HomeMy WebLinkAboutBldg Permit 5478-B-11
APPLICATION FOR ZONING/BUILDING PERMIT
Township/City SCOTT COUNTY, MINNESOTA
......., COUNTY USE ONLY ~~~----~~~--~~
Project Address A~:: I j ~"s!" 1" O\>.l '" r< d Permit number S"t\1 ~ .6-11
Post Office City _ ~ r _ o.-It'f> ~ V\. Zip :5~""3 7 a Receipt number ~ 1 } 1 1
~----~~~~~~~~----~
APPLICANT FILL OUT INFORMATION BELOW: ~5.9
Applicant j/~ Sv&-J~l Phone (Home)t1'11-/i9lt'l(Work) (!)t!-O- J 857
Address 8'787 V IS/ sf City fri)rlok'l'> State rM~. Zip ~7p....
Owner (if other than Applicant) Phone (Home) (Work)
Address City State Zip
Contractor Name Phone (Home) (Work)
Address City State Zip
State Contractor's License Number
Parcel No. I \-'1 II ()~, () No. Acres
Project Legal Desc.
Sec_ Lot _Block _ Subdivision Name
The above applicant applies for a permit to: R~W\ odei hou \p
(erect. construct, enlarge, alter, repair, move, improve, remove or convert as case may be)
use:
(house, garage, deck, reroof, etc.)
Type of constNctlon: Wood _ Masonry _Other _ Type of heating system
~ ~, ., ~jl I, rt/ 'f] X '":7 ~ I 8' /f
DlmenslonsofstNcture V""-' · 15 lYW :::) 0
Estlmltectcostorvllue.)f/a Q:?O, 0..:::> Number of Bedroom. cf<
NOTE: A survey Is required by a registered surveyor for all new home applications on 18" thin 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 or . ances. The applicant agrees to abide by all zoning
regulations, and utilize this structure for its permitted
Date
~~TOWNSHIPORCITYUSEONLY~~
Recommend Approval
Recommend Disapproval
Permit complies with the Wetland Conservation Act
Subject to following Conditions
Signature of Township or City Clerk (or representative) Date
~~~COUNTY OR CITY PLANNING USE ONLY ~~~.-:-~
Minimum setbacks: Road
Approved Denied
following conditions:
Signature Planning)
Signature (Environmental Health)
~COUNTYBUILDINGUSEONLY~~~~
Approved ,~i~ _!Y ~uilding OJficial subject to existing reguialions and the following conditions:
~ r\ ~ 1 P.f'.e7v r_~
Signature .Q ~ / Date:5-l'lf-tJPO
,
~~~~~-~~~~~~
Side. Rear Lake/Creek/Wetlar1d Zoning district
By Planning/Environmental Health, subject to existing regulations and the
Ji/h
Date
Date 3 -I ~ - 0 y
Additional Comments:
"1?e~ frLlw1b(\~
'-?7 aJ fI ~C!>- J
I Y\sJJ;o~
S h~-ef-- Ro~
Roo~- 5~~u,6-11
S- 'J ~VO -54,4.~-1I
flJJ~~ h~eY -GAG)
FEES: Land Use Permit
Sewer I nstallation Permit
Plumbing Permit I ru..tJt'
Plbg./Mech. State Surcharge
Bldg. State Surcharge
Building Permit
Plan Check
Erosion Control
/ DO. 00
,.00
d. /5
I c:J. 5. ;;;5
c;{ I .4--L
06600.2805, Rev. 05.02
White-County
Yellow-Township
TOTAL FEE
R:t(N)..i t? 5l.\,C, -6. I' ~ 54-yo.B.11
Pink-Applicant Gold-Township
3/0.41
101.00
41' -4-1
rSiJou Buildi~~ ~~~ec:iofl Notice
DATE / /
2006/03/23 -
TIME
15:30
PERMIT NO
TOWNSHIP/CITY
17011 MUSHTOWN RD
SL /
SCHEDULED
COMPLETED
ADDRESS
OWNER
952-447-3790
CONTRACTOR
JACKIE COO?E
TYPE OF INSPECTION
COMMENTS
final-remodel
--------
Work Satisfactory/Proceed
o Correct Work/Call For Reinspection Before Covering
o Correct Unsafe Condition Within _ Hours/Inspector Will Return
o Correct Work and Proceed
o Stop Work Order Posted/Call Inspector
o Inspection Required/Call To Arrange Access
.Owner/Contr. On Site
Call for the next inspection 24 hours in advance - 9
Inspector
Form #426
BUILDING INSPECTION OFFICE: 200 Fourth Avenue West, Shakopee, MN 55379
rSiiou Buildin2 Inspection Notice
()5478 B 11
PERMIT NO S L I
TOWNSHIP/CITY
17011 MUSHTOWN RD
DATE / / TIME
2005/i2/f6 - 11: 30
SCHEDULED
COMPLETED
/~_Jl_.0 S
,
,--
ADDRESS
OWNER
952-447-3790
CONTRACTOR
BEAU COOPER
TYPE OF INSPECTION final-remodel
COMMENTS Old pcrmi t I T.:t]cc f ilc
(-
-S t.- ~
~ld ,~ -~
C--dJl/-G{
o Work roceed
. orrect Work/Call For Reinspection Before Covering
o Correct Unsafe Condition Within _ Hours/Inspector Will Return
o Correct Work and Proceed
o Stop Work Order Posted/Call Inspector
o Inspection Required/C<ill To Arrange Access
BUILDING INSPECTION OFFICE: 200 Fourth Avenue West, Shakopee, MN 55379
Call for the next inspection 24 hours in advance - 952-496-
Form #426
Owner/Contr. On Site
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