HomeMy WebLinkAboutPermit 2224B11
APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA
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PERMIT NUMBER t
I&'& CJ 1.,0
RECEIPT NUMBER
SDrin2: Lake
TOWNSHIP or CITY
PROJECT ADDRESS:
APPLICANT NAME:
ADDRESS:
17146 Maple Lane, Prior Lake
5627 150th Street S.E. Prior Lake
HOME PHONE' 447-4529
WORK PHONE: same
HOME PHONF' 447-2471
WORK PHONF'
PHONE: 447-4529
T .P.c;:, f)pnoprl1n
OWNER (If other than Applicant): Clint Adamson
ADDRESS: 17146 Maple Lane, Prior Lake
CONTRACTOR NAME: Dengerud Const.
ADDRESS:
5627 150th Street. S.E. Prior Lake
The above applicant applies fora permit to: Build a screened qorch onto existing dwelling
(Build, alter, repair, move, install, a8 case may be)
TYPE OF CONSTRUCTION: Wood-1LMasonry_Other_ TYPE OF HEATING SYSTEM:
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DIMENSIONS OF STRUCTURE: .' x 24'
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ESTIMATED COST OR VALUE'
NUMBER OF POTENTIAL BEDROOMS'
LEGAL DESCRIPTION OF PROPERTY:
SECTION: 11 LOT: 14 BLOCK' SUBDIVISION NAMF' Maple Acres
NUMBER OF ACRESi',; tv Tnt TAX PARCEL NUMBER: / / ,0/301'-1,.0 mNING DISTRICT: UE
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 of well.
3. Dimensions of front and slde.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 materials ,which shall be used comply with the
plans and specifications herewilh submilled and with the Ordinances 01 Sa,?nshl~ County ,o,PPIlCab~reto.
0[...i4. J./ O/0ij ~ 4-27-88
,o,ppllcant's signature .? Date
TOWNSHIP USE ONLY
Recommend Approval: X Recommend Disapproval'
subJect to the following conditions: All qpt Mrk"mll'>t hp mf't.
SIGNATURE OF TOWN CLERK: (Or represenlatlv&\',~ fu.il&;,~.k..<J ..1.1,..) DATF' 4-27-88
COUNTY-USE ONLY 1/
Approved: ~ Denied: By Zoning Administrator subject to existing regulations and the following
minimum setbacks from: Road .~.51 Sid.. /Ji'1 Rear/M1 A'~i'(fi the following co~~tlon.s: i
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SIGNATURE: ~~ jj~U DATF' ~-~8' -d"?
colfNTY USE ONLY
ApprQYed' t/' Denied' By Building 9fflclal subject to existing reguJ9tlons and the following conditions:
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SIGN~TURE' ~ R r7//.~~ j- DATE: l'-')-~
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ADDITIONAL COMMENTS:
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FEES:
Land Use Permit
Sewer Installation Permit
Plumbing Permit
Well Permit
State Surcharge
Building Permit
Plan Check
Fireplace/WOOd Burning
Appliance
TOTAL FEE
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'11. as
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3 (- I;;L
f5 /. 0'0
_2105
Revised 6-85
1.ln",*,or'ICopy(White) 2. Townohlp Copy (Canary) 3. App/IcMl'ICopy(Pink)
-
__/--eouNTY OF SCOTT DATE
INSPECTION NOTICE A/j' CALLED.IN
PERMIT NO ~~.;L~ SCHEDULED '1'4'J;i
TOWNSHIP;.:.,., <;' L COMPLETED
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O;;';ER /?/:.2 ""~ PHONE:
CONTRACTOR:
11ME
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o FOOTING
o FRAMING
o INSULATION
o WALL BO.
~FINAL
[J PROGRESS
o DEMOl.
o FIRE PREVo
o seWER HOOKUP
o SEPTIC IHST ALl.
o SEPTIC MAINT.
o PLUMBING FINAL
o PLUMBING RI
[] MECHANICAL
o WATER HOOKUP
o SITE INSPECTION
o EXCAVATING/GRADINGfFILLlNG
o LAKESHOREnNETLANDS
o COMPLAINT
o FOLlOW-UP
o SEPTIC FINAL
C FIREPLACE/CHIMNEY
COMMENTS:
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o WORK SATISFACTORY: PROCEED 0 PHOTO TAKEN
o CORRECT WORK & PROCEED
o CORRECTWQAK. CALL FOR REIN$PECTION BEFORE COvERING
o CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR Will RETURN.
o STOP ORDER POSTED. CALL INSPECTOR.
[] INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
OFRCE OF PLANNING, INSPECTIONS AND ENVIRONMENTAL HEALTH. 445-7750. oxt. 353
Call for the next InspecUon 24 hou/1lln advance.
Owner/Contr. on site
Inspector~ ~~
1l6600'280~ ' / Whnl Copy/Inspect...'. File Clnery Copy/RICGrd. Pink Copy/SI1e