HomeMy WebLinkAboutMechanical Permit #11-1207 � PR1p
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Monday, September 16, 2013
Current Resident ,. CH� FIL�
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Prior Lake, Minnesota 55372 Due t0 Irial.CtlVlty
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Re: Building Permit Number � �2�� . We request yourhelp
''►�' 9A ND A►r Cov► c� .� 101a t I(�,
In review of the building permit files, it was discovered there is an open permit for
�° �,�,r - ce 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
i
; � r�tx CITY OF PRIOR LAKE Date Rec'd
� , ° � ; � HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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� �i I. Pink F;�� pERMIT NO. J
� 2. Grcen City � / , / � � )
j 3. Yetlow Applicant � V
{Please e or rint and si n at bottam
ADDRESS ZONING �ot�� ��}
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LEGAL DESCRIPTIQN (oE�ice use only}
L�T BLOCK ADDTTION PID
OWNER ^ �
(Name) V (Phone) ,�� ����� ,���
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(Address) (/� � �
APPLICAN�— ''')
��e) U� �� �Y� (Phane) 6 �LJ�� ~ ��� .
(Address) f�,,t—.�Lt�Q�'�TV G� �"�.� ��� 1 � \l�' S � "t �� .
(Adrl ) (CEty? (Zip Code)
(Contact Person) � 1 (Phone) ' � ' �
APPLICANT SIGNA DATE � �
,
LICANT PLE SE COMPLETE BELUW
QNEW CONSTRUCTION REPLACEMENT ❑ ALTERATIONS � •
FURNACE MAKE AND MODEL
rJ v FUEL NQ ctd'al �.S
FL,UE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE 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.
echanical ❑ Radiation
Air Conditioning ❑ Speciai Devices Fireplaces with Box Additione or
ent. System ❑ Other Devices CanEilevers to the Ontside of Bulldings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE 3CHEDULE .
Industrial, Commercia! & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterarions $49.50 • �
Residential, Hearing Only (New Construction) $64.50 Residential, AC Only $49.50
t9� .
Estimated Cost $ Building Permit #
'1'1ie Minnesota Statutes ,��' 32G13.1�t8
HEATING PERMIT FEE $ �9�,j� "S[.;RCFIARCJE:" hfis Ueen chan�ed I'or one
year effectit�e
STATE SURCHARGE $ � .lailv �, 2(t�0 uaeti3 Jiai3c 3() 2�� 4�
TOTAL PERMIT FEE $ , Q Thr minimam surchflrge for � "Iisecl fec" permit
(Off3ce Use Only) is:��',,�, be�innin�!.tn[v 1.2D10 �
This Application Becomes Your Building Permit When Approved Paid�,` Rec tNo. /�
7 «
� Date �� � � � �
Buildine Official Date '
24 hour notice for alt inspections (952) 447-4850, fax {952) �{A7-42�35
4646 Dakota Street S.E., Prior Latce, Minnesota 55372