HomeMy WebLinkAboutNo 11853 ~ y.~ .fie.
Au~uat ~0, 19 f36
M
City q,Lke~~i~ ~~M~~,
11853
" ~ ~ HEATING PERMIT Permit Fee 39`50
8e ReCel pt State Surcharge .50
TOTAL FEE PAID • I,
r
Permission is hereby granted to Controlled ~ir~3ot~ ,Iill~r i,~zzst~.
. Building on Lot No, ~ Block ~ Subdivision Doi1t"iei`~' r S Valley Faz ~ ~tyh
Parcel ZL-~11'~'-C~7Q-12 Plat
In theClTY OF LAKEVILLE to be used as pertuit t0 ~.rstall tieatin~ 2i1 neW COnstYUCtion
Thin permit is issued on the express condition that the .-ERECTION ~~4LTERATION _~EPAIRS
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 16I2b Fairgr~ezi Ave. Glenn r'~. Langord
Director,. License and Inspection
Attention is particularly called to the cutting up of streets, making. main sewer
connections, drivewaysand curbs. Obtain permit for such construction from the CITY ~ _
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public. By ~ ' - s°
Utilities.
- - - -
Y
' ~ ~ ~ ~
DATE U ~ ~
C)3Y OF I.AKC~lILLE
BU1lDlNG INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address: I ~ ~ ~~~,\fi~°
Alter Repair
Legal : Lot ~ Block Addition ~ 1' ~ lnstoll ` Re lace
p
MAKE _~~Cfis~ TYPE OF SYSTEM
SIZE i
~ ~
Warm Air Plants
CONN. LOAD Gravity
FUEL C= Mechanical
FLUE DIA. ~ i Air Conditioning
SUPPLY OPENINGS Vent System
RETURN PENINGS ~ Heating or Power Plont
INPUT
Steam
OUTPUT Hot Woter
EDR
Radiation
CFM
Plan No. + ~ ~ Date
Est. Comp. Dote Est. Cost `j ~
Heating Permit Fee
Commercial• Contract Amount $ State Surcharge f/
Total Permit Fees C~~°}. ~er1
j } , ~
Owner`s Nome ,1 1 ' ~"_t'~` i1~
Addressjl~~ ' j
Heating Contro for ~ ~ ~r°,
a~ r~ ~ ~ K Tel . ~ t~' t~
Address ~ r~`~ 5 L,;Gj G~F~'~ ~ ~ City Zip ~.`1~~~
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stallation 39.50 + _50 surcharge)
Alterotion or RepoirMin. Fee_5~19,50 ~ _50 surcharge)
Non Residential Fee shall be computed at 1 °o of the contract up to $10, 000 ; for
balance over $20,000 + .-50 surcharge. Minimum=$24.50+.50____________$
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check for Permits to:
CITY OF LAKE~/ILL~
Glenn A. (Barney) Langord Inspection Department Notice:
~ Plumbing & Heating Znspector Box 957 Call for inspection when
Lakeville, MN 55044 war.{ is completed.