor a complete list
of items required lor 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
regulations, and utilize this structure for its permitted us~ !. h
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Appiicant's Signature r Date .,
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__ TOWNSHIP OR CITY USE ONLY ~
Recommend Approvai ~ Recommend Disapproval ~ubject to the following conditions:
SignatureofTownship orCitvClerk(or representative) ~ J.'I ~ Date.:J-24-96
(/
~COUNTY OR CITY PLANNING USEONlY~~~~~
Minimum setbacks: Road Side Rear Lake/CreeklWetland 70ning district R -? -
Approved X Denied _By Planning/Environmental Health, subject to existing regulations and the
following condition~' . --
Signature Planning) $'~~~t?f.4tI. Date. ~-Z:l'-9c,..
Signature (Environmental Healtlf'( ~l/LJ;;;fl(:~~'A;;;, Date 'J-2:1~
~COUNTYBUllDINGUSEONlY~~~""'-""""
Approved _ ~ed_ By Building Official subject to existing regulations and the lollowing conditions:
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Additional Comments:
FEES: land Use Permit
Sewer Installation Permit
Plumbing Permit
State Surcharge
Building Permit
Plan Check
Erosion Control
TOTAL FEE
White. County Yeilow.Township Pink. Applicant Goid-Township
06600-2805(10-94 1M)
1.00
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d'1.96
'7/,95
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COUNTY OF SCOTT PHONE: 496-8334 or 496-8475
INSPECTION NOTICE UO:'%/ TIME
PERMIT NO. iJI/:?5'=-J:f- j ) SCHEDULED~ //: CO
TOWNSHIP/~..5L COMPLETE~-tjL' JIDt)
ADDRESS /7J.,qG) ~iJzmJ
OWNER ~
CONTRACTOR:
o FOOTlNQ
o FRAMING
o INSULATION
o WALL BD.
'jlFlNAL
/C1""PROGRESS
o DEMOl.
o flREPREV.
o
o PLUMBING RI.
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
o SEPnc FINAL
o PLUMBING FINAL
o
COMMENTS:
/1.!- 2:.....
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o SITE INSPECTION
o EXCAVAT1NGfGRADlNOI'F'ILUHG
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW-UP
o FlREPLACElClilMNEYTHROAT
o FlREPLACEl'CHIMNEY FINAL
o GAS UNE PReSSURE
o
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COMPLETE BY:
~ WORK SATISFACTORY: PROCEED !J PHOTO TAKEN
= CORRECT WORK' PROCEED
= CORRECT WORK. CALL FOR AEINSPECTION BEFORE COVERING
= CORRECT UNSAFE CONDITION WITHIN _ HOURS. INSPECTOR WILL RETURN
= STOP WORK ORDER POSTED. CAlllNSPECTOA
= INSPECTION REQUIRED. CALL 10 ARRANGE ACCESS
BUilDING INSPECTION OFFICE
Courthouse A102, 428 S. Holmes St., Shakopee, MN 55379
Call lor the next inspection 24 hours In advance
Owner/Contr. on site j70 <;7CL:7
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Inspector
06600"2807 (9-95 4M)
Whit' Copy/ln.pector'. FiI' Canary Copy/Record. Pink Copy/sn,