HomeMy WebLinkAboutMechanical Permit #11-1349 - �� �xr°�
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Monday, September 16, 2013
Current Resident � -���, F�IL�
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Prior Lake, Minnesota 55372 Due t p 30 �► 3
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Re: Building Permit Number �. We request your help
In review of the building permit files, it was discovered there is an open permit for
= a 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 fo� your cooperation,
Sincerely,
Building and Inspections Department
City of Prior Lake
O � p RIp� CITY OF PRIOR LAKE Date Rec'd
F � HEATINGIAIR CONDITIONING/FIREPLACE PERMIT
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�INNESD�P �. P,� File PERMIT NO. n A
2. Green City //� / * ��
3. Yellow Applicant � �
lease or ' t and si at bottom
ADDRESS ZONING (otTice use)
v�oro�.�o S't'
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Na e) ST�VC. �Oti1�1SOn/ (Phone) 9� �3�'�
(Address) y .�' p "
APPLICANT
(Name) �1` i oc- l,.c_lYL �{-�. ��1 L- (Phone) �i �.�- 7'�/� �
(Address) �.���� ! e�4j� t �/'�K �'� �D/' �L. /�'Jii/ ��3 7�
(Address) (City) (Zip Code)
(Contact Person) (Phone) �S.Z ��� �- �/ �
APPLICANT SIGNATURE DATE d
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION �REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL �I�P�f Ge.,,J ��„� � e�� FUEL ^ JLX�T
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
�arm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
Gravity ❑ Hot Water
❑ Mechanical into Required Side Yard Setbacics.
❑ Radiation Fireplaces with Bog Additions or
�Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑ Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 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 #
The Minnesota Statutes § 326B.148 '
"SURCHARGE" has been extended HEATING PERMIT FEE $
until June 30, 2013, STATE SURCHARGE $ .50
The minimum surcharge for a
"fixed fee" permit is $5.00 TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid ��`� Receipt No.� /��
7
Buildin¢ Official Date Date /��� '/ By �
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Miunesota 55372