HomeMy WebLinkAboutPermit 2541B11
APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA
-~~ COUNTYUSEONLY~~""""'"
P:ciO:L Lake
Twp/City
State MN
SD_ Lk. Permit number :JStJl-8-11
7ip55372 Receipt number ~ODS;;J-
PrOject Address
City
17080 Ma:)le Lane
~~~~~~~-
APPLICANT FILL OUT INFORMATION BELOW:
Applicant Jiia Anderson Phone (Home) (Work)
AddresQ 5"", Belo" City State Zip
Owner (if other than Applicant) J"',1e8 La'-S0I1 Phone (Home) 447 --f; 7..2.5.-(Work)
AddrPQQ See above r:ity State Zip
Contractor Name J. BerwoI, CGnstc:ucd,on Phone (Home) (Work) 920-071.7
AddrPQQ 4601 Excelsior: 31'i<1. Suite /'~ty .l1~"1 ~- State Ml:' Zip ~~4H;
PrOject Legal DpQ~
Sec..1l- Lot Block _ Subdivision Name
The above applicant applies for a permitto: Re'i)air & ReDlace: Fireplace 8l,U frahIin2. DiitiG d001:.
efl try dGur, patio deck, patio ceiling (erect, construct, enlarge, alter, repair, move, Improve, remove or convert as case may be)
X
Parcel number
Numberofacres Citv L0t
back
Type of construction: Wood
Dimensions of structure
Masonry_Other _ Type of heating system
Estimated cost or value
q.~
Numberof 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 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.
\. ~I OJ.. -" j 7-.3",-90
~ Applicant's Signature Date
~~TOWNSHIPORCITYUSEONLY~
Recommend Approval X Recommend Disapproval ~ubject to the following conditions:
TueyaLe not going outside cf existi~g ~~~(~te~ of-r io -' pair.:J0n~ because of. fi.~e
ualllage.
Signature ofTownship orCityClerk (or representati d Date 7 - ,-; _.q()
~---.........-- COUNTY OR CITY NNING USE ONLY ~
Minimum setbacks: Road Sidp Rear Io,ke/Creek/Wetiand 70ning district
Approved Denied ~y Planning/Environmental Health, subject to existing regulations and the
following conditions-
Signature Planning) Date
Signature (Environmental Health) Dat"
~COUNTYBUILDINGUSEONLY~
Approved '! Denied Ry Building Official subject to existing regulations and the following conditions:
-
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Additional Comments: FEES: Land Use Permit
4t...L. ""'4-,t...1 /...O'!>.,z."",""'t;:.ii:T COpf:.- Sewer Installation Permit
Sc.I4<-cU~f" <va-LIe.. THev /An rif &p,; //JSf'~'n'.J
13f: Fo"-C.- S T7l-I'l.T'.j< oJ O/Z..J(..
Plumbing Permit
Well Permit
State Surcharge
Building Permit
Plan Check
Fireplace/Wood Burning
Appliance
TOTAL FEE
1I4i!?-
I~u~
SG,B!-
I~.slt: ,...,,,s, Jj4~E:. .,,..DICE... pt<:neT7J>C..s
/N$7"-<-L.. rc; C.oplt:.-
#147.0(,
White-County Yellow-Township Pink-Applicant Gold-Township
06600-2805(3.89 1 M)
COUNTY OF SCOTT
INSPECTION NOTICE DATE TIME
PERMIT NO_ ;< ~)"I/-~II SCHEDULED 3h--.4-/ j~:3PTJI
TOWNSHIP/~ 5L COMPLETED If'"
ADDRESS ~J 761 7~ n1~ ,,;f'~..J
OWNER ~~)
CONTRACTOR: ij c ~ ~
V' 0 PLUMBING AI.
CJ MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL.
:::J SEPTIC MAIHT.
o SEPTIC FINAL
o PLUMBING FINAL
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o FOOTING
o FRAMING
o INSULATION
o WALL BD.
~FINAL
/~ PROGRESS
o DEMOL.
o FIRE PREY.
COMMENTS:
/=//'1----.-4 L_
PHONE: 496-8334 or 496-8475
//
o SITE INSPECTION
o EXCAVATING/GRADING/FILLING
o LAKESHORE/WETLANDS
o COMPLAINT
o FOLLOW.UP
o FIREPLACE/CHIMNEY THROAT
o FIREPLACE/CHIMNEY FINAL
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O/L-/
o WORK SATISFACTORY: PROCEED 0 PHOTO TAKEN
o CORRECT WORK & PROCEED
o CORRECT WORK. CALL FOR REINSPECT/ON BEFORE COVERING
o CORRECT UNSAFE CONDITION WITHIN _ HOURS. INSPECTOR WILL RETURN
CJ STOP WORK ORDER POSTED. CALL INSPECTOR
C INSPECTION REQUIRED. CALL TO ARRANGE ACCESS
BUILDING INSPECTION OFFICE
Courthouse A102. 428 S. Holmes St., Shakopee, MN 55379
Call for the~ex _ ctiOIl.i~4 ~urs -n vance
Owner/Contr_ on site '''' .u - '[) A../J../Jt /
~,. /
Inspector f ...-/'//7 / /
06600-2807 (12-90 3M) White Copyllnspector"' File Canary Copy/Records Pink Copy/She