HomeMy WebLinkAboutPermit 2834B11
Township/City
Spring Lake
APPLICATION FOR BUILDING PERMIT
SCOTT COUNTY, MINNESOTA
- COUNTY USE ONLY - - - - - - - - - - - - - - - -
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Prior Lake. MN
7ip
55372
Permit number
Receipt number
(l. C{; 31-1>-1 J
J~l?3
I
Project Address
Post Office City
17551 Mushtown Rd.
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AddreF"
See abcve
APPLICANT FILL OUT INFORMATION BELOW:
Ph (H ) 447-4780
one ome
State
City
Applicant
David Radanke
r.ity
Phone (Home)
State
(Work)
Zip
(Work)
Zip
(Work)
Zip
No. acres
28.11
Owner (if other than Applicant)
Address
Same
Contractor Name
Address
Project Legal Desc.
Se" 11 Lot
Self
S l SE l
Phone (Home)
City State
9-11--046-0
Parcel No.
The above applicant applies for a permit to:
Block _ Subdivision Name
One story addition onto home, 0F~-
It
(erect, construct, enlarge, alter, repair, move, improve, remove Of convert as case may be)
Type of construction: Wood X
Dimensions of structure
Estimated cost or value
Masonry_Other _ Type of heating system
16' x 31'5"
Forced Air
:;.fR,95g
No addl.
Number of Bedroom8
NOTE: A 8urvey 18 required by a regi8tered surveyor for all new home applications on le8s than 10 acre8.
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 townsffiiP' cit and county ordinances. The applicant agrees to abide by all zoning
regulations, and utilize this structure nr It e1i~--i
.( ~ 't/(J. June 17. 1992
Appll ant's Ignature Date
~ TOWNSHIP OR CITY USE ONLY
Recommend Approval X . Recommend Disap~rov~1 "u~ct)O the following cond ions:
Septic system locatwn needs to be m~ LY-~
Signature ofTownship orCitYClerk(OrrepresentatiVe)~~4fL ~" ate 6-17-92
~~COUNTYORCITYP NNINGUSEONLY- ~~~
Minimum setbacks: Road j{.t::;1J / Sid.. 311 / Rear t, IJ / LakelCreektWetland Zoning district 11 f!.
Approved --- Denied By Planning/Environmental Health, subject to existing regulatlans and the
following conditions: _) ,I l' /J~
SlgnsturePlanning) /t;;~ /') Date ~ -.;L<;' -9'::<.
Signsture(Environmental Health) Date
~~~~ COUNTY BUILDING USE ONLY _~~~
Approved
:IlU
V Denied By Building Official subject to existing regulations and the following conditions:
J..,AIJ~p, oJ. /1114.7r.,Q//o'/' 7() /ltJf:r7 S:7A7f'" I3tJX COLJf"
Signature A/1/'Z Date 7- /- C; .?
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Additional Comment8:
FEES: Land Use Permit
Sewer Installation Permit
Plumbing Permit
State Surcharge
Building Permit
Plan Check
J:?.5()
~"S, tJtJ
~17~.;),tS'
TOTAL FEE
/"{5"O,7~
White-County Yellow-Township Pink-Applicant Gold-Township
06600-2805 (4.911M)