HomeMy WebLinkAboutNo 11665 ~ ~ , s
Cit. of Lakeville
Y
T~ ~.16fi5
- - HEATING PERMIT
Permit Fee 39.50
ReCel pt. State Surcharge .50
TOTAL FEE PAID . ; 4O. fl~
Permission is hereby granted to V81~@y Aires/Ca11e~e City Gon~truct~:on
Building on Lot No. R Block Z Subdivision Dodd Fcti~ntei
Parcel 2~-Zi~85®~-t~$4°OI. Plat
In the CITY OF LAKEVILLE to be used as r e~ ~ ;@ts~; ~~~t~~p~; ~g~y Ep~~g~~~t=~®~
Thfs'permit is issued on the express condition that the _X_ERECTION -ALTERATION -REPAIRS
ENLARGEMENT _11AOVING -~?EMOLITION respects to the statements certified to in the application for
such permit, and that ail 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 lhil3l E.~celsior l?r{va Glenn A. Lan~ord`
Director, License and Inspection
Attention is .particularly 'called to the cutting up of:.streets, making main sewer r
connections, driveways and curbs. Obtain permitforsuchconstructionfromtheClTY ~ r ~
i OF LAKEVILLE.InspectionDepartmentNotResponsibleForAnyDamagestoPublic By
Utilities:
I,
. -
DATE ~ ~ 1
CITY OF LAKfY1LLE ~'i'
SU1LD(NG INSPECTTON DEPARTMENT - (612) 469-4431
APPl.ICATIQN ~flR HEATING PE~?tvI1T
site Address: ~ tom' ~-3r.-
Alter Repair
Legal: Lot Block Addition lnstoil _ Replace
MAKE ~ TYPE OF SYSTEM
' SIZE
Warm Air Plants
CONN. LOAD .~~1 ~ ~ ~ Gravity
FUEL
Mechanical
FLUE DIA. ~ ~'i
_ Air Conditioning
SUPPLY OPENINGS ~ Vent Srstern
RETURN OPEi~J1NGS ,
Renting or Power PIoM
INPUT -
Steam
OUTPUT C_vGT.:~3
a
Hot Woter
EDR
Radiation
Ci=M
Wood-burning Stove:
IlCommercial • Wood-burning Firepla.ca
~~ian No. Dote j~4"
I~_st. Comp. Date ~ L-~-~ Est. Cost S .3 ~ , v
Heating Permit Fen
State Surcharge S
Total Permit Fees ~ ~
IOwner's Name ~ ~ ~ ``6-~~ 4=~~t ~
e ~ .
Address ~ ~a~
~
~
~ ~t
Tel.
Ideating Contractor = '
_ .
Address ~ ~ ~St~ L~t~ ~ City _ : ry - Zip ~~,=3 ~ 7 t:.
Heating, Air Conditioninq, Ventilation 8~ Refrigeration Permit Fee for single family residence in-
stollotion 39 50 + .50 surcharge) d
Alteration or Repair Min. Fee_Si~•~0 ~ _.50__s_u_rc_h_a_rge~_____________________~
Nan Residential Fes shell be computed at 1 a of the controct up to $I0, 000; ~7 for
balance over $10,000 + ;50 surcharge. Minimum=$24.50+.50_--_________$
(GAS PIPING INCLUDID)
Send application and heat loss calculation with check for Permits to:
CITY OF LAK»/1LLE
Glenn A. Barre) Lan ord
( 9 g
Ins ectian De artment Noti
P P ce:
Plumbing & $eating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.
i