HomeMy WebLinkAboutPermit 2675B11
Township/City
Spring Lake
APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA
- COUNTY USE ONLY -
Project Address
Post Office City
17156 Maple Lane
Prior Lake. MN
7ip
55372
Permit number ;)10 7S: 13 -II
Receipt number ,).. /LAK'
--~~
APPLICANT FILL OUT INFORMATION BELOW:
Applicant Richard M. \~alsh Phone (Home) 447-3914 (Work)
Address 15451 Breezy Pt. Rd. S.E. City Pr.; Lk. State MN Zip 55372
Owner(ifotherthanApplicant)James & Lvnette Walsh Phone (Home) 447-5909 (Work)
Address 17156 Maple Ln. City Pl'. Lk. State MN Zip 55372
Contractor Name Self Phone (Home) (Work)
Address City State Zip
Project Legal Desc. Parcel No. 11-013-018-0 No. acres City Lot
Sec 11 Lot Block _ Subdivision Name Maule Acres
The above applicant applies fora permit to: Interior Remodelingfv": eL~" i C>I\~ O^"""-
{erect, construct, enlarge, alter, repair, move, improve, romelia or convert as case may be)
Type of construction: Wood
Dimensions of structure
Estimated cost orvalue
Masonry_Other _ Type of heating system
J.,~lY(
- ,
.~ ~'I'.
Numberof Bedrooms
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 its permitted use.
~Jft'1 /(L~ffi4
Applicant's ignature Date
6-25-91
~TOWNSHIPORCITYUSEONLY~~
Recommend Approval X Recommend Disapproval ~ubject to the following conditions:
Signature of Township or City Clerk (or representati e)
---~~--"""-"""-COUNTYOR CITY PLANNING USE ONLY
Minimum setbacks: Road ~.. 'A..v Side ,.,-' Rear. 'la' lake/Creek/Wetland 70ning district f-,;;;,
Approved _1/ Denied By Planning/Environmental Health, subject to existing regulations and the
following conditions:
Signature Planning) ~y ~,..,-".->utl: Date ~ -d2~j
Signature (Environmental Health) Dat'"
~COUNTYBUILDINGUSEONLY~~~
Approved +--:-Denied By Building Official subject to existing regulations and the following conditions:
A LL ~ J /YJ4:1Z.. 70 .M~ .0:> f~1 ~ {3Uc. ~
Signature 4.JAI, ~ Date (,:,-2f-9 L
___ff________________________
--~------------------------
Date 6-25-91
Additional Comments:
FEES: Land Use Permit
Sewer Installation Permit
Plumbing Permit
State Surcharge
Building Permit
Plan Check
:;W.trO
~. 00 .Jf JI.1"
5~(P-.,:J~.-u
35iD~L
TOTAL FEE
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i~ __U1 .1
TJJJ ,0
White.County Yellow.Township Pink.Applicant Gold.Township
0660l).2805 (6.90 1 M)
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COUNTY OF SCOTT
INSPECTION NOTICE
PERMIT NO. ~ (.,,7,-$-/1
TOWNSHIPi.M'I' S L COMPLETED
J 7 /S~7/;l~ ~O)
(~ .co.
'7 .
/
PHONE: 496.8334 Dr 496.8475
0TE TIME
~/'/f~ I;N<_~,"'"''
SCHEDULED 't1~ VV;.l, ....."
ADDRESS
OWNER
CONTRACTOR:
r.::; FOOTING
~; FRAMING
::: INSULATION
= WAll BD.
'Y:VFINAL
~ PROGRESs
:J DEMOL.
=:) FIRE PREVo
= PLUMBING RI.
e MECHANICAL
::J WATER HOOKUP
::J SEWER HOOKUP
:::J SEPTIC INSTALL.
:::J SEPTIC MAIHT.
=:; SEPTIC FINAL
= PLUMBING FINAL
[] SITE INSPECTION
D EXCAVATING/GRADING/FILLING
[J LAKESHORElWETLANDS
D COMPLAINT
[J FOLLOW.UP
:J FIREPLACE/CHIMNEY THROAT
c:: FIREPLACE/CHIMNEY FINAL
~
, ,1
COMMENTS:
~ ~f'lWU-
C:~M.~~ Au.:p~L.
r~K,
I
~-:: ,"ORK SATISFACTORY: PROCEED ::J PHOTO TAKEN
i CORRECT WORK & PROCEED
I~:\CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~ 'GDRRECT UNSAFE CONDITION WITHIN _~ HOURS. INSPECTOR WIL.L RETURN
-- STOP WORK ORDER POSTED. CALL INSPECTOR
:...-: INSPECTION REQUIRED. CALL TO ARRANGE ACCESS
BUILDING INSPECTION OFFICE
Courthouse A102, 428 S. Holmes St.. Shako pee, MN 55379
Call tor the next inspection 24 hours in advance
Owner/Contr.~site ~V~
Inspector <l.W:-:r~
06600-2807 (10-9fM) Whit' Copy/Inspector's FII' Canary Copy/Records Pink Copy/sn,