HomeMy WebLinkAboutMechanical Permit #08-1013 V O� �
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Monday, September 16, 2013
Current Resident CL,OSE TH� F'ILE
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Prior Lake, Minnesota 55372 � �
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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
- 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
~�� pR�o CITY OF PRIOR LAKE Date Rec'd
0 9
� D 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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M ��'NES�� P l. Pink File /�
2. Green City PERMIT NO . c� � 0/��
3. Yellow Applicant ��
ease or ' t and si at bottom
ADDRESS ZONING (ot�ce �e)
i t...o c..v �7 7' �1 � r�. l._L`s..[�, c��• T1'I.
LEGAL DESCRiPTION (oflFice use only)
LOT BLOCK ADDITION PID
OWIVER (Pho�e � — ` � �"' � 3 � �
ame ��) � "�.' C��'�
(Address) � � �,p � " � ' �� � ,
APPLIC T
(Name) � � + (Phone) a ,� � ti; ,,� � � � �T
(Address) • � � . j �eZ.
(Address) (City) (Zip Code)
(Contact Person) (Phone) Q Sa—' � �,�� - '1' 094'
APPLICANT SIGNATU DATE I — ' �
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL �� y� r"'+ e,r ,,.. ����"�[���(;1 FUEL �I��-� CCL.!
FLUE SIZE RETURN OPENINGS INPUT �°�� OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
echanical ❑ Radiation Fireplaces with Bog Additions or
Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildin s
❑Vent. System ❑ Other Devices g
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50
$39.50 minimum ��,q _C��
Residential, Heating & A/C (New Constnzction) $99.50 Residential, Additions & Alterations 39�9'�
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ �. � . Building Permit #
, �
HEATING PERMIT FEE $ � . �
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ L��. OC�
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid � .,„ 1 eipt No.� ����
VV
Dat
Buildina Official Date ?j l �� iQ �
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 "
16200 Eagle Creek Avenue, Prior Lake, MN 55372