HomeMy WebLinkAboutNo 10946 ~pr.i~ t~.s 19 s~~
~.~~46 City of Lakeville
HEATLNG PERMIT permit Fee 15.5!
ReceFpt State Surcharge .50
TOTAL FEE PAID ~ F '
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~':.~"_'~1i7.ilx;!=~~~ 112??~k ~?2"„? `Tt?:r~.;'~?7i> ~ ~•T°v ~.~1'E1f~ >"va~~°~1"
Permission is hereby granted to
Building on Lot No. Block Subdivision
Parcel ~{~~)~.~n~~'~Q_~2~-°:`'3 Ptat
In the CITY OF LAKEVILLE to be used as to tee h ~a~' ink ~y ~tz=~~
This permit is .issued on the express condition that .the -ERECTION ~JILTERATION REPAIRS
ENLARGEMENT -JNOVING -.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 LAKEVILLE, Minnesota and the State of Minnesota
pertaining to the construction of buildings.
21.3~.r~ ~}„d~ ~3~:49~. :^l~r;~a .~a, T..an.~ord
Street Address
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer
connections; drivewaysand curbs. Obtain permitforsuch construction from the CITY
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By
Utilities.
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1~'aTY OlR LAKEVK~! Date : .7•-,~~
. t ~ ~ CITY OF LAKEVILLE.
tAKEVILIf. MSPECTlON DEPARTMENT
APPLICATION FOR. HEATINGPERMIT
Site Address: _ oZ..~,~/® ~pf(~C~ ,~f~p~ Alter
Repair
Install Repair
Legal: Lot Block Addition
MAKE L~~~ TYPE OF SYSTEM
SIZE G/'S` ~5'C7
Warm Air Plants
CONN. LOAD Gravity
FUEL c~?aS
Mechanical ~
FLUE DIA. ~ ~~C
Air Conditioning
SUPPLY OPENINGS .Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~dQ
OUTPUT ~ C~`Q Steam
Hot Water
EDR
Radiation
CFM ~
Special. Devices
Other Devices
Plan No. Date
Esr. Comp. Dote Fst. Cost Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees
Owner's Name ~`f~fr~ nn~ ~ ~ ~j ,
Address- - aZl3,/y .[./l~r~ ~fU~
Heating Contractor ~ ~~Cr7[",~•.-, / Telephone • °-~g:2
Address ~~~Al°i:~Yi ~i~t City Zip s~~~~
Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence- in-
stollotion ($29._50+. SOsurcharge,______
-
Alteration or Re air Min. Fee ~~L~.SQt._SOsurtha.r _______~_______~6 - ®Q
p
Non. Residential Fee shod be computed at 1 % of the contract _ ~~2tc , 50+. 50 surcharge ,Minimum)
Gos Piping. Fee for each installation-
Included
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M _
Lakeville, MN 55044