HomeMy WebLinkAboutBuilding Permit 775-B-12
Form No. 294 Miller-Davis Co., Minneapolis
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~ $ No. /67 J/6-'/2=J
B State of Minnesota, } ss. 2ht of S&pf"end>er 1982
I County of Scott Office of Building Official
I Building Permit
I 1664& 1illllliP_T~&!'?~II'o~:"lifts made by Warren LaCourse
I~ in --- application there~or duly filed in this office, which application is hereby made a part hereof, I
PERMISSION IS HEREBY GRANTED To said Warren laCoHNe as owner
to build a ~etacbed garage
I upon that tract of land described as follows: Lot -- Block ; plat or addition I
Address __ SWi Section 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_ contractors, agents, workers
and employees, shall comply in all respects with the ordinances of the
~W~ ~ ~U .
B Given under the hand of the Building Official of said County and its corporate
I seal and attested by ithPllnni~ Director this 21st day of September ,19-sz
Attest: /r-;: t/tLr::~~1,19.-
l- ---....--......' Plannigg Director ~ Bgildlog OffIcial
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APPLICATION FOR BUILDING PERMIT m_7Z~=~_fi:=_l~_.n.
TOWNSHIP SCOTT COUNTY, MINNESOTA - PERMIT NUMBER
Name: -.t.JI1-E.Ii-fj1--mn6Am.C_Q__~_gEE.um_uumn_m..m.mmn..un_n...._h_ Phone: _f.(?~-:__.Cfr!./..{___
Address: -nq.~n~--.--m--S-(L_mu.Se_E.l1.(;,_C_&...__mmnuh__._._____n_U_.h_ _. _ n_m._._.n_mmn.___h_.___n_ ___mnn__. _.._
Owner:
Applicant: (If other than owner) Name: .-n---n___mmnm___n_m_m.umm_umm_nn_.__m_m_u.n_______n___.m_nmm._.u.mn.nnm_m___.nmh.
Ad d re s s: - - -. 00.00 - - -- - - 00 - 00 - n. - - -00 - -... 00 - - -__ - -.. - - - - _. - 8, __ _.. _... _ _ __ 00 _... _ 00 _ 00 _._ __ ._.... _ _. _ _ 00_ 00 _ n n_ _ _ _ n _. _ 00 _ _ _ Phon e: __ _ __.... __. _ _... n. _ _.... _ _ _. __
The above applicant applies for a permit to m.m-n----U.L~-.Pm.____Q_I1__~m.EAU!Ls.ym.__~.Fmh.---m---h.
- - --- -,.. ~,.. -- -- -- - - - --- - -- -- --- - - --- --,.. -- --. --- -- --. .'"'- ---- -- --_.- -- -- -. - -,.. -- -,..,.. - -- -,..,.. - - --- ---,.. -- -- -- - - - - -- - --.- -- - -- -- - ------ -- - - -. -- - - -- - - - - - - - - -,..,..,.. -,.. - - - - - - . -- - - - - - ----- -.,..,.. - -- - - - - - - - - - - - -.- - - -,..,..,..,..,..,..-
feuild, alter, repair, wreck - as case may belJ/
PERMITS APPLIED FOR: (Check those applicable) BUILDING (Estimated Cost) -mm---J!..-2_Jt.n~-~---u--.-mmn--.mm.
IND. SEWAGE DISPOSAL SYSTEMfll___U::fJf!_!._______..__._m.__nm_mm___h_.._
KIND OF CONSTRUCTION: ________ ____EAL!J1J..~_~_~_~~:__~~_-.-_-.-:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~=!!~:~~~_-_~:.-:::~:::_-::::::::________:::::::~::________.
~=~~:~--:;n~~.~;::~~-:~~~~~~7iii.__E_~t~-.~~~-_-_~~=-_..~~~~~~~~~~~~~~~~~~~~n~:~-~-;~.;--~~~-;;:~;~-;:-~~i(jjJ~~i/iAlili~i.~~gi4!J~]/
Lega I Descri ption of Pro perty: -----n_n____n____n_____n________..______._.__.___n..._.___n.____.oo____.___00 ____ _____00_._ .____.___._.._.___00__ .0000___.____ _____'__00_....
Township: ..n__L1..'-:/:_mn____uoo Section: _mtfm_ Range: .2.;b.. or Lot: n_m~__ Block: _mL__n SUbdivision/fY!..e(:;lrcl3J-~- C-
Zoning District: Agricultural: .____m_.___mn__m_ Residential: m____15__nm_. Commercial: __mnmm_m_.__. Industrial: m____m_nm__.___
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 (s) 8. location of well-Distance from Septic Tank and Drainfield
Applicant hereby agrees that, in case above permit is grante that all work shall be done and all materials which shall
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App Icant's Signature V Date
TOWNSHIP USE ONLY
Recommend Approval: h---nmn-L....-nm-p~coL~s~rOVal.:.. mmnm_______m_m__m_._.__n Approval recommended
su bj ect to the fo II ow i ng cond iti on s: -.-------m-m-m.-nnuF=-~m. .r./f..f..mn n~ooo_umm.__u__nu.._ um.__m__._nooon.m_m.nn_m__________
Rea sons fo r d i sa pprova I: noon 0000__. ___000000.00.___00_0000_._.000000._.0000_ ___ __. .___00_00__ 0000_._.__00_00___00_0000_____00_.__000000_0000_0000. h_._nnn _.0000_____0000_ 00_
SIGNATURE OF TOWN CLERK: (Or representative) _.nCd., __ 00__ . m___.m.____.~_..m______m__m..____.__ DATE: nk:__?}_-:Z.c
tNSPECTIONS:
CO NTY USE ONLY -
Appmved, ----/~ Den;ed, u_____________u_-:.~ ~nn:ng and Zan;ng ~d;n")>' ,ubject 'a"",;,';ng ,eg~t;an, and the
following conditions: -mm----~~--oo~-..~r~--~-.-.~uu%:.2-6.--7~-
~;~~~;~~~;-;---;;;;;~;;;;;2;:::~.K8.:::::::::::::::-::::::::::---;~;~:::::::::::_:::::::::::
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FEES PAID: BUILDING PERMIT .000-- $ ;) /l ' <> f '/7. /J.-rl
IND. SEWAGE DIS. '_'., _ U. 'l- v V
. ~Oc..J
WEL~ ___U_n______uoomum ) tJ 9', 0- 0 7' g c:<
OTAL FEE __000_000_ $ , RECEIPT NUMBER: m.m_m_._m_____2uooomoo_._.m
Type: -f.~ooon__c._~n~~__.__~Date: ____u~/.- ----~o/_J~---my -
Type: -~n.m_tJ..~._~.~______~ate: u.-:'!~.3_1?.;).umoo-.m-.i7. .
Type'm~~-.~-:tjl;!fi~-------7 ir~M
~/' -,f~1/~~ '''/-;0/75 ~
FORM NO. 1
(Rev. 11 -14.69)
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(FnIFA OF C/'f-tcAt- r:
Official
Minnesota
o
fL
Owner: Name:
Address:
Applicant: (If other than owner) Na
Address:
The above applicant applies for a permit to
APPLICATION FOR BUILDING PERMIT
SC T COUNTY, MINNESOTA
(Build, aller, repair, wreck. as case may be) . ~._'__,
PERMITS APPLIED FOR: (Check those applicable) BUILDING (Estimated Cost) -~' ~ )'\'1' \.-
~ u::l: f .
KIND OF CONSTRUCTION: O/VYLLvrJj-, /' AA+L4
Number of Bedrooms:
Legal Description of Property: 5 lU Yr
Township: (11 Section: --#- Range: :; '=- oy..ot: ;; Block:
Zoning District: Agricultural: Residential: V_ Commercial:
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(s) 8. Location of Well. Distance from Septic Tank and Drainfield
Applicant hereby agrees that, in case above permi is granted, that all wo shall be done and all materials which
shall be used shall comply with the plans and eci ications herewith s itr;:: with t. he ordinan.. ces of Said
Township and County applicable thereto.,~ . ~ 7'" 3 -. t"';;-
_ Dele
General Contractor:
f
SUbdivision:htflt~ j/;JJ,
Industrial:
v~
TOWNSHIP USE ONLY'
Recommend Approval:
subject to the following conditions:
Reasons for disapproval: . m ~
SIGNATURE OF TOWN CLERK: (Or representative) ~J2 ~
Recommend Disapproval:
Approval recommended
DATE: 7~ 3-%~
Approved:
conditions:
I" (b
COUNTY USE ONLY
inistrator subject to existing regulations and the following
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COUNTY USE ONLY
By Building9fficial subject to existing regulations and the following
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I DATE: ,II ij ()-I..
Approved:
conditions:
Signature:
Denied:
FEES:
Zoning Permit
Cl" \
Receipt # 'f C).
,
Sewer Installation Permit
.")
\r--~ '0 i
~ p~
C
Plumbing Permit
Well Permit
Plan Check
~:; .()O
<:L4- . s ()
;:~~..-~::)
State Surcharge
Building Permit
TOTAL FEE
~ /)~ . ./.' '<:"
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1. County Copy (White) 2. Township Copy (Canary) 3. Applicant's Copy (Pink)
Form No.1
Revised 8.1-80