HomeMy WebLinkAboutNo 11443 ~ b Ci y of Lakevi I le
HEATING PERMIT permit Fee
Revel pt State Surcharge •50 i
TOTAL FEE PAID
F~p~.~ ~ ~ r i;.;1.T.7 G;a 1. ~ i~"r0~-.s f;IS.i ~_"~l-?7".~
Permission is hereby granted to _ ~ _ `
Building on Lot No. Block `a Subdivision +~8 { ;
Parcel n•;~.~.'7~ Plat
JntheClTY OF LAKEVILLE to be used as r`~~" .i~ ~i ~ ~'x~ Sri ~~^-r ~ s~-~,r°>*~ t~ra°~~
This permit is issued on the express condition that the_.. ERECTION ALTERATION -REPAIRS
ENLARGEMENT -JIAOVING -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.
Street Address ~ ~ v
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer
connections, driveways and curbs. Obtain permitforsuchconstructionfromtheClTY ' ';p r'
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By iY••l~' v' j,=-' t~K`'`~'f~~'~
Utilities.
~
DATE '
DATE _ ~ a.+ oZ.a ~
CITY OF LAKEVILLE
,r~'i BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address: f (D ~ ~ r] q ~ 1
Alter Repair
Legal : Lot _ Block Addition Install Replace
TYPE OF SYSTEM.
SIZE -
Warm Air Plants
CONN. LOAD Gravity
FUEL
Mechanical
FLUE DIA. t9 Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Renting or Power Plant
INPUT ~ ~ ~ b--s--b
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Wood-burning Stove:
Wood-burning Firepla~~•
Plan No. Date _r_._____.____.
-Est. Comp. Date Est. C;~st I 0 0 ~ O d
Heating Permit Fee ~ ~ ~
State Surcharge • ~ ~
Total Permit Fees ~ ~ 0 • ~ d
~
Owner's Nome C o
' Heating Contractor _ Tel. t.~ $ a, 1 'S lo'~
Address ~ to O y nfl n ~~_~tc~ . City a Zip 5 1 ~ Z._
l1
i Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
stollotion $29.50 + _50 surcharge) Q, Q('~
Alteration or Repair Min. Fee_5~15.50 ~ _50 surcharge)
Non Residential Fee shall be computed at 1 ~o of the contract up to $10,000; for
balance oven $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.