HomeMy WebLinkAboutNo 10365 103=~~ ~ ~ ~ _ : ~gZ
City of~Lakeville~
Permit..
HEATING PERMIT PertrdtFee.........: 29.so
& 3teceipt State 5urchorge..... .50
TOTAL FEE PAID . 3~ . 00
Permission is herby granted to Control].e~ AiT ~ Joseph ?~1i11+'r.
Building on Lot No. flock - Subdivision Pert of_ Sec. 15, R.2fl,~:~n.114
Parcol,~22-O1hiJ~-Old-Ol Plat
inthe CITY OF LAKEVILLE to be used as Permit to insta~.2 heating. in Hess construction.
This permit is issued on the express condition that the.ERECTION .-ALTERATION -REPAIRS
-ENLARGEMENT -MOVING (DEMOLITION respects to-the statements certified. to in the application for.
such permit, and that all. work shall be done in accordance with the Ordinance of L.AKEVILLE, Minnesofa and the State
of Minnesota pertaining to the construction of buildings.
Street Address .1$133 Cedar Avenue Glenn A. T.angord
Dirtetor, License and Inspection
Attention is particularly called. to the cutting. up of streets; making main .sewer , i " t.E-l~
i n rivewa send curbs. Obtain ermit for such construction from the CITY ~G '1~ E,.,-~ ; : c-
connect o s, d y p ) ? ?
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~ ' ~
Utilities.
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t.AKEY1LLle~ fdN 66014 Perrnit No
CITY OF LAKEVILCE
BUILDING INSPECTION DEPARTMENT - 469-4431
APPLICATION -FOR HEATING PERMIT
Site 1 ~,'t 3.a e.c car ~v ~ S Alter Repair
Address Lot Block Addition Install ~ Repair
MAKE _
TYPE OF SYSTEM
' slzE ~ - `5C` CC' C?
Worm Air Plants
CONN. LOAD
Gravity
FUEL ~ .
' t r Mechanical
~ FLUE ®IA. ~ -
Air Conditioning
SUPPLY OPENINGS - ~ ~
~ Vent System
RETURN OPENINGS ~
INPUT _ ~ ls% C~C~~` Heating or Power Plant
Steam
OUTPUT ~ ~ ~ G~
Hot Water
Er3a
~ • - Radiation
CFM
Special Devices
Other Devices
'~i
pn No. Dote
~t. Comp. Dote Est. Cost Heating Permit Fee ~ ~ ~ ~
Gas Piping Permit Fee
Total Permit Fees ~ ~ .G
wner's Nome ~ ~ r~1 e ~ \ t' ~ C' C..~
Address
sting Controctor~ C1V1~~ ~ 1`\,t
_
Address . ~ ~ t r ~ ; ~ ~c ~ r'~ '~1 ~ !1
5 ~ ~ '7
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
AlterntionorRepairMin. Fee_________________________________~________$
Non Residential Fee shall be computed at 1 % of the contract _ _ _
Gos Piping Feeforeachinstallotion______________________________________~
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Lakeville, Minn. 55044 _ BoX M