HomeMy WebLinkAboutNo 12217 . ~
f,
. ' _
} ,v
~2~1"~ .City of Lakeville April i, ,ss
HEATING PERMIT
39.50
8e ReCelpt Permit Fee
State Surcharge _ :50
TOTAL FEE PAID 40.00
Lakeville Pluz~bing ;Heating/Roxberg Homes
.Permission is hereby granted to
Building on Lot No. 2 Block 2 Subdivision- Dodd PointeXB~t 3rd Addition
Parcel 22-20~b2-020-02
in theClTY OF LAKEVILLEtobeusedas Permit to install heating in new construction
-This permit is issued on the express condition that the ERECTION ALTERATION. -.REPAIRS
INSTALLATION MOVING riEMOLITION 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 26085 Excel Way Glenn A. Langard
Director, License and Inspection
CALL FOR fNSPECTION - 469-4431 Bye
DATE
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATIONN FOR HEATING PERMIT
Site Address : ~ ~ ~ ~
s~, ;ay Alter Repoir
Legal : Lot Block Addition ~ ~ ~~`lnstoll Replace
MAKE ~/I ~°ll~'r~ TYPE OF SYSTEM
SIZE %J~ Worm Air Plonts
CONN. LOAD Grovity
FUEL ~A~" Mechanical
~,,a
FLUE DIA. Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS ~ Heating or Power Plont
INPUT 7-'~~~'~
Steam
OUTPUT
Hot Woter
EDR ,
Radiation
CFM f~ ~
Wood-burning Stove:
Wood-burning Firepla.c~•
Plan No. Date _e_~.__
Est. Comp. Date Est. Cast Heating Permit Fee
State Surcharge
Total Permit Fees
~ Owner's Name ~ - ~ ~
Address Gj G' . ~t ~1~~
Heating Contractor ~ .ice Tel.
Address ~s` _ ~ City 1'~~-f', _ Zip
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in- ~
tll ~ ($29.50 + .50 surchar e)
s a anon _
Alteration or Repoir Min. Fee_5~15.50 ±__50 surcharge)
Non Residential Fee shot) be computed at t % of the contract up to $10,000; ~iy for
balance oven $10,000 + :50 surcharge. Minimum=$24.50+.50____________$ `
GA G INC UD
( S PIPIN L ED)
i Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.