HomeMy WebLinkAboutPermit 2676B11
Township/City
Spring Lake
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APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA
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Project Address
Post Office City
17146 Maule T.:me
Prior Lake. MN
71p
55372
Permit number
Receipt number
:<676- tf-IJ
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APPLICANT FILL OUT INFORMATION BELOW:
Applicant Constance AdarJscn Phone (Home) 447-2l,71 (Work)
AddreF" See above City State Zip
Owner(lfotherthanAppllcant) Same Phone (Home) (Work)
AddreF" See above City State Zip
Contractor Name Self Phone (Home) (Work)
Address City State Zip
Project Legal Desc Parcel No. 11-013-014-0 No. acres Citv Lot
Sec 11 Lot F'llock _ Subdivision Name Maole Acres
The above applicant applies for a permltto: Build a deck
(erect, construct, enlarge, alter, repair, move, improve, remove or convert as case may be)
Type of construction: Wood
Dimensions of structure
Estimated cost or value
X Masonry_Other _ Type of heating system
15' x 17'
;).0'-10
Number of Bedrooms
NOTE: A survey Is required by a registered surveyor for sll new home applications on less than 10 acres.
If a survey is not required, a Plot Plan must be submitted. Please contactthe 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)frmitted use. /7 /J " ,.,
(~1J/VJ~~J ~) o-25-S~
Applicant's Signature Date
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~TOWNSHIPORCITYUSEONLY ~
Recommend Approval X Recommend Disapproval 0/ tffllowing conditions:
Signature of Township or City Clerk (or representati X ~~J Date 6-25-91
....r- - - - - - - __ COUNTY QR CITY ... NNING' u. 0 -//y - - - ....::.. - - - -oJ
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Minimum setbacks: Road /~ 'l<lJlfJ~e.k!..Rear Lake/Creek/Wetland 70ning dlstricLIf - ;;;l.
Approved ~ Denied By Planning/Environmental Health, subject to existing regulations and the
following condition'" /. /'l "3.s-/ I'J~ ...,-/..,-~. ,
Signature Planning) ~t:i2Du.-', ~tHVJ~ Date L -::<.8-'1/
Slgnature(Environmental Health) (j Date
"-~~~COUNTYBUILDINGUSEONLY"...."", __~
APproved" Denied By Building Official subject to existing regulations and the following conditions:
ALL ~&ot.. -# 1\1477... r;. Mu:-rST4Te. /3i-Pc. c:..cPE-
Signature <L.W. T~
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Additional Comments: FEES: Land Use Permit
Date 7-1-9L
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Sewer Installation Permit
Plumbing Permit
State Surcharge
Building Permit dII ~ $ X.;J.
Plan Check
/.50
111& dO
35./0
TOTAL FEE
J.1!L--*WJ
White.County Yellow.Township Pink-Applicant Gold.Township
06600-2805 (6-90 1 M)
PHONE: 496-8334 or 496-8475
7A~11
TIME
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ADDRESS
OWNER
CONTRACTOR:
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FINAL
PROGRESS
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COMMENTS:
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:::J WORK SATISFACTORY; PROCEED CJ PHOTO TAKEN
:l CORRECT WORK & PROCEED
C CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
o CORRECT UNSAFE CONDITION WITHIN _ HOURS. INSPECTOR WILL RETURN
o STOP WORK ORDER POSTED. CALL INSPECTOR
o INSPECTION REQUIRED. CALL TO ARRANGE ACCESS
BUILDING INSPECTION OFFICE
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