HomeMy WebLinkAboutNo 12083 . w--,~.._.... _
.
i
f ~ December 22 19-8b
~ 1:208.3 C~'t~of ~akevi7~e~ ~ ~ ,
HEATING ..PERMIT
& Receipt Permit Fee 39.50
State Surcharge....... .50
TOTAL FEE PAID 4Q• 00
Permission is hereby granted to Droners r s Heating/Ol-$er~ Constr
Building on Lot No. 10 Block 1 Subdivision D od Poi t 2nd Addn
Parcel X622-20861-100-01
in the CITY OF LAKEVILLEtobeusedas Permit to is~tall heating in new construction
This permit is issued on the express condition that the ERECTION eLTERATION REPAIRS
-INSTALLATION ~NOVING _~EMOLITION 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 16238 Excelsior Drive Glenn A. LBngord
Director, License and Inspection
CALL FOR INSPECTION - 469-4431 By V~. ,
~.~;,,~m.P.~,,~a-u.e ~-a ~ a~
DATE ! ~ /a ~
CITY OF LAKEVILLE
APPLICATION FOR HEATING PERMIT
Site Address: llDo~ 3 ~ ~"XCE'«i02 ~2 .
Legal: Lot Block ':Addition
Owner's Name: ~C/3C~",~~o CONST Phone: 4~3a--~8?~
Address: Cit
y F~ ppG~ V%-L.G~ ~t ZiP
Heating Contractor:_~j101i/G
/)fs ,~/j'(y. /plc., Phone: 935 O ~Sg
Address : ~f'
~ 9~ ~~E-S %.~04~ Ttfez City CC~E/? ~i2A6Lcs Zip S S ~ yc~!
Nsw eaustrnetion Install
misting structure: Alter Repair Install Replace
MAKE /n FI 6/~- chiEi` TYPE OF SYSTEM:
SIZE 7~,p®p Warm Air Plant
CONN. LOAD $S ~ Air Conditioning
FUEL /j//,~T', Vent System
FLUE DIA. ~ ~r Heating or Power Plant
SUPPLY OPENINGS
RETURN OPENINGS ~ HEATING FEE RATES:
ITT 7 Residental
New Construction: $40.00
OUTPUT sue, ®OD ($39.50 + .50 surcharge)
EDR Minimum: $20.00
CFM ($19.50 + .50 surcharge)
Commercial:
HEATING. PERMIT FEE: ~9 .~O 1% of contract cost, up to
$10,000 and over. $10,000
+ .50 surcharge. Minimum of
SURCHARGE: $24.50 + .50 surcharge($25.00).
TOTAL PERMIT COST: y ~r DD Commercial contract
' AMOUNT:
Send oppticotion and heat loss calculation with check for Permits to:
CITY OF LAKc~lfL1~
Glenn A. (Barneq) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.
469-4431.