HomeMy WebLinkAboutPermit 2526B11
APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA
~~~ COUNTYUSEONLY~""'-'"
M~r\<c L",
17:L35 ':':,::::': '.:,-.
Project Address
City
Prior Lake
Twp/City
State
SP. L}~.
Permit number
45 >>Lt-/J
/v'l'S3
7ip
Receipt number
~~~~~~~~
APPLICANT FILL OUT INFORMATION BELOW:
Applicant :'jeer-aLa Mahm,alcl Phone (Home) 447..2788 (Work)
Add 7877 H. iSOth Stc'eet r.I'ty PL' L<< S Z'
re~~ :.:' G' '. tate Ip
Owner(ifotherthanApplicant)JaL,es L. FaL,ae;: Phone(Home) 447,';W22 (Work)
Addres~ 17136 P&:i,ama Ave. City PI:. Lk. State Zip
Contractor Name MahcMald .cui1cie~'s Phone (Home) L~47-278S (Work)
Addre~~ 7877 '11. l50th StLeet City Pdcc Ll:. State Zip
Project Legal Desc Let ~3. HaDle A.c;:es Parcel number :;J..-Oi3,{)j':;--o Number of acres City let
Ser:J Lot :3 Block _ Subdivision Name r'EDle 1>1::.:125
The above appl icant appl ies for a permit to: Sc:can:d 'pced; eve>: exis tin", ,gm::age.
(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
Masonry_Other _ Typeofheatingsystem
24' x 20'
/17 bO
Number of BDRMS
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 permi all wor. hall be
compliance with any applicable townshiP'g~tOun y rdin nces. The ap
regulations, and utilize this structur~ 1Lf /1...,: u '~ - ,
~ , Applic'(nt;s Signature
e and all materials used shall be in
Iicant agrees to abide by all zoning
6<4-S0
Date
~TOWNSHIPORCITYUSEONLY~~-","",,-,",
Recommend Approval X Recommend Disapproval ~ubject tothe following conditions:
Signature ofTownship orCity Clerk (or representati G'!l1I.kAZ(lYM ",,Lf ;,_" L Date S-14-S0
~~~COUNTYOR~~NNINGUSEONLY~~
Minimum setbacks: Road
Approved Denied
following condition~'
Signature Planning) Date
Signature(Environmental Health) Date
~~~COUNTYBUILDINGUSEONLY~
Sid<>
Rear Lake/CreeklWetlanrl Zoning district
By Planning/Environmental Health, subject to existing regulations and the
Approved V Denied Fly Building Official subject to existing regulations and the following conditions:
.4-/~ ~~~( ~/V/7 L-,4p.rI'/l... ,-~ ~c-e7 ./c7C0
Signature ~ Date 6> 2-- :;J--~d
7'
---- ----------~
--j;J" -----------
Additional Comments: FEES: Land Use Permit
Sewer Installation Permit
Plumbing Permit
Well Permit
State Surcharge
Building Permit
Plan Check
3.00
(pL.j,go
l.fd../d
FireplacelWood Burning
Appliance
TOTAL FEE
f> /tJ9. 9,;)
White-County Yellow-Township Pink-Applicant Gold-Township
06600,2805(3-69 1 M)
~~-f
~~-r-
COUNTY OF SCOTT DATE
INSPECTION NOTlc~ ,/ CALLED.IN -.
PERMIT NO. ~t5-" SCHEDULED /~.,
TOWNSHIP/~ S'- COMPLETED /'
.M"tl.. L';.;,.('
ADDRESS /7/ ~{., /!~..;L.#'~ ___t-e
OWNER (~7-:~;~~.. ~9NE:
CONTRACToK: 772r--'~Lk7// ~
TIME
.Iff
,// ' ClO
__ FOOTING
[ j FRAMING
: -J INSULATION
WALLBD.
~FINAL
""'L! PROGRESS
-- DEMOl.
[ , FIRE PREVo
! J PLUMBING AI.
MECHANICAL
l j WATER HOOKUP
SEWER HOOKUP
L i SEPTIC INSTALL.
SEPTIC MAIHT.
[ PLUMBING FINAL
I i SITE INSPECTION
L I EXCAVATING/GRADING/FILLING
I . L.AKESHQRElWETLANDS
I.J COMPLAINT
- I FOLLOW.UP
r SEPTIC FINAL
; I FIREPLACE/CHIMNEY
>:
...
..
...
'"
c COMMENTS:
:z
'"
:t
...
~
'"
..
:t
~
'"
:z
o
'"
'"
t
'"
::l
2 -
'"
~
..
'"
'"
~
:z
..
:l
..
'"
5
<::1
..
'"
..
"
o
u
~~..-? C
'7
o /(" /'
,
WORK SATISFACTORY: PROCEED PHOTO TAKEN
CORRECT WORK & PROCEED
CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
CORRECT UNSAFE CONDITION WITHIN_ HOURS. INSPECTOR WILL RETURN.
STOP WORK ORDER POSTED. CALL INSPECTOR.
INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
OFACE OF PlANNING, INSPECTIONS ANO ENVIRONMENTAL HEALTH 496.8334
Cell for the next InspecU~4 hours In IIdvance.
OWnertContr. an Slt._PCJ~ /- -6y?
~~~
Inspector
06600-2807(11/893M)
r
Whnl C.pylln.pecl.... FIle
CI.,ry Copy/Record.
Pink Copy/Sill