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HEATING PERMIT 13-1386
• • DATE TIME ' CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED . -----_ /� 97 ADDRESS - at 41,14k- (-1/if ' OWNER CONTR. PHONE NO. PERMIT NO. 0 PLUMBING RI 0 EXIGRADIFILLING ❑ FOOTING 0 MECH RI 0 COMPLAINT 0 FOUNDATION0 WATER HOOKUP 0 FIREPLACE RI ❑ FRAMING❑ FINALION 0 SEWER HOOKUP 0 FIREPLACE FINAL ❑ 0 PLUMBING FINAL 0 GASLINE AIR T ST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: 11111111111111E!HIM OMi, , . f' IIq jj I Fi fl 0 WORK SATISFACTORY,PROCEED 0 CORRECT ACTION AND PROCEED . ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Owner/Contr. Inspector. _ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! JN5NOT1 i ©. PRio� CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT z U to 1.Pink File PERMIT NO. /I 4INNEsO 2.Green City r/3 -/.3 KKII�/ 3.Yellow IApplicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) .5777 ��V(1 /::)41, rCa ft LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �/ — X63 7 7 (Name) / v r /c?0P�� (Phone) �O�Z (Address) / C-/ 7 .lrJearl Afe,k. ----Rad_ PL ANT? W d 4/C, (Phone) 9C-2— v`3`C 77 7? (Name) t"�47,f�0 �,G`�/r a4.1., Phone (Address) 7 C.Ag a sh r '� Ave- 5'i Q (Contact Person) Do 9 ZOYj/t44M Zeit- (Phone) 'CZ —8/e/e -`-318 APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 0 REPLACEMENT 7.1 ;LTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN 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 0 Hot Water into Required Side Yard Setbacks. in-Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑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 $49.50 Residential,Heating Only(New Construction) $64.5¢ Residential,AC Only $49.50 Cost$ 1(y, 50 Building Permit# HEATING PERMIT FEE $ lig 57) STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ s'y $2' This Application Becomes Your Building Permit When Approved Paid Sy J/) Receipt No. 7d5-A3 Building Official Date Date 1�� �9 03 By 24 hour notice for all inspections (952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 2/8/2016 /4131171- N\ + ti � 1V 1•1&EsO1A Monday, February 08, 2016 Homeowner or Current Resident 15197 WOOD DUCK TRL NW Prior Lake, Minnesota 55372 Re: Building Permit Number 13-1386. 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