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HomeMy WebLinkAboutNo 12304 > i w ~ ~ ~~3~4 City of Lakevi le May ,s87 HEATING PERNf1T ~ ~ , 39.50 8c ReCE'Ipt Permit Fee State Surcharge .50 TOTAL FEE PAlD /~O.OO Fredrickson Htg & A/G Permission is hereby granted to .Building on Lot No. 6 Block 1 Subdivision DOdd POinte r n Parcel 22-20862-060-01 in theClTY OF LAKEYILLEtobeusedaspermit t0 install•heatin~ in new construction This permit. is issued on the express condition that the ERECTION ALTERATION REPAIRS ~-INSTALLATION titOViNG -_~EMOLITION 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.. street address ~ 16070 Excel Way Glenn A: Lang©rd, Director, License and Inspection ~~.r~~ , f .CALL FOR INSPECTION - 469-4431 By 1~ %f ~'r ~~~~Cr~a~~ / l v r ~ ~ ~ / ~ / - HEATING. VENTILATION & AIR CONDITIONING PERMIT APPLICATION CITY OF LAKEVILLE INSPECTION DEPARTMENT ~ 8747 208TH STREET WEST P.O. BOX 957 LAKEVILLE, MN 55044 469-4431 DATE' May 5 1987 JOB SITE ADDRESS: 16070 Excel way piD LEGAL DESCRIPTION: LOT: BLOCK: SUBDIVISION OR SECTION: APPLICANT: OWNER OR CONTRACTOR (circle one) OWNER OR BUILDER ; L~JAGNER HOMES zNC. PHONE' 892-3373 STREET ADDRESS• 15011 Oakland Ave s. CITY• Burnsville, ZIp. 55337 MECHANICAL CONTRACTOR;FREDRZCxsoN HTG. & A.c. CITY ID N0. PHONE: 4s?-277 STREET ADDRESS: 4030 Bea ~ D'R ~ r CITY: Ewan ZIP: 551_2` NEW CONSTRUCTION OR EXISTING (circle one) TO INSTALL: HEATING (41):~~ HEATING/AIR COND. (42): AIR COND. (43): FIREPLACE/STOVE (44): GAS PIPING (45):x_ VENTILATION (46):x_ REFRIGERATION (47): POWER PLANT (48): FUEL TANK (49): FOR: RESIDENTIAL:XX COMMERCIAL: INDUSTRIAL: PUBLIC: JOB COST• (commercial only) SYSTEM DESCRIPTION: 1 2 3 4 SYSTEM TYPE: aas fired, forced air heat QUANTITY: l MAKE: LENNOX MODEL: G16g3-75 FUEL: Nat aas ' FLUE SIZE: OUIPUT: 75,000BTU CFM TOTAL: ~ CFM OUTSIDE: TONS: H. POWER: APPLICANT' S SIGNATURE: ~-,t ~ DATE: ~ .-t~ ( HEATING FEE RATES: ' ~ Residential: Commercial: New Construction: $40.00 1010 o~ract cost, up to $10,000 ($39.50 + .50 surcharge) and 1/2~ over $10,000 + .50 Minimum: $20.00 ($19.50 + .50 surcharge surcharge. Minimum of $24.50 + .50 surcharge ($25.00) HEATING, VENT, & AIR COND. PERMIT APPLICATION PAGE 2 OFFICE USE FUEL TYPE: WORK TYPE: (91) NATURAL GAS (81) NEW (92) ELECTRIC (82) ADDITION (93) WOOD (83) REPAIR (94) SOLAR (84) DEMOLISH (95) PROPANE (85) REPLACE (96) FUEL OIL (86) ALTER/REMODEL (87) MOVE REQUIRED INSPECTIONS: ROUGH-IN (64) ' FINAL (65) GAS TEST (69) OTHER (70) PERMIT FEE• HEATING PERMIT FEE: $ , 3 9',~~ SURCHARGE: $ ~~G~ OTHER: $ TOTAL: $ r~Qr f Q APPROVED BY: DATE: