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HomeMy WebLinkAboutPermit 2462B11 APPLICATION FOR BUILDING PERMIT SCOTT COUNTY, MINNESOTA -~~-~ COUNTYUSEONlY~~ Project Addres~ City Prior Lake 17177 Ida Circle Twp/City State Sp. Lk. Zip Permit number ~ fr.;J- t!l - II Receipt number />? J 'f() ~~~~~~~-~~~~ APPLICANT FILL OUT INFORMATION BELOW: Applicant Richard E. Kes Phone (Home) 447-3264 (Work) 'tl90~4271l *' Addres~ See above City State Zip Owner(ifotherthanApplicant) Salle Phone (Home) (Work) Addres~ City State Zip Contractor Name Self Phone (Home) (Work) Addres~ City State Zip Project Legal Desc. Parcel number 1l-()2().{XX,-Q Numberof acres City lot Se" 10 Lot ~Block --L- Subdivision Name Crvstal Addition . ", . . c.f(Js<:,wlf!dCtv TheaboveapPI~'c ntappliesforapermitKl; InsLalL a new wlndows and remove wlndow and "..-i,,~ cc wccll , ;2.- ~,..",.,d 0 w 5 .J {erect, construct, enlarge, alter, repair, move, Improve, remove or convert as case may be) (;Jpt! 1)/ '!J Type of construe 10n:Wood Masonry_Other _ Type of heating system Dimensions of structure New: 50' x GO , 72 i:2 x 50 Estimated cost or value 7r1'O Number of BDRMS NOTE: A survey Is required by a registered surveyo{ for all new home applications on less than 10 acres. If a survey is not required, a Plot Plan must be submitied. 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 fo~e_rm /Jilted u liS, e. ",f ~ //T~ ~ ~ J{J-It-~ 10-16-89 ... Appllcantl's Signature Date ~ Recommend Disapp~ ~~Ubjec~t tothe following conttions: SignatureofTownshiPOrCitYClerk(Orrepresentati~b~,. ~ ~ Datp 10-:..6-.89 ~~--""'~COUNTYORCITY NNINGUS ONL ~-~ Minimum setbacks: Road Sid" Rear Lake/CreeklWetlanrl Zoning district Approved ,/ nenied Ry Planning/Environmental Health, subject to existing regulations and the following conditions' Signature Planning) ~7z:;., ~ cI!...,.~- -- '-..1 Signature(Environmental Health) Datp ~.........~COUNTYBUILDINGUSEONLY~~ Recommend Approval Date 10 -17 -71'1 Approved ~ Denied By Building Officlalsubjectto existing regulations and the following conditions: ..,. ~ ./'7 ~c-- 7 C- C/I?C Date /r~v~- .AI L 1'_ .-A?4- r~,a/.#L ,.-::1"..-z.-n ~ -:-"."J ,I~ ~p~~ , Additional Comments: ~~-- c-/J C( ~"A/ -::J /-of"'l.- "F-/ro---? c... FEES: Land Use Permit ~/I-t('J""" Sewer Installation Permit / .A'j;:'E.. c..7;'.,!"'-'Plumbing Permit Well Permit State Surcharge Building Permit Plan Check .50 /,-; ,;){) FireplaceiWood Burning Appliance TOTAL FEE /:J. 70 06600-2805(3-89 1 M) White-County Yellow-Township Pink-Applicant Gold-Township t .' " COUNTY OF SCOTT INSPECTIONNOTlC~ ! PERMIT NO ;?,~";)-c-II TOWNSHIP/~ <:;' L COMPLETED ADDRESS /7/77 * OWNER ~.A~ ,'JI--'7 CONTRACTOR: DATE TIME CALLED.IN SCHEDULED '1/JJ/j0 ..-c.~ ,/ / <' _, cr /) /2,A;'~ PHONE: r:j FOOTING :::J FRAMING CJ INSULATION D WALL BD. IDINAL /rnROORESS >; C DEMOL. ~ ~J FIRE PREVo ... < Q COMMENTS: z < >: >- ~ < ~ >: ~ < z o '" .. ~ ... .. ::> ~ .. l2 ~ .. < ~ z ~ ::!; ~ .. 5 o ~ .. ~ Q o v U SITE INSPECTION LJ EXCAVATING/GRADING/FILLING U LAKESHORE/WETLANDS L1 COMPLAINT LJ FOLLOW.UP L I SEPTIC FINAL l: FIREPLACE/CHIMNEY r [] PLUMBING RI. D MECHANICAL. n WATER HOOKUP r-I SEweR HOOKUP [] SEPTIC INSTALL. tc SEPTIC MAINT. r::J PLUMBING FINAL ~ I ,P/~cr-C /7/<:'" - [] WORK SATISFACTORY: PROCEED I PHOTO TAKEN n CORRECT WORK & PROCEED ,-J CORRECT WORK. CALL FOR REINSPECTlDN BEFORe COVERING [J CORReCT UNSAFE CONDITION WITHIN_HOURS. INSPECTOR WILL RETURN. [J STOP WORK ORDER POSTED. CALL INSPECTOR. 1-] INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. OFFICE OF PlANNING, INSPECTIONS AND ENVIRONMENTAL HEALTH 496.8334 CIIII for... nextl~rs In lIdv.~. OwnerIContr. on"~ ( /r v0f/nJJ cE'- ~ Inspector ! //~~ 06600.2807 (1"89 3M) Whttw Copyllnlpoct.'1 FIIo C'OI" Copy/RlCanll Pink Copy!S""