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HomeMy WebLinkAboutNo 11825 ~ ~i - Tca City of Lak 1.i$2 w - . 39 5 HE~#TING PERMIT Permit Fee • © ~ State Surcharge ,50 & Receipt TOTAL FEE PAID _ bQ:00 Permission is hereby granted to W n H~ ~..1 ^ ~ ~ W1 Aarars Tn r Building on Lot No. ~ Block ~ Subdivision~dA Fni ntw Parcel ~~22-20860-060-01 Plat In the CITY OF LAKEVILLE to be used as o~ru it o 1 nst~ll~h~J.B.Ling { n~.1Qw rnnBtrr~r t-1 nn This permit is :issued on the express. condition that the X ERECTION dLTFRA~tQN -REPAIRS -ENLARGEMENT _JIAOVING --DEMOLITION respects tWfthe statements certified to in the application for such permit,. anti that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota .pertaining to the construction of buildings. Street address ~ ~ ~ 03 Excelsior Drive Glenn A. La~~,ord Director, License and Inspection :Attention is particularly called to the cutting up of streets, .making main sewer connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY r'° OF LAKEVILLE.Inspection. Department Not Responsible For Any Damages to:Public. By - Utilities. ?o -fig'--8,6 DATE _ 7/~/~ CITY OF LAKEVILLE BUILDING INSPECTION DEPARTINENT - (612) 469-4431 APP~tCATiON FOR HEATING PERMtT Site Address: f d~ ~X~CtCS'~r1~ Alter Repair Legal : Lot Blocic Addition ~c'~i~ Install _ Replace MAKE f~:~~~ TYPE OF SYSTElv1 SIZE =~Li~ o~ Warm Air Plcnts CONN. LOAD Gravity FUEL _ /lI/a-'T": C~~ Mechanical FLUE DIA. _ ~ Air Conditioning SUPPLY OPENINGS U Vent System RETURN OPENINGS r Heating or Power P1oni INPUT ~?Ut~ Steam OUTPUT D~' Hot Water EDR Radiation CFM ~ ~ t+ :ommercial: 'on No. Dote st. Comp. Date Est. Ccst S ~ ~ Heating Permit Fee _ State Surcharge ° ~ 4~ ~ iota! Perrtsit fees ~ ~wner's Nome ~~-17 ~ ~7`,~~~ -r~7 Address ~SS~3 ~'''`~i 19'tJ~z - 5'Z`- - leating Contractor W E N7.. ~ L Tel . Address HEATING AND A,';-' ~'rTPUNINQ City Zip EAGhi~, ; i~2 Heating, Air Conditioning, Venffatiori`'$ Refrigeration Permit Fee for single family residence in- stailation ~ 39_50 ~ _50 surcharge) _________________________5 Alteration or Repair Min. Fee _.(Si~9_•5~ ~ .50 surc~arge~________ Non Residential Fee shall be computed at 1 °'o of the contract u to 10 000 • ~7. far P $ > balance over $I0,000 + :50 surcharge. Minimua=$24.50+.5~___________$ (GAS PIPING INCLUDED) Send application and heat loss calculation with check for Permits to: CITY OF LAKE~JILLE ~ Glenn A. (Barney) Langord Iaspectian Departaeat Notice: Plumbing & Heating Inspector Box 957 Call for inspection whey ~ Lakeville, MN 55044 work is completed. (469-4431)