Loading...
HomeMy WebLinkAboutNo 12265 , - ~~G+f:+~~ Ity O~,L tl~~~ ~ ,~~~vril ~Oa 197 HEA' I~+G PERMIT & f3@C@Ipt - Permit Fee 39.50.: State Surcharge .50 TOTAL FEE PAID 40.00 Permission is hereby granted to Controlled Air Building on Lot No. 2 Block 12 Subdivision Donnay' s Malley Park 8th Parcel ~~22-21177-©20-12 in theClTY OF LAKEVILLEtobeusedas Permit to install heating. in. new construction This permit is issued on the express condition that the ERECTION oLTERATION REPAIRS Y INSTALLATION MOVING --DEMOLITION respects to thestatements certified to irtthe applicationfor such permit, and that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota per•tainingio the construction of buildings. street Address 16Q36 Fairgreen Ave Glenn A. Langord Director, License and Inspection CALL FOR INSPECTION - 469-4431.:. By ,ems ~q.f"Er~ `~1/~ ~ v~~ ~ ~ V _ ? V v HEATING. VENTILATION & AIR CONDITIONING PERMIT APPLICATION CITY OF LAKEVILLE INSPECTION DEPARTMENT 8747 208TH STREET WEST P. O. BOX 957 LAKEVILLE, MN 55044 DATE: ~~1- I 469-4431 JOB SITE ADDRESS: L t1 ~ ~=~r i~~PID t LEGAL DESCRIPTION: LOT: BLOCK:- SU IVISION OR SECTION: APPLICANT; OWNER OR.CONTRA~ (circle one) OWNER OR BUILDER : ~~:.~c~ ~ ~ \ , $,~t~-~--PHONE: ~ j ' - STREET ADDRESS:. ~ ~ ~ C~'". y. r ~v~_ CITY: c=,-~, J\: ZIP: ~SC~='~~ MECHANICAL CONTRACTOR: ~ ~ ( ^ CITY ID N0: PHONE:-~ C _ STREET ADDRESS: - ~`:j, ~ r~~~~~,~ ~I_ CITY: ~ c ZIP: ~ ___~„~i ' NEW CONSTRUCTION OR EXISTING (circle one) 4 TO INSTALL: HEATING (41): HEATING/AIR COND. (42): ~ AIR COND. (43): ' FIREPLACE/STOVE (44): GAS PIPING (45): ~-~'~IENTILATION (46): REFRIGERATION (47): POWER PLANT (48): FUEL TANK (49): FOR: RESIDENTIAL: ~~OMMERCIAL: INDUSTRIAL: PUBLIC: JOB COST: (commercial only) SYSTEM DESCRIPTION: 1 2 3 4 SYSTEM TYPE: QUANTITY: _ MAKE: r~~~, MODEL: ~ ~ ~`,~~,~f~;t FUEL: ' FLUE SIZE: OUTPUT: j CFP~I TG T AL: CFM OUTSIDE: i TONS: ; 5 H. POWER: APPLICANT' S SIGNATURE: ~ ~~+~.._.ti.~._._._~3 DATE: HEATING FEE RATES: Residential: ti; Commercial: i New Construction: $40.00 1010 o~ract cost, up to $10,000 ($39.50 + .50 surcharge) and l/2~ over $10,000 + .50 Minimum: $20.00 ($19.50 + .50 surcharge surcharge. Minimum of $24.50 + .50 surcharge ($25.00) ij 4 HEATING, VE""~ "OND. PE~2MIT APPL?rrTION PAGE 2 OFFICE USE FUEL TYPE: WORK TYPE: ~~(91) NATURAL GAS ~81) NEW (92) ELECTRIC (82) ADDITION (93) WOOD (83) REPAIR I (94) SOLAR (84) DEMOLISH (95) PROPANE (85) REPLACE (96) FUEL OIL (86) ALTER/REMODEL (87) MOVE RE UIRED INSPECTIONS. Q ROUGH-IN (64) FINAL (65) GAS TEST (69) OTHER (70) PERMIT FEE: HEATING PERMIT FEE: $ - ~ C SURCHARGE: $ ~ OTHER: $ TOTAL: $ ~ C.i Y APPROVED BY: DATE: j