HomeMy WebLinkAboutMechanical Permit #08-0546 C � �'Rip
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Monday, September 16, 2013
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Current Resident -
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Prior Lake, Minnesota 55372 l9 I�n � � 3
Re: Building Permit Number '- p. 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 R Ip�
CITY OF PRIOR LAKE Date xec'd
� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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.. � 1. Pink F+�e pERMIT NO.
� �- 2. Gern City 0� �� ¢
, 3. Yellow Applicant
lease or ' t and si at bottom
ADDRESS ZONING (ot�ce use)
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_ C�d
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
` OWNER
(Name) � (Phone) �' SZ— ZZ �'�
(Address) j � �D �S ✓�,� . G� �✓'C� ,� 1
(Name) ANT �� �I `--F� t�►i1 �o ✓ � (Phone) �� 3- 3 �3- �'3 F�3
(Address) ��� �� n Gl .2 � fC-�i. �(JQ � � ��� i"�e � � ?Y.JP � � S � 2
(Address) (City) ° (Zip Code)
(Contact Person) � ° 1 (Phone) � �O 3 ' 3 �— $ � � �
APPLICANT SIGNATURE DATE � � O �l
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCT'ION ACEMENT ❑ ALTERATTONS
>. FURNACE MAKE AND MODEL FUEL
�: �Lj,JE SIZE RETURN OPEI�IINGS INPUT OUTPUT
;
�'I'PE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
'� ❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
�;: ❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
`❑ Mechanical ❑ Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑ Special Devices
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
'- FiREPLACE MAKE AND MODEL ---
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residenrial, Gas Fireplace $49.50
$49.50 minimum
ResidenUal, Heating & A/C (New Construcrion) $149.50 Residential, Addirions & Alterations $49.50
Residential, Heating Only (New Construcrion) $64.50 Residential, AC Only 9.5
li
Estimated Cost $ Z� �� Building Permit #
i HEATING PERMIT FEE $ `I l 5 �
i_-: STATE SURCHARGE $ .50
` TOTAL PERMIT FEE $ �'�-'�r��"
', (Oftice Use OWy)
�.,This Application Becomes Your Building Permit When Approved Paid ���� R eipt No.�7 ��
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� Date�/. Z, �, U� B
Buildin¢ Otticial Date (
� 24 hour notice for all inspections (952) 447-9850, fax (952) 44'7-4245
` i 4646 Dakota Street S.E., Priar Lake, Minnesota 55372