HomeMy WebLinkAboutPermit 2184B11
Spring Lake
TOWNSHIP or CITY
APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA ~ I gLj -/3 _II
PERMIT NUMBER
/SCf33
RECEIPT NUMBER
PROJECT ADDRESS:
APPLICANT NAME:
ADDRESS:
17233 Panama Avenu~. Prior Lake
Steve Skluzacek
.HOME PHONE' 507-744-2810
12480 60th Street West. New Prague 56071
WORK PHONE'
Same
OWNER (If other than Applicant): Francis Burke
ADDRESS: See above
CONTRACTOR NAME: Skluzacek Construction
HOME PHON"" 44~-3826
WORK PHONF'
PHONE: see above
ADDRESS:
See above
The abOve applicant applies fora permit to: Build an outside entrance to basement. move window
(Build, alter, repair, move, install, as case may be)
TYPE OF CONSTRUCTION: Wood_Masonry_Other_ TYPE OF HEATING SYSTEM'
DIMENSIONS OF STRUCTURE: 4' X 10 I
ESTIMATED COST OR VALUF' do 0 0 0 NUMBER OF POTENTIAL BEDROOMS'
LEGAL DESCRIPTION OF PROPERTY: J S w.i--'i
SECTION' 11 LOT: 17 BLOCK' SUBDIVISION NAME: MAplp Arr,,~
NUMBER OF ACRES' City Lot TAX PARCEL NUMBER: .5 crt/C)( d-D 70NINGDISTRICT' R-1
NOTE: A SURVEY IS REQUIRED BY A REGISTERED SURVEYOR FOR ALL NEW HOME APPUCATlONS on 10 ACRES CII' 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 Oralnfleld.
2. Location of Proposed Structure on lot. 5. Street name or road number. 8. Location of 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 malerials which shall be used comply with tha
plans and specifications herewith submllted and with the Ordinances of Said Townahip and County Applicable thareto.
~ P/L. -y 9-28-87
Appllcant.s.sfo;;;,r-- I Date
TOWNSHIP USE ONLY
Recommend Approval: X Recommend Disapproval:
subject to the following conditions: ~" , ()-. ;
SIGNATURE OF TOWN CLERK: (Or representative( ----:z:)4hli~..r_.~ ';f!~ / DATE: g-7B-RL
COU~E ONLY
Approved' ....-/' Denied' By Zoning Administrator subject to existing regulations and the following
minimum setbacks from: RoadjdJ'/tlaJSide /0 I Rear.3tJ I with)he following conditions:
J)p~ :tf. ~~ ~,.,.dI //-'t-K7
SIGNATURE: . . /l p) ~ DATE: II-Ie, -8'7
COUNTY USE ON{Iv
Approved' ------ Denied' By Bull~ing Official subject to;17g regulations and the following conditions:
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~IGNATURE: /:?!? y/~ DATE:.,L/?-.I-S:-""
ADDITIONAL COMMENTS:
FEES: Land Use Permit
Sewer Installation Permit
Plumbing Permit
Well Permit
State Surcharge
Building Permit
Plan Check
Fireplace/Wood Burning
Appliance
TOTAL FEE
/ro
<1.5. ~
IJ,,;;,,5'"
57, ;).~
_2105
Revised 6-85
1. Inspect....s Copy (White) 2. Township Copy (Canary) 3. AppIlcanl's Copy (Pink)
COUNTY OF SCOTT
INSPECTION NOTICE
PERMIT NO..3.i$ - B-1./-
TOWNSHIP&I:IIV S' L , COMPLETED / -2.;J.$J (
ADDRESS 17;). 33 f?0-~ ~
OWNER "1-~~
CONTRACTOR:
DATE
TIME
CALLED-IN
SCHEDULEo/-.:f1 - 8g
-L/' o-o#-
-1/:{"'-
PHONE:
[) FOOTING
o FRAMING
[] INSULATION
p WALL"!!. ,j\ t1
)lJ:lINAl ~ ~
o PROGRESS '~d
o DEMOL.
o FIRE PREY.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SITE INSPECTION
o EXCAVATING/GRADING/FILLING
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW.UP
o SEPTIC FINAL
o FIREPLACE/CHIMNEY
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~RK SATISFACTORY: PROCEED
to CORRECT WORK & PROCEED
[] CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
[] CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
[] STOP ORDER POSTED. CALL INSPECTOR.
D INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
o PLUMBING FINAL
COMMENTS:
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o PHOTO TAKEN
OFFICE OF PLANNING, INSPECTIONS ANO ENVIRONMENTAL HEALTH. 445-n50. ext. 353
Call for the next! '"" ' . Jon 24 hours In advance.
OwnertConlr.~/\AL..~t:,~
Inspector /71':; n--/ /7-~ /1-2..
,
~2807 White Copy/lnspect.'s RIo Canary Copy/R.canls Pink Copy/Site