HomeMy WebLinkAboutMechanical Permit #12-0070 � � PRip
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Monday, September 16, 2013
Current Resident CL,QSE TH� �II-'�
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� Due to Inactivity
Prior Lake, Minnesota 55372 ���
Re: Building Permit Number � ,. We request yourhelp
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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 952-447-9850 to schedule your inspection �
date.
Thank you for your cooperation,
Sincerely,
Building and Inspections Department
City of Prior Lake
O � PRip� CITY OF PRIOR LAKE � :� Date Rec'd
� � HEATING/AIR CONDITIONING/FIREPLACE FERMIT
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� � 1 � ?: P�� F��a �;; ;�, RMIT NO. �
� � � G�tY , � / �
3. Yellow`� Applicant: '
lease or ' t and si at bottom '<':::
ADDRESS ,�� , ;; a ZONING (office use)
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LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNE ( . � Q�,�
(Name) 1 P one) (��
(Address) �,
APPLIC �0������_�I��
(Name) ' (Phone) , � �
(Address)
(Ad ss) , ^ (City) (Zip Code)
�/� 1/ ( n i �
(Contact Person) �/ � r I (Phone) Vl �
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUC ION PLACEMENT ❑ A TERATIONS
FURNACE MAKE AND MODEL FUEL �
FLUE SIZE �""��- RETURN OPENINGS �------ - INPUT ,------- OUTPUT —
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Wann Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑ avity ❑ Hot Water into Required Side Yard Setbacks.
echanical ❑ Radiation
ir Conditioning ❑ Special Devices Fireplaces with Box Additions or
Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
HEDULE
Industrial, Commercial & Multi-Family 1% of 'o Residential, Gas Fireplace $49.50
F"' 9.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
�./'
Estimated Cost $ • Building Permit #
HEATING PERMIT FEE $ . �
STATESURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid �� 7� Re pt No. ��'c� �j
/
Date / Z �L / Z
Buildine Ofticial Date 7 �
24 hour notice for all inspections (952) 447-9850, fag (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372