HomeMy WebLinkAboutNo 11893 Serarembnr 9, , 19$~
City of Lk~eviller' ~ ~
1~-893
HEATING PERMIT Permit Fee . ~~•5~
R@Cel pt State Surcharge ,50
TOTAL FEE PAID . 40 • (l~
Permission is hereby granted to BUrt3'Fly#.~.1.E? Heatixx~/RSat Homes
Building onLot,No. ~ Block ? Subdivision Dodd Pait~re 2nd Armin
Parcel X22-1O£~til-073-0?_ Plat
In the CITY OF LAKEVILLE to be used as pEi`lIl~t to install heatints in z~ew i~ongtr~xct ion
This permit is issued on the express condition that the _X_.ERECTIDN -~4LTERATION -REPAIRS
-ENLARGEMENT TMOVING -DEMOLITION respects to the statements certified to in the application for
I such permit, and that all .work shall 6e done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
pertaining to the construction of buildings.
Street Address.. ~.xcel.~sior Drive Glenn Lanford
Director, License and Inspection
f
.Attention is particularly called to the cutting up of streets, making main sewer
connections; drivewaysand curbs. Obtain permit for such construction from the CITY Jr~ F~ ~r r~~
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~
'Utilities. `r
- _ _ _ - _
r
i ~ own
~~g*,
DATE S - d ~n
C7ZY OF LAK~~IILLE
BUILDING iNSPEC i lON DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PER
M1T
Site Address : ~~~J~/~2
Alter Repair
Legal: Lot Block Addition Install Replace
MAKE _ C~~-IZIZ~~I'Z.
_ TYPE OF SYSTEM
SIZE _ ~ 4°~GSC'~7 ' Z- Worm Air Plants
CONN. LOAD = Gravity
FUEL /~7Z.~/~~L C~~4S Mechanical
FLUE DIA. - Air Conditioning
SUPPLY OPENINGS /
Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~5,,!~~~-~ t?~'i`(,~(
s C:~c'~X.~ Steam
OUTPUT -
Hot Water
EDR
r-~ Radiation
CFM ~
Plan No. Dote 4
Est. Comp. Date _ q` Est. Cost~"~~~~'`' Heating Permit Fee `~9`
CommerciaL• Contract Amount $ State Surcharge
Total Permit Fees ~ ~
it Owner's Name ~~J~/I ~ta
Address ~7~?F1` l~fl-`~=Z- I~S~~ ST ~~~-~,,~.~~t~y`
Heating Contractor ~t/ t ~k~, iL~ t-~~ ~_~ki1~ - 't ~ , Tel. ~~QC'~
Address 1~""~1~~`~ City ~ r~a~~Sl1lL-L~- ZiP ~
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion ($39.50 + _50 surcharge)
Alteration or RepoirMin. Fee_5~19,50 ~ _50 surc:~arge)
Non Residential Fee shall be computed of 1 % of the contract up to $10, 000 ; for
balance over $10,000 + .-50 surcharge. Minimum=$24.50+.5Q____________$
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check for Permits to:
CITY OF LAKE~IIIL~
Glenn A. (Barney) Langord Inspectian Department Notice:
Plumbin & Heatin Ins r
g g pecto B
ox 957 Call for inspection when
Lakeville, MN 55044 wor:c is completed.