HomeMy WebLinkAboutNo 11639 , ^r
~ ~ 2 19 $6
City o1Lakevill~ ~
HEATING PEF~-MIT
p Permit Fee 39.5Q
8l R@C@I pt State Surcharge .50
.TOTAL FEE PAID 4f,1.00
Permission is hereby granted to Wen2e1 Hei:ttin~jLaCroig $uilderS
Building on Lot No. ~2 Block Subdivision :odd Pointe 2nd Addition
Parcel X22-2p8b1-1243-t~1 Plat.
In the CITY OF LAKEVILLE to be used as Qermit to install hating in ~2ew eon~tructinn
r
This: permit is issued on the expresscondition that the ERECTION -JILTERATION -REPAIRS
-ENLARGEMENT ~IAOVING 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 16234 $x~celsinr IariVE~ G7~?nn A_ Langord
Director, license and Inspection
Attention is particularly called to the cutting up of streets, making main sewer.
connections,drivewaysandcurbs.ObtainpermitforsuchconstructionfromtheClTY
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to:Public. By ~ ~~,ri
Utilities.
~7r'~~E BY
DAT$ z~(
CITY OF LAKEVILLE
BUILD{NG INSPECTION aEPARTMENT - (612) 469-4431
APPtlCATtON FOR HEATING PERMlT
Site Address: s~ ~kC_f~lsc~`
Legal: Lot Black. Addition nstolC Repair
Replace
MAKE _ ~i~`~s~?`-
TYPE OF SYSTEM
SIZE ~Zf t1f>c~;
Worm Air Pfonts
CONN. LOAD
Gravity
FUEL l ~.-'k~'"
Mechanical
FLUE DIA. y
Air Conditioning
SUPPLY OPENINGS j-~
4~ent System.
RETURN OPENINGS
Heating or Power Plant
INPUT ~ c%c
Steam
OUTPUT 1~~~~~r~
Hot Water
EDR
Radiation
CFM j ~
Plan No. Dote
Est. Com Date ~ j ~
P• Est. Coss Heating Permit Fee
Commercial Contract Amount $ State Surcharge ~S Z
Total Permit Fees 7
~*••'..^.~f'~ NC:T'E: ~'i t"ilc .~/C (~L~'01.r:?~"~-S -
Heating Contractor ~
. t' - C- ~~T~f. ~f!~' Tel . c,% l ~ S
Address <jC _•t',c ~3 .~~n,,~> f
~ /"tom%' City f ~-CZ e'~ 7L.~ Zip ~ /
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
~I stoilation 39.50 + _50 surcharge)
Alteration or Repair Min. Fee_5.~19..50 ~ _50 surcharge~_____ $
Non Residential Fee shall be computed at 1 % of the contract up to $10, 000; for
balance o~ser $10,000 + ;50 surcharge. Minimum~$24.50+.50___________
(GAS PIPING INCLUDED)
Send oppl~cation and heat loss colcuJation with check for Permits to:
Glenn A. CITY OF LAKEVILLE
(Barney) Langord Inspection Department .Notice:
Plumbing & Heating Inspector Box 957 Call for inspection4whea
Lakeville, MN 55044 work is completed.