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HomeMy WebLinkAboutNo 11643 a = ~ , Msk ' 19 8f, City of Lakeville... ~ ~ ~.1fi43 HEATING ~ERM.~T Permit Fee 39 • 8l R@C$I hit State Surcharge .50 TOTAL FEE PAID 4O.On Permission is hereby granted to DI'flAett t S~ li4trt.Cii1SC/f31-$t'Yi~ Coit.~truCii©ri BuildingonLotNo. 11 Block Subdivision n ,~a T~.,~nrs 9nc3 Addirien Parcel X22-2i~$fil-lln-G1 Plan In the CITY OF LAKEVILLE to be used as This permit is issued on the. express condition. that the .ERECTION -~4LTERATION -~iEPAIRS -ENLARGEMENT ~AOVING 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 Lb? ~f, Excel ~i'~r Drive Glenn 11. Langord Director, License and Inspection Attention is particularly called to the cutting. up of streets, making main sewer connections, driveways and curbs. Obtain permit for such construction from theClTY OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By '.r'-~ 2* Utilities: f ~ "S~ ~:3 , D~~ L C3 ~ DATE S S `L' CITY OF LAKEVILLE BUILDING INSPECTION DEPARTMENT - (612) 469-4431 APPLICATION FOR HEATING PERMIT J~=~ Site Address • ~XG~~!O~G .!J/~' Alter Repair Legal: Lot Block Addition Install Replace MAKE r'~'Ii9G~/~~ C'N TYPE OF SYSTEM SIZE _ ~ ~f ~d~ _ Worm Air Plants CONN. LOAD ~'2 Gravity FUEL ~~~fi ~ ~ ~ ~ Mechanical FLUE DIA. ~ _ Air Conditioning SUPPLY OPENINGS Vent System RETURN OPENINGS Heating or Power Plant INPUT `7 ~j~C?® Steam OUTPUT ~~d Hot Water EDR Radiation CFM k'ood-burning Stove: . Commercial: Wood-burning Fireplace: Plan No. Date Est. Comp. Date Est. Cost S Heating Permit Fee State Surcharge ° ~O Tofial Permifi Fees ~d r d~ Owner's Nome C~~a1~~". Address i4l~~C~ ~~t-~~~ Renting Contractor NTH-,~~~ l~~-+ Tel. ! ~ ~ Address ~~~TI,JDQD `TE%'1~AC~ City C/>E~ %~r'~" Zip 5'S35/~ Healing, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in- stollotion ~ 39.50 ~ .50 surcharge) Alteration or Repair Min. Fee_5.~19.~0 ~ _50 surchargeZ_____________________$ Non Residential Fee shall be computed at 1 % of the contract up to $10, 000; for balance over $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.