HomeMy WebLinkAboutPermits from Scott County APPLICATION FOR BUILDING PERMIT
. Township** SCOTT COUNTY, MINNESOTA RECEIVED
" . COU TY USE ONLY Qg;k-g_ll
Project Address
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�44° ()•) e.el o- f LA Permit SnumbeOUNTYBLDG.INSP.DEPT
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Post Office City ;3'r.c a r L—akGz_. Zip J'5S.3 7 Receipt number 17t(O I
//�� APPLICANT FILL OUT INFORMATION BELOW: 4/ 4 7d-6
Applicant 4 lit-6cft- CSB,/S7;?c1c iei) Phone(Home) (Work)
Address J7.4'6 O Me:eye IVOOd LA/ City ,? A igre, State /1-1/1! Zip cJ 37-.
Owner(if other than Applicant) _14 rl .. Phone(Home) (Work)
Address City State Zip
Contractor Name )i9 kr_l eic 2cr+Si Phone (Home) (Work)
Address City State Zip
State Contractor's License Number —
Project Legal Desc. 178'6 o GDecefeWoor:Q L" Parcel No. 1/ ?/8a/2J No. Acres 5 6.--
Sec
Sec Lot Block Subdivision Name
The above applicant applies for a permit to:4dcb tIoa j Bc0 e?(Is�i' he Af e
(erect,construct,enlarge,alter,repair,move,improve,remove or convert as case may be) (house,garage,deck,reroof,etc.),!
' Type of constriction:Wood j/
Masonry Other Type of heating system 6 4 S 4 K' el A 1'S
Dimensions of structure /4 / 1 A e2 6 /
Estimated cost or value s Cr°' Cr b Numberof Bedrooms it/A1- '
NOTE:A survey Is required by a registered surveyor for all new home applications on less than 10 acres.
If a survey is not required,a Plot Plan must be submitted.Please contact the Building Department for a complete Ilst
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 ordinances.The applicant agrees to abide by all zoning
regulations, and utilize this structure for its p- I use.
5"-/ 7-b)
,plican 's gnature Date
........oft4ow TOWNSHIP OR CITY USE ONLY i
Recommend Approval Recommend Disapproval Permit complies with the Wetland Conservation Act
Subject to following Conditions
Signature of Township or City Clerk(or representative) i ' Date 6-1-17 O
COUNTY OR CI /PLANNING USE ONLY ,,I
Minimum setbacks:Road)cO-`( Side3 C J Rear 6 0' Lake/Creek/Wetland N0.A 7oning district U.EK
Approved Denied By Planning/Environmental Health, subject to existing regulations and the
following conditions:
Signature Planning) 50-`"`"- 7-7411„ Date 7-- �7" DQ/
Signature(Environmental Health) ' iro °--9— Date 7 z�-Et/
OUNTY BUILDING USE ONLY
Approved rA. Del'ed By Building Official subject,existing re lations and the fold i n,ondltions:
I, i % ..P ..%'-
Signature `_-'i .d-i- Date 2--2.56!
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Additional Comments: FEES: Land Use Permit
. Phil,v,v.i4.4 aPg15_5
4 s APPLICATION FOR BUILDING PERMIT
'Township/ /14ra SCOTT COUNTY, MINNESOTA
��x J ere
'� COUNTY USE ONLY '.
Project Address / g 60 LU ect -e i,..3004.., L� Permit number 3 9 tl 67-j-2-A
99 O'. UU �2 �J /Lig od.
Post Office City P l�l�,, Zip ��'✓��[� Receipt number _
Oka
,� APPLICANT FILL OUT INFORMATION BELOW: 44'7
Applicant �i�# v-l-lpi 24- 11,A4z&rte Phone(Home)4 /7-/7erftVork) 6176 to -
Address /78' b Gc}eae7,r0-0_o4 LI ity 1 LA ire- State H N Zip ,�-5-3 7. -
Owner
_Owner(if other than Applicant) OA M e--. Phone(Home) (Work) -
Address City State Zip .-
Contractor Name — Se Al A. Phone(Home) (Work) -
Address City State Zip _
State Contractor's License Number n ryry I
Project Legal Desc. Parcel No. 1 ` 10 0I C3- No. Acres
Sec Lot Block Subdivision�Name ) Po
The above applicant applies for a permit to:
/Jdd .4-6 1.5 .1/7/j1I M €.) '�i,,t��de 0�+'( -
(erect,construct.enlarge,alter,repair,move,improve,remove or convert as case may be) (house,garage,deck,reroot.etc.)
Type of construction:Wood _Masonry Other_ Type of heating system A04---
Dimensions of structure a 4 ' X 1 A 'ostorval .,(4r000•0n (..f..)
berof BedroomsEstimated c ue �j- r"
NOTE:A survey is required by a registered surveyor for all new home applications on less than 10 acres.
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 ordinances.The applicant agrees to abide by all zoning
regulations, and utilize this structure for' ermitted use.
16aludo-4131-4 4.*". `-s----49,
Applicant's Signature Date
TOWNSHIP OR CITY USE ONLY
Recommend Approv I Recommend Disapproval subject to the following conditions: _
Signature of Township or City Clerk(or representative) Date 7-‘245 -47l
COUNTY OR CITY PLANNING USE ONLY
Minimum setbacks:Road !°°t v Side tea' Rear Goj Lake/Creek/Wetland Zoning district A <
1.
Approved k Denied By Planning/Environmental Health, subject to existing regulations and the
following conditions: -
Signature Planning) ��:awl /�"��� Date 7-2, :9F
Signature(Environmental Healt '���_____ ���. Date? -13$! ?
COUNTY BUILDING USE ONLY
A roved Denied By Buildin Official subject to existing regulations and the foilowin conditions:
' i -,}1
Signature Is, 1_ Date 7-0/.1-le
I
APPLICATION FOR BUILDING PERMIT `
-N,SCOTT COUNTY, MINNESOTA ! ._.6e /
44. s ' 4PERMIT NUMBER
TO '1SHIintigITY // r7
d/ 0 RECEIPT'
PROJECT ADDRESS: ( O iO U - , ' d...,
$ 1 ,
APPLICANT NAME: –4 , / OME PHONE'/12- 414?.3Q
•
ADDRESS: o'60 . _/_,1,,_',. „,',f 10:-d.A.:�1,,..' • K PHONE'
OWNER(If other than Applicant): • ��:1� f -`. t HOME PHONE* _
ADDRESS: ' WORK PHONE.
CONTRACTOR NAME: : / / PHONE:
ADDRESS:
The above applicant applies for a permit to: , l 1, 14,141,
rr — )(iv C_- _,1:4--
'C�
Bui iid,alter,repair,mov=IL, II'as case may be)
TYPE OF CONSTRUCTION: Wood Masonry Other TYPE OF HEATING SYSTEM:
DIMENSIONS OF STRUCTURE: _
ESTIMATED COST OR VALUE: l a5NUMBER OF POTENTIAL BEDROOMS:
LEGAL DESCIVTION OF PROPERTY: sfr !y _
SECTION:1AL
LOT: BLOCK: SUBDIVISION NAME:
NUMBER OF ACRES: .5 TAX PARCEL NUMBER: ZONING DISTRICT: ---e--a_
NOTE: A SURVEY IS REQUIRED BY A REGISTERED SURVEYOR FOR ALL NEW HOME APPLICATIONS on 10 ACRES or LESS.
A Plot Plan showing the following must accompany this application:
1.North Direction. 4.Dimension of structure(s). 7.Location and size of Septic Tank and Drainfield,
2.Location of Proposed Structure on lot. 5.Street name or road number. 8.Location .f well.
3.Dimensions of front and side-set back. 6.Locations of existing structures.
Applicant hereby agrees that,in case above permit is granted,that all work shall be done and all mat rial-which shall be used comply with the
plans and specifications herewith submitted and with the Ordinances of Said To i ship and Coun A,pli le thereto.
A /a-079-N
App'IMEr signa ure '' Date
TOWNSHIP USE ONLY
Recommend Approval: Recommend Disapproval:
subject to the following conditions:
SIGNATURE SIGNATURE OF TOWN CLERK: (Or representative) DATE: —/
COUNTY USE ONLY
Approved: Denied: By Zoning Administrator subject to existing regulations and the following
minimum setbacks from: Road Side Rearwith the following conditions:
SIGNATURE: DATE:
COUNTY USE ONLY
Approved: Denied: By Building Official subject to existing regulations and the following conditions:
1 N ss-i4‘._\_. qpi To aitv wiv, - \V To rin-wUe-Ce_
SIGNATURE: ofDATE:J NOV (j
' , ��� V
......V
ADDITIONAL COMMENTS: FEES: Land Use Permit _
GR t..L Faso. k vmret`c\0 W (A1/4-vg,vJ
‘NST.hl.X.N7T10 W OV. V W- -IVV,0 Sewer Installation Permit
1 � (90 udz a,
..4/,, , d APPLICATION FOR BUILDING PERMIT /RIK - 6- /off.
4 TO SHIP ZOTT C•UN , MINNESOTA PERMIT NUMBER v
Owner: Name: - Phone: .` -� �c��o
�pp f -
Address:-^-- a • Aimel- -tom_--- , -�-4�� - -h..e.^- ,- -
Applicant: (If other than owner) Name:
Address:..., jn1,�,, / o y hone: ._ ._ O-
The a ve plicant opplie r a permit to a'l� 1- 2 .lbc�l .,- .•�'��"'�''�'�'� c
(Build, alter, repair, wreck - as case may be) /rid
PERMITS APPLIED FOR: (Check those applicable) BUILDING (Estimated Cost)
1 WELL:,
KIND OF CONSTRUCTION: .XJ"` �
xn
Number of Bedrooms: ,. / General Contractor:
Legal Descriptionff of Property: F Yetd J1 �l0 �-� --------
Township: iii- ---_.___._ Section:---. O_. Range:_42 r Lot: Block: Subdivision: ,
Zoning District: Agricultural:
____ Residential: .......4:..s2..._. Commercial: Industrial:___________......__-
A Plot Plan showing the following must accompany this application:
1. North Direction S. 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) Location of well-Distance from Septic Tank and Drainfield
Applicant hereby agrees that, in case above permi is gran Fd, at all wok shall be done and all materials which shall
be used shall comply with theZ.4specifi ions{ - -w !bmi , and with the Ordinances of Said T;7;ship
and Countyapplicable theretoApplicant': Signator, f)a�t
pP
- TOWNSHIP USE ONL
Recommend Approval: v_ Recommen D' appy val: ______._____________ Approva reeomm d
"kesubject to the following con&ti (��"�d�� q ___.. ,e.11.. ?I � ---_-_ -... .•-.._._:
Reasons for disapproval: ---- ---_-.-__--1-7---- -------- �r _ d
SIGNATURE OF TOWN CLERK: (Or representative)._ "1 � - _,'� -Jr DATE:-1. 2,
COUNTY USE ONLY .
Approved:____J.----"°°.---Denied: By Zoning Administrator subject to existing regulations and the following
conditions:
SIGNATURE: O. :. _-- -. -. DATE: 7-20-2?'
Al
FEES PAID: BUILDING PERMIT .-... $--/-.C---
WELL
fCWELL -_-_--..........---- $
STATE SURCHARGE FEE $
TOTAL FEE $ /d 0a RECEIPT NUMBER: 2' _6 5
INSPECTIONS: Site Inspection Date
Plan Review Date
Footing Inspection Date_________________..___._..
Framing/Energy Date
•
V J UJB ))31-.) ,�,"
l< APPLICATION FOR BUILDING PERMIT TY/ _B_ '/414;144
filkOWNSHIP SCOTT COUNTY, MINNESOTA PERMIT NUMBER
Owner: Name: iaIJ�g- AA Si- E./11/41,.)__C-- 6 h 9 f L Phone: . --��e.4?.2
Address: /5-5-127 i �sr id, ,,' !./rx/U511/-ll.,6 /.,? 5"...5-357
Applicant: (If other than owner) Name: /
Address:_-.., Phone:
The above applicant applies for a permit to_____6_4‘...,42 a.at?i...._v-X.L.:4.>
(Build, alter, repair, wreck - as case may be)
PERMITS APPLIED FOR: (Check those applicable) BUILDING (Estimated Cost) 354260
WELL:
KIND OF CONSTRUCTION: 43DZ -,A.D''N:;
Number of Bedrooms: - General Contractor
GQ._ (2
3�.?r
Legal Description of, Property:3752! -.1kk__ ----�---S-g-c:-t_I-219------2-------------mooe.-��----zdie)'1
Township: ii. T _ ...__
Section: Range:c2. -or Lot: Block:._._------- Subdivision:
Zoning District: Agricultural: ' Residential: itz.). Commercial: Industrial:__._ __
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 ' !ra • that all work shall be done and all materials which shall
be used shall comply with the pia and specifV s. h- - th submitted and with the Ordinances of Said Township
and County applicable thereto.
-11../a.)3
^
Applicant's Signature pate
TOWNSHIP USE ONLY ter•
Recommend Approval: ____ Re mtnendiDiisapprgval,l-___------ Approval recommended
subject to the following conditions: -.mss.. L-__ 41S.._CLI :__________
Reasons for disapproval: t
SIGNATURE OF TOWN CLERK: (Or representative)_- edt ;FirsidLIC..aDATE *1_�',f. -7
COUNTY USE ONLY ......,...
Approved: l� Denied: --_______--_________ By Planning and Zoning Coordinator subject to existing regulations and the
following conditions: M �_
SIGNATURE: . ..<444,-44.1...-- e4.1-_C-- " / DATE:- .3- -% 7
, 11
FEES PAID: BUILDING PERMIT .____ $ Yo "
WELL ----------------------- $ L S L5-2. 19-0 / c. 4 �7i"'
STATE SURCHARGE FEE $ /7 — / �f
. ..k. —
TOTAL FEE -..___ $ /' 'U. v :6t RE EIPT NUMBERi"
INSPECTIONS: Site WTI Y IS Date: 4,11a P ._77
Footing Date:__..___
Framing Date:
PORN NO. 1 FINAL Date:
(Rev. 11-14-69)
1. COUNTY COPY
•
• • SCOTT COUNTY, MINNESOT
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
Township
`(12�4� c Permit No. /71- 4?
Fee Paid: INDIVIDUAL SEWAGE DISPOSAL $ 0 's 0 Receipt No. �o ,
Owner Phone No._4./1 -6sOrt)9
Address 1515"0 01,1E. t let;-
Legal DescriptionSection / Lot Block Subdivision Name
General Contractor of on-site system
Average Percolation Rate .__1-5-0 m.p.i. _ .c.3 .0 sq. ft. / bedroom - No. bedrooms
1:::74C0 square feet of trench is required
A Plot Plan showing the following must accompany this application:
1. Location of proposed system on lot. 2. Location of existing structures,
3. Location of well distance from septic tank and drainfield.
Applicant hereby agrees that, in case above permit is granted, that all work shall be done and all materials which shall be
used shall comply with the plans and specifications h ewith submitted and with the Ordinances of Said County.
Applicant' ignature Date
TOWNSHIP USE ONLY
Recommend Approval: Recommend Disapproval: Approval recommended
SIGNATURE OF TOWN CLERK: (Or representative) DATE:
COUNTY USE ONLY
Approved: Denied: By Planning and Zoning Coordinator subject to
existing regulations and the
following conditions: __ _....... __. QD (7c-1-12-
SIGNATURE: �_: / DATE:__- "2-7,7
A.
1st Insp. 2nd Insp,
INSPECTION CHECKLIST DATE
1. Setbacks:
a) From house or occupied building - 15' minimum
b) From well with septic tank and drainfield - 50' minimum
c) From well with cesspool or drywell - 75' minimum
d) Lot Lot lines - 10' minimum
2, Septic Tanks:
a) Liquid capacity
b) Water tight 4x Ik- -
c) Inlet and outlet bafflesLl�l_C.Sz _____._.___- _--_-•- -•_---1- -
d) Inspection compartments 3f3 yt_i ,t� VIP _0%11/43 .°I-`-- �'f cosi IRA
11 o f titoic.r.
3. Distribution Box: t T
a) General construction AOVtS-e
b) Sufficient size
c) Removable cover
4. Disposal Trenches:
a) Minimum number of 2 lines