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Mechanical Permit 13. 0164
5 0 OYS. n 000000 " 0 > E so 5 $ n n 0 § zBk © § Z m m om _no k r ° k k k rn Z� �@� � § §-5 0 r m § 0 7 FojQ @ k k . Cl) It . 00 q ■ ■ - > o CD 5 \ ■ 7 o 0z -4 # �z ( m& 0 r i % % 27 F o . _ .� W t m o 0 o ilir ....N 000000 a § x gym § ` mcg > mr 2 $ o o p Oa -10a03 ;373 , 111 .0 n � 0 _ 7 § % / .0 � . k02,o 0 m . . 0 § 0 o IMI0 r vi>§/ ' m § m �� � � � P 0 2 k 0 C m §0 KC t3 0 . ® 000000 13) i 0 . 230xi 73 0§ ( > a 0 / mm3 ® k A G tm tm0 � mm4 - A -1z & § -1r o 2/8/2016 t NNssolt" Monday, February 08, 2016 Homeowner or Current Resident 4152 BROUGHAM BLVD NE Prior Lake, Minnesota 55372 Re: Building Permit Number 13-0164. 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 (-0,Rro� CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT Vtx 014 l'iti'NEso 1.rink File 2.Green city PERMIT NO. / /474 3.Yellow Applicant i. 401 (Please type or print and sign at bottom) ` ADDRESS `4 i C a 3r0 h G_XYZ VIE E ZONING(office use) ---V 0 or Loac._ - WINSS3 7„Z RIS D LEGAL DESCRIPTION(office use only) 2C., 007 LOT BLOCK ADDITION PID 25 .-0 OWNER (Name) kered Gret r L S, (Phone) #6a- WO. /61) 9 (Address) 7./�a 8roujhat41-1 6/. NE- gve Lecke M 6 S3 Z,C APPLICANT II (Name) "t�yOC�-�- �y� (Phone) '7 '3- ?St" 677/405/ (Address) 93 ao Lam! re. MA-Dcati 1 & den 7:11.4eds 5 7c3 Address) (City) (Zip Code) (Contact Person) doff riAii Z i n ke vi (Phone) 7 ?✓4- 7 6-40y APPLICANT SIGNATURE 41! i�-L... i...--j�.. DATE Dt/445 /APPLICANT P EASE COMPLETE BELOW ['NEW CONSTRUCTION [REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL aa,V`'r; eY 5q 1 P5 A CVO FUEL / raff FLUE SIZE RETURN OPENINGS ©O WO INPUT �Q� O OUTPUT 7(0�t7� TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam ravity ❑Hot Water Units and Fireplaces Cannot Encroach Mechanical ❑Radiation into Required Side Yard Setbacks. :kir Conditioning 0 Special Devices Fireplaces with Box Additions or Cantilevers to the Outside of Buildings ❑Vent.System 0 Other Devices 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 &SW' Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ 4' co STATE SURCHARGE $ 6$, 00 .50- TOTAL PERMIT FEE $ 59 .re) (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 54,,s-0 Receipt No. /_9I p./ 1 D e By �Q t Building Official Date i.? s, 13 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372