HomeMy WebLinkAboutPermit 2312B11
I
APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA
~3/cI-tJ-1/
PERMIT NUMBER
J 7:+9Y
RECEIPT NUMBER
Spring Lake
TOWNSHIP or CITY
PROJECT ADDRESS:
APPLICANT NAME:
ADDRESS:
17101 Maple Lane, Prio: Lake,
Mary Fahrenkamp
OWNER (If other than Applicant):
ADDRESS:
Sarae
HOME PHONF' 440-4032
WORK PHONF' 448-2052
HOME PHONF'
WORK PHONF'
PHONE:
See above
CONTRACTOR NAME:
ADDRESS:
The above applicant applies fora permit to: ReDlaced ;:afters aCid entire Loof
(Build, alter, repair, move, install, as case may be)
Self
TYPE OF CONSTRUCTION: WOQrl
DIMENSIONS OF STRUCTURE:
ESTIMATED COST OR VALU'"
Masonry_Other_ TYPE OF HEATING SYSTEM'
~qtlf}
NUMBER OF POTENTIAL BEDROOMS:
LEGAL DESCRIPTION OF PROPERTY'
SECTION: 11 LOT: L{ BLOCK' SUBDIVISION NAME: -('VIA PL F A-CRr <;
NUMBER OF ACRES: C;:,v 1.at TAX PARCEL NUMBERWI3N11- ('\ ZONING DISTRICT' UE
NOTE: A SURVEY IS REQUIRED BY A REGISTERED SURVEYOR FOR ALL NEW HOME APPLICATIONS on 10 ACRES III' LESS.
A Plot Plan showing the following must accompany this application:
1. North Direction. 4. Dimension of structure(s). 7. Location and size of Septic Tank and Orainfleld.
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 done and all materials which shall be used comply with the
plans and specifications herewith submitted and with the Ordinances of SaI~~:hiP ~~ ~lica. b ~le thereto.
U' I I.-d---/'~ 9-19-88
Applicant's slgJature , Date
TOWNSHIP USE ONLY
Recommend Approval: X Recommend Disapproval:
SUbject to the following conditions: R\,cor;mlendation not to double fee because she tded to corne
in before wo~- s done, ~ ,~n bad sh<'lpe so they started work.
SIGNATURE OF TOWN CLERK: (Or representative) ~4IA.JlA~"';, #"~.AL/J"'" I DATE:.....2..=.19-88
COUNTY E ONLY
Approved: ..-- Denied: By Zoning Administrator subject to existing regulations and the following
minimum setbacks from: Roan Side Rear with the following conditions:
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CO~TY USE ONLY
Approved' / Denied' By Building Official subject to existing regulations and the following conditions:
~.-d .--t::,./r-fI'1 ..../YJ1-.:d "/ft/l j..::i ~ ~ /J?7 0..... r~ .
SIGNATURE' :4"0 c:Z'~'.A'1~1. . .
DATF' 9-~3-J'S-
SIGNATURE'
DATF' 1,':< ~-<f f
v
ADDITIONAL COMMENTS:
FEES: land Use Permit
Sewer Installation Permit
Plumbing Permit
Well Permit
State Surcharge / . S()
Building Permit tIII~ ~ og
Plan Check . ~{O log
Fireplace/Wood Burning
Appliance
TOTAL FEE
J 1~.:1\.0
_2805
Revised 6.85
1. In._lor'. Copy (White) 2. T_aIIIp Copy (Canoty) 3- AppI_I'. Copy (Pink)
~~~
COUNTY OF SCOTT
INSPECTION NOTICE
PERMIT NO ~:,\~-&- \\
TOWNSHIP~ 6L
ADDRESS n \[:) \ ""-o..aL... \..o..rr-......
OWNER Ch,...., -:::Lr. ^"-or U ."'--"('
CONTRACTOR: ~1J \ \,
- FOOTING LJ PLUMBING Rt.
j FRAMING : I MECHANICAL
"j INSULATION r I WATER HOOKUP
~I ALLBD.
tHAL [ : SEWER HOOKUP
U ROGRESS L: SEPTIC INSTALl.
;; [1 DEMOL. I SEPTIC MAINT.
~ II FIRE PREVo r PLUMBING FINAL
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CALLED.IN
SCHEDULED
COMPLETED
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DATE
TIME
\-;J.'6~\ -%- \'.t~ ___
// /2-.14)
PHONE:
r I SITE INSPECTION
C_ EXCAVATING/GRADING/FILLING
I LAKESHORElWETLANDS
1._ COMPLAINT
[ FOLLOW-UP
I SEPTIC FINAL
FIREPLACE/CHIMNEY
/
I
/
, WORK SATISFACTORY; PROCEED PHOTO TAKEN
CORRECT WORK & PROCEED
CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
CORRECT UNSAFE CONDITION WITHIN_HOURS. INSPECTOR WILL RETURN.
STOP WORK ORDER POSTEO. CALL INSPECTOR.
INSPECTION REQUIRED. CAll TO ARRANGE ACCESS.
OFFICE OF PlANNING, INSPECTIONS AND ENVIRONMENTAL HEALTH 496.8334
24 hours In~' I~
'~~;'~~6,~~
Inspector
06800.2807 (11/89 3M)
Whh. C.py/ln.pect..'. file C...ry Copy/Rocard. PInk Copy/Sltll