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HomeMy WebLinkAboutNo 12305 a.r, ~r ~ t ~ ~ y ~ - 12305 aof ~~icev~e ° >:May 7, ~9 $7 a.._..: HEATING PERMIT ..39.50 8c R eC@! pt Permit Fee . State Surcharge .50 TOTAL FEE PAID !a~ _ 00 Judkins Htg & A/C Permission is hereby granted to Building on Lot. No. 2 Block 2 SubdivtsiomDOdd Pointe 2nd: Addn Parcel 22-20$ 61-02 Q-02 permit to install heating in new construction in the CITY OF LAKEVILLE to be used as This permit is issued on the express condition that the ERECTION ALTERATION REPAIRS ~ INSTALLATION MOVING nEMOLITION 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 16239 Excelsior Dr Glenn. A. Langord Director, License and Inspection i ~ ~ ~n v..'7. ~ n ~ a ~ ,r, 1' CALL FOR INSPECTION - 469-4431 By ~~'f ~ l~ ~ ' fi~l~- J , ~ . DATE _ - ~ / / CITY OF LAKEVILLE APPLICATION FOR HEATING PERMIT Site Address: o Legal: Lot Block Addition Owner's Name: S ~ ~/C~-- Ph ~~~~5 one: G~~ i Address: /~~i~( t~/5~64 City_~~~~'1~Q.~~L-C.~~ Zip ~ c~ Heating Contractor: f ` Phone:_ L~~ ~"~S~ i Address: `~~s ~a~~ City_~~G~~'/, Zi P New eo~strnction; ....Install Mating structure:: Alter Repair Install Replace MAKE - ~ ~L'~~ TYPE OF SYSTEM: SIZE file d° - - 'IS~ Warm Air Plant CONN. LOAD Air Conditioning FUEL - Vent System .FLUE DIA. ~ Heating or Power Plant SUPPLY OPENINGS~~~7~ RETURN OPENINGS- / HEATING FEE RATES: INPUT Residental: New Construction: $40.00 OUTPUT ($39.50 + .50 surcharge) EDR Minimum: $20.00 CFM ($19.5,0.+_.50 surcharge) _ Commercial: HEATING PERMIT FEE: 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: Commercial contract AMOUNT: Send application and heat loss colculotion with check for Perm;ts to: Glenn A. (Barneq) Langord CITY OF LAK~ILL~ Inspection Department Notice: Plumbing ~ Heating Inspector Box 957 Call for inspection when Lakeville, MN 55044 work is completed. 469-4431