HomeMy WebLinkAboutNo 11320 I
' "a a ~ 19
t ~
~ - City of Lakeville
HEATING PERI~AIT ~t'•~.~.
Permit Fee
ReCel pt State Surcharge .50
TOTAL FEE PAID • L~r~
f ~tR'-.rt~ ].a~~: "-~.Y' ~ ,'i:_S1i1.,..., r~,.rya.~. T. t~,;.l£'a`S
Permission is hereby granted to
Building on Lot No. Block Subdivision i rf<<` ''r' "f n t
Parcel ~ ' Ptat
In the CITY OF LAKEVILLE to be used as ' ~ ' ~ ~ L ' ~ ' ' ' " ~ ~'r' ~ ~ ~"f' ~ .i
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.
e
Street Address - . ~ " - x C~ ~ . ~ c ~ r%
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer
connections, driveways and curbs. Obtain permitforsuch construction from the CITY
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By
Utilities.
- DATE `7 - l~
~a-~ CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - {612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address: ' (p 4 ~ ~c ~ S~ C:. ( ~ C ~ ~
~ ~ ~ i ~Iter Repair
Legal : Lot Block Addition i°~e= G stall%'~ Replace
MAKE ~ ~c~~'~--
TYPE OF SYSTEM
SIZE ~ a
Worm Air Planfs
CONN. L®O~AD , Gravity
FUEL ~c-~.
~ I Mechanical
FLUE CIA. ~ s-~ Air Conditioning
SUPPLY OPENINGS t
Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~ ~ ~ ~ ~
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplar~
Plon No. Date
Est. Comp. Date Est. Cast Heating Permit fee t~~ ° ~ U
State Surcharge ' `'~U
Total Permit Fees ~ ~
_ ~ r
i Owner's Name ~~s ~ ~ ~ r`'
I Address
Heating Cont ctor ~ ~ ~ ' ( i``; ~ ~ Tel . t~ t r; C''; <n C ±
~ t Zi LSD-
Address ~1 , E ~ ~ ~F' l._._._.~ ~ .J ~ City . c ~3~y r ~ P
I
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
i stollotion ($29_SQ + _50 surcharge)
Alteration or Repair Min. Fee _ Si15 . S 0 ~ _ 50 surcharge) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
Non Residential Fee sho!! be computed of l % of the contract up to $10, 000; ~Z% for
balance oyez $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.