HomeMy WebLinkAboutNo 11892 {
September 9 ~ , 19
,~,ta City of Lakeville
i$92 HEATING PERMLT 3~.so
Permtt Fee .
8r Recel pt State Surcharge .50
TOTAL FEE PAID 40.40
...Permission is hereby granted to-
Building on Lot No. Block ~ Subdivision Odd Pn{ n4~n
Parcel X22-20$bn-05Q-02 Plat
In the CITY OF .LAKEVILLE to be used as ~~rmi r t•o install heating n new cbnstruetion
~ This permit is issued on the express .condition that. the ~~RECTION -ALTERATION _~EPAIRS
-ENLARGEMENT -JVIOVING DEMOLITION respects to the statements certified to in the application for
i
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 161,22 Excelsior Drive Glenn A. La>~8ord
•Director, License and lnspectiorr
Attention is particularly called to the cutting up of streets,'making main sewer p
connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY' ~ ? /
OF LAKEVILLE.,Inspection Department Not Responsible For Any Damages to public By ~ td rrr
Utilities:
:vi
DATE BY
r
DATE " ~ '
C7~Y OF LAK c~lILL~
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
AI'PLICATIQN FOR HEATING PERMIT
Site Address: ~~''~LSfi~~ ~~7~
Alter Repair
Legal: Lot Block Addition Install Replace
MAKE ~`,~~121~t2.
TYPE OF SYSTEM
SIZE _ -~~>GS~7`~ ~2- Worm Air Plants
CONN. LOAD ~ % Gravity
FUEL I.~ArTt,I~L,. Gl4-S Mechanical
FLUE DIA. Air Conditioning
SUPPLY OPENINGS ~ Vent System
RETURN OPENINGS ~ Heating or Power Plant
INPUT 75 >C~~~~--~
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM ~ ~C`~~--%
Plan No. Date
Est. Comp. Date ~ ~ Est. Cost ~C~ ,~Z'
Heating Permit Fee
Commercial: Contract Amount $ State Surcharge
Total Permit Fees ~ ~
Owner's Name _ 1Z5N1 ~C?BU~~
Address "774~~ L,f~%~/~ %~S~"N ~i
= d~ /4f~L~ L''~u'~~
Heating Contractor ~td(~/~ U~ll~ l-~TLi A-i2 • Tel . " C~~ ' C~c~o
Address ~ t,%, i~~~ city ~U 1Z1.~ti Ie-i.~ Zip ~S
Heating, Air Conditioning, Ventilation Refrigeration Permit Fee for single family residence in-
stoilotion $39.50 + _50 surcharge)
Alteration or Repair Min. Fee_5.~19•50 ~ _50 surcaarge~______________________$
Non Residential Fee shall be computed at 1 % of the contract up to $10, 000 ; ~I for
balance oven $10,000 + :50 surcharge. Minimum=$24.50+.5~___________$
(GAS PIPING INCLiJDED)
Send application and heat loss calculation with check for Permits to:
C9TY OF LAK~/ILLE
Glenn A. (Barneq) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.