HomeMy WebLinkAboutNo 11962 ~ ''t ~ \
~,T~ ~~~6+G y O~ ~ ~ R~ ~ October 13, ~s~6
o
HEATING PERMIT
& Receipt ~ Permit Fee 39.50
State Surcharge .50
TOTAL FEE PAID 40.00
Permission is hereby granted to Genz-lt~tyn j Sons Coristr
Building on Lot No. 14 Block 2 Subdivision Dodd Pointe
Parcel 3~%%Sffi1~X ~t22-20RFi0-140-02
in theCiTY OF LAKEVILLE to be used as Permit to install heating in new construction
This permit is issued on the express condition that the ERECTION oLTERATION REPAIRS
~ INSTALLATION MOVING 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 16210 ~`xcelsior Drive Glenn A. Lanford
Director, License and Inspection
f • ` f'
CALL fOR INSPECTION - 469-4431 By ,C~~,k1
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DATR ~/fD~B~
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPUCATlON FOR HEATING PERMlT
Site Address: /-,T-p~/~ ~'~(_'~'ts~~i2 ~iQ~ d t
Alter Repair
Legal; Lot Bfock Addition lnstoll Replace
N~AKE _~~/f/
SIZE 7~ l~00 TYPE OF SYSTEM.
Worm Air Plants
CONN. LOAD Gravity
FUEL
Mechanicoi
FLUE DIA. Air Conditioning
SUPPLY OPENINGS Yent System.
RETURN OPENINGS Heating or Power Ploni
INPUT
Steam
OUTPUT Hot Water
EDR Rod;at;on
CFM
Wood-burning Stove:
Wood-burning Fireplace•
Plan No. Dote
Est. Comp. Date Est. Cost Heating Permit Fee _
' State Surcharge
Total Permit Fees
Owner's Norne ~~/V 7 (,~N~7+/
Address _
Heating Contractor ~ Z~ ~~~1~` Tel . ~~T y
Address _ ~ S~i~ d ~~ji City Zip
Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence in-
stollot;on 09_50 + _50 surcharge)
Alterot;on or Repair Min. Fee _ 5315.50 ~ _ 50 surcharge) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
Non Residential Fee shall be computed at 1 % of the contract up to $10, 000; for _
balance over $20,000 + .-50 surcharge. Minimum=$24.50+.50____________$
(GAS PIPING INCLUDED)
Send oppficotion and heat loss calculation with check for Perm;ts 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.