HomeMy WebLinkAboutNo 11632 y~:
April 29 ~ ~s 86
- _ City of LakeviJ1e
-..4fl 1is32
HEATING PE`RMFT
Permit Fee 19.50
Recel pt State Surcharge .50
TOTAL FEE PA1D 20' 0Q j
i
Permission is herebygrantedto ~ /Cliff rd Carter
.Building on Lot No. Block Subdivision Pt Of SeC 20 • 114 .R. 20
Parcel X22-A2000-010-53 Plat
In the CITY OF LAKEVILLE to be used as ~ertn~t to j.nst8.11 17estint~ iri neW ~dd$tian
i
This permit is issued on the express condition that the ,x ERECTION -~4LTERATION -REPAIRS
_~NLARGEMENT ~AOVING -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 LAKEVLLLE, Minnesota and the Stateof Minnesota
pertaining to the construction of buildings.
streetAdaress 2002 Dodd Blvd Glenn A. Lsngord
Director, License and Inspection
Attention is particularly .called to the cutting up of streets, making main sewer
connections, driveways and curbs. Obtain permitforsuch construction from the CITY.
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By
Utilities.
DATE
CITY OF LAKEVlLLE
BUILDING INSPECTION DEPARTMENT - (612) 4b9-4431
I
APPLICATION FrOR HEATING PERMIT
Site Address: ~00~2 .pQc~c~ ~/td~l
Alter Repair
Legal : Lot Block Addition Install _ )C Replace
MAKE ~~'~®ICAfI TYPE OF SYSTEM
SIZE _G'/~ll~'3-~~c
Warm Air Pfonts
CONN, LOAD
Gravity
FUEL ~aT g c-S
rt Mechanical Y
FLUE DIA. a
Air Conditioning
SUPPLY OPENINGS VentSystern
RETURN OPENINGS 7
Heating or Power Ptont
INPUT !3 ~ QQ~
Steam
OUTPUT ~l~C1C3 Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplare•
Plan No. Date
Est. Comp. Dote Est. Cost / ` J v 1 ~ ~ ~ Q
Heating Permit Fee
State Surcharge ~ ~ ~
Total Permit Fees
Owner's Nome ~ ~1"~~/ ( Ctr~'7`C°'''-
Address aC~ ~C~~~Cf ~jy~~
Heating Contractor /lf/~o0~'~i P~/'T Tel.
Zi
Address ~ ~ ~ ~ D
n
a .,...~i`, r~ ® City ~ `tom, p ~
Heating, Air Conditioning, Ventilation 8~ Refrigeration Permit Fee for single family residence in-
stollotion ~ ~ _50 surcharge) ,
Alteration or Repair Min. Fee _ S~ ~ . 50 surcharge ~ _ ~SQ_~- ~
~ _ _ _ - _ _ _ _ $ ~-0 , b-b
Non Residential Fee shall be computed at 1 % of the contract up to $10, 000; for
balance over $20,000 + :50 surcharge. Minimum=$24.50+.50-------_____$
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check for Permits to:
CITY OF IAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.