HomeMy WebLinkAboutNo 12175 t _
_ ,
F ,
T arch 9 87
~ ~2~.~~ City of Lakeville 19-
HEATING PERMIT
39.5Q
Receipt Permit Fee
State Surcharge .50
TOTAL FEE PAID 4~'(~0
Controlled Air/Ratzlaff Constr.
Permission is hereby granted to
Building on Lot No. 10 Block 2 subdivision Dodd Pointe 3rd Addition
Parcel 22-208b2-IQO-02
intheClTY OF LAKEVILLEtobeusedas Fermit t0 install heating in new construction
This permit is issued on the express condition tha! the -ERECTION ALTERATION. REPAIRS
-INSTALLATION MOVING DEMOLITION respects to the statements certified to in the application for ,
such permit, and that ati work shall be done in accordance with the Ordinance of LAKEVN_LE, Minnesota and the State of Minnesota
pertaining to the construction of buildings.
Street Address 1b013 Expel Way Glenn A. Langord
Dlrecfor, License and Inspection
J # 7„
CALL FOR INSPECTION - 469-4431 ey
~I
i
DATE ~ ~~L ~ b~-,
CITY OF LAKEVILLE
APPLICATION FOR HEATING PERMIT
Site Address: ~ V / ~ C.
~ Legal: Lot Block Ad tion
Owner's Name : ~ -a:~ . Phone
Address: City Zip
Heating Contractor : '~pj ( ,~Q,t.a~1 Phone : ~ ~ ` ~
Address: ~ ~ ~ -
~ city Yv _Zip ~ ,
New canstrnction; Install l~~...,
Misting structure: Alter Repair Install Replace
TXPE OF SYSTEM:
SIZE _ ~c~./?~? Warm Air Plant
CONN. LOAD Air Conditioning
FUEL ~~:t~,/r Vent System
FLUE DIA. ~~"~~if~ Heating or Power Plant
SUPPLY OPENINGS Ll
RETURN OPENINGS
HEATING FEE RATES:
INPUT /~(eC; Residental:
New Construction: $40.00
OUTPUT 5 j1~±Z, ($39.50 + .50 surcharge)
IDR Minimum: $20.00
($19.50 + .50 surcharge)
~ i~~~
Commercial:
1% of contract cost, up to
HEATING PERMIT FEE: $10,000 and over $10,000
+ .50 surcharge. Minimum of
SURCHARGE: ,tia ~ ~ $24.50 + .50 surcharge($25.00).
TOTAL PERMIT COST: ~ Commercial contract
AMOUNT:
Send application and heat loss cafculotion with check for Permits to:
C:TY t~F LAK~lfLL~
Glenn A. ($arney) Langord Inspection Department Notice:
Plumbing ~ Heat{.ng Inspector Box 957 Call for inspection when
Lakeville MN 55044 0
~ W rk is e
compl ted.
469-4431