HomeMy WebLinkAboutNo 12089 - -
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7~ _ ~ Cit of Lakeville .
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HEATING PERMIT
Permit Fee 39.50
& Receipt
State Surcharge •5Q
TOTAL FEE PAID 40.OD
Genz-Ryan Heating/Sons Constr.
Permission is hereby granted to
Building on tot No. 1 ~ Block 1 Subdivision Dodd PO1ritG'
Parcel 22-20360-170-01
in the CITY OF LAKEVILLE to be used as _ permit to install heating in new construction
This permit is issued on the express condition that the ~~RECTION ALTERATION REPAIRS '
X INSTALLATION _~IAOVING _~EMOLITION respects to the statements certified to inthe applFcatiorrfor
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 1ti219 Excelsior Circle Glenn A. Langord
Director, License and Inspection
CAL - -
L FOR INSPECTION 469 4431.,,, By 1
I~'
I
v `p~~
DATB
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR I-I~ TIN PERMIT
G
Site Address: ~ G
Alter Repair
Legal: Lot Block Addition Install 1~ Replace
MAKE TYPE OF SYSTEM.
SIZE ~~s-x°7,5` ~ ~?.S:,c>cx~ T~~
Warm Air Pfants
CONN. LOAD /~o~ Gravity
FUEL 6Y% `T~.
Mechanical ~1~7;,
o
FEUE DIA. Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS
Heating or Power Plant
INPUT ®hf~ Steam
OUTPUT ~
~ U v
Hot Water
EDR Radiation
CFM _ ~ 5
~ ~ s ~'f~
Wood-burning Stove:
Wood-burning Fireplace•
Plan No. Dote
Est. Comp. Date Est. Cost .J~
Heating Permit Fee
State Surcharge
Total Permit Fees
Owner's Nome-~2 { ~n_~~?G~-~~~°'r?
Address
Tel . ~
~ - ~ ~ ~i ~
Heating Contractor
Address ~ ~ City ..rsti p
I
Heating, Air Conditi Wing, Ventilation $ Refrigeration Permit Fee for single fornily residence in- ~~„r
+ 0 su
39.50 .5 rchar e
st Iloti )
~ o On
-------------------------------5
Alteration or RepoirMin. Fee_Si15.50_± _50 surcharge)
Non Residential Fee shall be computed of I % of the contract up to $10, 000; for
balance over $10,000 + :50 surcharge. Minimum=$24.50+.5Q-___________$
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
~ Plumbing 14 Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.