HomeMy WebLinkAboutNo 11251 a
:1.25. Febriza-r~ 20,
Cityof Lakeville _ 19~
1
HEATING PERMIT PermitFse 29.:,f~
' & Recei pt state surcharge so
I TOTAL FEE PAID 3~1. Cl£~
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Permission is hereby granted to J•~idkin ~ I3t ~ ~ Al r "on<~ / 4 t: flz~ f i t 3?o~xF s
Building on Lot No. 1} Block ~ Subdivision Do d ~ Pc~ 3 n t A
.Parcel i!E?2~'~t1~3~~--~4~-''?; Plat
In theClTY OF LAKEVILLEtobeusedas ~ern~-t 3~p i.n~t~~ 1 ~'~~+-tiny izi new s^on~;i•rzrrtinn
This P rmit is issued on the express condition that the _ ~ ERECTION _JILTERATIONREPAIRS
~E1RGEENT ~ -.DEMOL"~IUN respects to the statements certified to in the application for
such pe it, and tt gll work~shaR be done in accorda~th~he Ordinance of LAKEVILLE, Minnesota and the State otMinnesota
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d~es,~,~..~...^^-.--~--~- , " , ~ . .g.,Ji~~ l~nn A. 1.An~nr~'
` Director, License and Inspection
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i ~ t t-,
tendon is pa icul y'~al~ed to a cu ng uP of streets making main sewer
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c ~ dri ways and curb ObtaiR,PermitforsuchCOnstr 'onfr m T ~ AI
OF A E 'tpspectron t3~ Ot gnsihle F i~ By
Utilities..
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DAT$ ~ ~
CITY OF LAKEVILLE
BUILDING INSPfCTION DEPARTMENT - (612) 469-4431
APPLICATION R HEATING PERMIT
Site Address: ~ ' w!! "~'i ~ -
Alter Repair
Legal : Lot _ Bfock Addition Install Replace
MAKE ,L i~~~y~~ TYPE OF SYSTEM
SIZE - "
T ~ ~ ~`l Warm Air Plants
CONN. LOAD Gravity
FUEL
Mechanical
FLUE DtA. Air Conditioning
SUPPLY OPENINGS
Vent System
RETURN OPENINGS Heating or Power Plant
INPUT
Steam
OUTPUT
Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplace•
Plan No. Date
Est. Comp. Dote Est. Cost Heating Permit Fee
State Surcharge
Total Permit Fees
r°~ 7
Owner's Name ./r~~~.~ ~"Y"Y'
~ Address ~ / r' _ P
Heating Controcto - Y~ / : " Tel. ~ ~ /
Address ~ ~ ~ ~%~a City ~ ~~if: ~ Zip ~
Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence in- ~ ~
stallotion ($29.50 + _50 surcharge)
Alteration or Repair Min. Fee_S~I5.50 ~ _50 surcharged______________________$
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+.50!
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspectian Department Notice:
.Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed. I