HomeMy WebLinkAboutNo 11425 _ _ ,
• ~ Iwo City of Lakeville
HEATING PERMIT '~.G;C;?
Permit Fee .
8t ReC@) pt State Surcharge •50 i
TOTAL FEE PAID • °.•a~
Permission is hereby granted to wen2eY `iec~aan3.cal,T~f"r~i~ ~ i ~~ier~.
Building on Lot No. 3 Block 1 Subdivision poirtte
Parcel alLT-w1t'f~}°~i:j{~-~~'~ Piat
In theClTY OF LAKEVILLE to be used as -r °`'naif• in~tai' "n 7~in^, in cnn~t'ri~CYinr
This permit is Issued on the express condition that the -ERECTION -ALTERATION REPAIRS
-ENLARGEMENT ~AOVING -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.
C~6
Street Address ~+~':±'`•i T'xcw'~#r; r• ?~?ri~xra !'?ern Laxxno~c~
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ~
connections, driveways and curbs. Obtainpermitfo~suchconstructianfromtheClTY
OF LAKEVILLE. Inspection Department Not Responsible For AnyOamagestoPublic By ~ ~
Utilities.
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^ ~ A,~ t
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~ ~ , ~ DATS ~ 7
i CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Addxess: 1(, 0 ~ ~n^l~~ ~
..k1
Alter Repair
Legal: Lot Slack Addition Install Replace
MAI< TYPE OF SYSTEM
slzE
Worm Air Plants
CONN. LOAD Gravity
FUEL Mechanical
FLUE DIA. ~ I Air Conditioning
SUPPLY OPENINGS $
Vent System
RETURN OPENINGS Heating or Power Plant
INPUT S 0 j e--a--~
Steam
OUTPUT Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplang•
Plan No. Date
Est. Comp. Date Est. Cost ~-a 0 d • fl--~ Heating Permit fee ~ 9 ' ~ b
State Surcharge ~ ~
Total Permit Fees ~ ~ ~
Owner's Nome~~~.~c
Address~"~' ~~-~3--~-~ ~I
~RS.-v r ,
Tel. ~ `J a Y ! S ~o
Heating Contractor
Address .'S~o ti 4 ~~~n ~ , City Zip ~ a. ~
U
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
stallation ($29.50 ~ _50 surcharge) 3,0 ~ ~
Alteration or Repair Min. Fee_S$15.~0 ~ _50 surcharge)
Non Residential Fee shall be computed at 1 % of the contract up to $10, 000; for
balance over $10,000 + :50 surcharge. Minimum=$24.50+.50-------____-$
(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 & Heating Inspector Box 957 Call for inspection when
~ Lakeville, MN 55044 work is completed.