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2/8/2016
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Monday, February 08, 2016
Homeowner or Current Resident
3 091 SPRING LAKE RD SW
Prior Lake, Minnesota 55372
Re: Building Permit Number 12-0875. We request your help.
In review of the building permit files, it was discovered there is an open permit for a
Furnace at the above address. Please call by Monday, February 22, 2016 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 of 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
O� selz.to4, CITY OF PRIOR LAKE
s HEATING/AIR CONDITIONING/FIREPLACE PERMITDate Recd
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4fjAWEs00 I. P nkFile
2. GT„,, eqy J PERMIT NO. /Z , 0 -7-4, -
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(Please type or print and sign at bottom) 3. Yellow avplicaat
ADDRESS
" o�j'1 `C rwr ti41::i; a
ZOIv�I�'i(office use)
11J�
LEGAL DESCRIPTION�(office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) A-1( 1 rL4 VIA e--62 r
,t - (Phone)
(Address) 309/ Gig
(44-- F-C--Sc •
APPLICANT -
(Name) ( l 4 fI' ne •
(Address) s : /i.�
ii
1 g- [Jig g`l�.�
�� /Z
„ � (Address) (cit�1
�� (Zip ode)
(Contact Person) (Phone)lam` 21 ` •
APPLICANT SIGNA
DA I'E
APPLICANT PLEA E COMPLETE BELOW '
❑NEW CON RU `ION '51 ' PLACEMENT 0 ALTERATIONS
FURNACE MAKE ND MODEL bG 1! // �, /1 � 5 / /� ,(
FLUE SIZE (I - V FUEL /l/ �Sy-
RETURN OPENINGS INPUT 7 !/1P�/ 1 OUTPUT0W
TYPE OF SYSTEM HEATING OR POWER PLANT WlJ
atm Air plants 0 Steam PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
❑Gravity
0 Hot Water
into Required Side Yard Setbacks.
0 Mechanical
tr Conditioning ❑Radiation
0 Special Devices Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
tent.System 0 Other Devices
FIREPLACE MAKE AND MODEL Require a Building Permit.
Industrial,Commercial&Multi-Famila FEE SCHEDULE
Y 1/o of job cost Residential,Gas Fireplace
$49.50 minimum $49.50
Residential,Heating&AJC(New Construction) $149.50
Residential,Heating Only(New Construction) $64.50 Residential,ACCdOnly Residential,Additions&Alterations $49.50
$49.50
Estimated Cost$ Building Permit #
/� The Minnesota Statutes*32613.1.18HEATING PERMIT FEE $ 7 �r "SURCITARGE"has been changed tar one
STATE SURCHARGE $ ` 0 2 year effective
TOTAL PERMIT FEE July minimum
1, surcharge
until a"e e fe20t 1.
(Office Use Only) $ ti�� ��, The minims , for a"tisett fee''permit
is.`S,beginning.Ally f.2019
This Application Becomes Your Building Permit When Approved Paid
3A S Rec= . No. 64 707
Ruildine Official Date,
Date j /L ,.y .
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 /
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372