HomeMy WebLinkAboutMechanical Permit #11-1244 (� , �,� PRIp�
..� y �
h �
V c,y
����
Monday, September 16, 2013
Current Resident ��� ��j� F'IL� �
e� . ,
Prior Lake, Minnesota 55372 - Due to Inactivlty
- - �l�/.�1�3
_
Re: Building Permit Number . We request your help
In review of the building permit files, it was discovered there is an open permit for
at the above address. Please call by Monday, September 30, 2013 to set
up an inspection. If there has been no contact from you by this date, the City will
deem the permit abandoned and invalid. (per State Building Code R105.3.2). This
permit abandonment will be recorded in the permanent public record for this
address. .
Any new work relative to this type building permit will require a new permit along
with new permit fees.
Please call the Building Department at 952 to schedule your inspection
date. .;�
Thank you for your cooperation,
Sincerely,
Building and Inspections Department �
City of Prior Lake
� P_xxo CITY OF PRIOR LAKE Date uec'd
�° " X '�� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
H :: �
v" 'r�
�1�, i, Pink F��� pERMIT NO.
2. Gree� c�n� I(,� Z
3. Yellmr Applicam
Please e or 'nt and si n at bottom
Annx.�ss _ � zo�vnvG co�ce ��}
��
LEGAL DESCRII'TIQN {oE�ce use only}
L�T BLOCK ADDTTION PID
OWNER � "' q �
(Narne} I" � (Phone) /�So� �y�-�o y
(Address) Q .�.� � � I/ j r �
��P�Le) ANT �� - 0�. � l. �(Yl t�
�� {Phone} ��CJ���� �
(Address) ��Vl.l � � A-!' lL�'i =� ��ll 1 C ) V _ L� Lr � � �� „_
{Add ) (Citl'? (Zip Code)
� ' /�, l
{Contact Person) (Phone) �(fJ - �
APPLICANT SIGNATU DATE �
ICA T PLEASE COMPLETE BELOW
QNEW CONSTRUCTION �EPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL TICF}� �Tu �a �3�� o� FUEL /11 �
FL,UE SIZE RETURN OPENINGS INPUT O OUTPUT �� O
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Wartn Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
echanical ❑ Radiation into Required Side Yard Setbacks.
Air Conditioning ❑ Special Devices Tireplaces with Bog Additions or
[]Vent. System ❑ Other Devices CAnlilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
k'EE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residenrial, Heating & A/C (New Construction) $149.SU Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ � ��� � Building Permit #
'I'he Minnesota �t�iutes ,��' 32(tiC3. i48
HEATING PERMIT �EE $ �� '���' RCE - fARCiF " has been cli�zn�ed liir ane
year ef'f'cctive
STATE SURCHARGE $ - 0 ,tn�y �, za�jo, �,r�tis Jtiqc 3ti zt►i r.
TQTAL PERMIT FEE $ 'Phc minitnum surchn��e for a "CstxT fcc" prrmit
(Office Use Only) �' O is �,,,,�, be};innin�.i�tfy 1.201U
This Application Becomes Your Building Permit W6en Apgroved Paid � ,_. 0 Receipt No � 6�
Date � � `� � / By
Buildine Officisl Date `
24 hour notice for all inspections (952) 447-9850, fax {952} 417-�1245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372