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Monday, September 16, 2013 l I(AO
Current Resident /
16173 MAIN AV SE
Prior Lake, Minnesota 55372 • /i
(-A1'
Re: Building Permit Number 08-0812. We request your help Vo
In review of the building permit files, it was discovered there is an open permit for
Furnace 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
fc
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT /0,6,,,,jJ/
x
v �
�jNNESo��` 2. ��n Ci PERMIT NO./)Gc vbia.
3.Yellow Applicant
(Please type or print and sign at bottom) /6/73 7/9jA/ /We, ZONING(office use)
VP dr a
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNE(Name)
Aar' Z 1 h Inn Q.--) (Phone) 6/. 73o2g_6-NCIC y
(Address) q."7"2 D DQKo S
APPLIAN r y ,/� J 96)9 17 ./1 O
(Name) T'1 D� a fie. 1��-H/� (Phone) /'6
(Address) /Ca 9 !eQ f r_ vA r oe K e*- pr 1 D r L.c.&e._ rlf j 5 37 a
(, •dress (City) (Zip Code)
(Contact Person) C—N.. f)f"e_ C11 k (Phone)
APPLICANT SIGNATURE _ / ,r4111 !/ i/i �� . DATE j� 2
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL 8WAcoorN T p 11 C-C-' FUEL N 4 /
►t
FLUE SIZE GRETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
['Gravity .efot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
['Air Conditioning 0 Special Devices
❑Vent.System 0 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 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 #
HEATING PERMIT FEE $ 4‘11.--0
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ SO, CO '
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 5.1 ,Uv t No.`9 �, /
Date EBuildine Official Date 7U ` ' (J.
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372