HomeMy WebLinkAboutPermit 2139B11
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APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA ~ J 3 OJ -8-) I
PERMIT NUMBER
/517/
RECEIPT NUMBER'
Spring Lake
TOWNSHIP or CITY
PROJECT ADDRESS:
APPLICANT NAME:
ADDRESS:
17173 Ida Circle, Prior Lake, MN 55372
Anita Frank
17173 Ida Circle, Prior Lake MN
HOME PHONF'
WORK PHONF'
HOME PHONF'
OWNER (If other than Applicant}' Same
ADDRESS:
447-6768
447-2855
CONTRACTOR NAME:
ADDRESS:
Norm Furuili
PHONE:
WORK PHONF'
447-4619
i1fiR Rutt~rnut Circle. Prior Lake
The above applicant applies for a permit to: Build a deck onto existing home
(Build, alter, repair, move, install, as case may be)
TYPE OF CONSTRUCTION: Wood~Masonry_Other_ ;!hPE OF HEATING SYSTEM"
DIMENSIONS OF STRUCTURE: 12' x 15' /60 L.f./
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ESTIMATED COST OR VALUE:
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LEGAL DESCRIPTION OF PROPERTY: Lot 4
SECTION' 10 LOT: BLOCK' SUBDIVISION NAME: Crystal Addition
NUMBER OF ACRES: r,i tv Lot TAX PARCEL NUMBER" 11-020-004-0 7()NING DISTRICT' DE
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 structurEt(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 side. set back. 6. Locations of existing structures. ___
Applicant hereby agrees that, in case above permit is granted. that all work shall be QQne..I.Qd allr!}iUe!'/ .which s used comply with the
plans and specitlcations herewith submitted and with the ordinan~~' licable t ,
---~ ;' ------ --
~~gnatui~
TOWNSHIP UsE-etttJ
NUMBER OF POTENTIAL BEDROOMS"
~-06-87
Date
Recommend Approval: X Recommend Disapproval: ~.
subject to the following conditions: , ~ /JL
SIGNATURE OF TOWN CLERK: (Or representative) l..AdJJi.LJ1 ~ DA TF' 8-06-87
COUNTY U~ ONLY - !l
~enied"
By Zoning Administrator subject to existing regulations and the following
3.s- / Side 15"'1 Rear 3/J I with the following conditions:
=(dlu~) H~
cou~ USE ONLY.
Approved" ~ Denied" By Build~Official subject to existing regulations a::'h~~~ing conditions:
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SIGNATURF' ';:;h ~ a ~~ ~ DATE:,}Z-..?..?-)l--)
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ADDITIONAL COMMENTS:
Approved"
minimum setbacks from: Roari
SIGNATURF-
DATE: S -I 7 -9 7
FEES:
Land Use Permit
Sewer Installation Permit
Plumbing Permit
Well Permit
State Surcharge
Building Permit
Plan Check
Fireplace/WOOd Burning
Appliance
TOTAL FEE
lMMIO().2805
Revised 6.85
Un_lor'. Copy (White) 2. To_ship Copy (Canary) 3. II" .1'. Copy (Pink)
1-0-0
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COUNTY OF SCOTT DATE
INSPECTION NOTICE CALLED,IN
PERMIT NO ~.I <,1-'5"-/ I SCHEDULED~..,,}3-Z'1
TOWNSHIP/CITY S L . COMPLETE~, / /
ADDRESS /7/7~ ~~
OWNER ~ 9- Ad~ PHONE:
CONTRACTOR:
TIME
Ii- r IIn
"::1--.' t2 tV
n FOOTING
n FRAMING
n INSULA nON
o WALL 80. A
~'L IV CJ
rJ PROGRESS
[) DEMQL.
[1 FIRE PREVo
["] PLUMBING RI
[] MECHANICAL
o WATER HOOKUP
[] SITE INSPECTION
o EXCAVATING/GRADING/FILLING
o lAKESHQRElWETLANOS
o COMPLAINT
o FOLLOW-UP
,:::' SEPTIC FINAL
CJ FIREPLACE/CHIMNEY
~
o SEWER HOOKUP
o SEPTIC INSTAll
o SEPTIC MAINT.
o PLUMBING FINAL
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/5WORKSATISFACTORV: PROCEED 0 PHOTQTAKEN
RAECT WORK & PROCEED
n REel WORK. CALL FOR AEINSPECTION BEFORE COVERING
n CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
~ORDER POSTED. CALL INSPECTOR.
ION REQUIRED. CALL TO ARRANGE ACCESS.
, 0 CE OF PlANNING, INSPECTIONS AND ENVIRONMENTAL HEALTH 496.8334
Call lor the next IlllIpectlon 24 hours In advance.
Owner/Contr. on alta ,~O .5;;-(:: j'J
Inapector ,// ~ ~/
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06600- 2807 (12-R8 3M) While Copylln.poc!lI'" File CanolY Copy/Record. PInk Copy/SIIa
COMMENTS:
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