HomeMy WebLinkAboutNo 11407 l
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HEATING P~~T Permit Fee 29.~~)
RAC@I pt State Surcharge .50
TOTAL FEE PAID
Permission is hereby granted to ~~-r/,Tc~ 'ti1?.Q.x' ^can~~r..
BufldingonLotNo. Block 1:' Subdivision T'nnnav's 17~11ev £'~rk ~t~t Arlcln.
Parcel ,1,E~7_?1:x.77-~`~''?-.2 -Plat
In theClTY OF LAKEVILLE to be used as n~rm~'- Yn ir'~''ai7, `swat-irk; j~ i~o"a rnnatr•ert•ir~~s
This permit is issued on the express condition that theERECTION -~4LTERATION -REPAIRS
ENLARGEMENT _~1AOVING -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.
i~ I~~ T'a_..r.;~~ex?. ~:~~~x4uP ~1<~nn: tt. I.~tn~o5 c1
Street Address ~
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer r
connections, driveways and curbs. Obtain permit for such construction from theClTY ' ~ ~~f
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By fie" r +`S~".'~~" ~g'
Utilities.
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DATE ~ -
CITY OF LAKEVILLE `
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address: ~ ~Q (~g _ _ (`~_Y'~^~_
~a Alter Repair
i Legal : Lot Block ~ ~ Addition Install Replace
~ .r-
~ MAKE _ ~ J v
_ TYPE OF SYSTEM
SIZE ~ Q ~ ~ ~ Worm Air Plants
CONN. LOAD - Gravity
FUEL ~ ~
Mechanical ~ i'~
~1
FLUE DIA. C Air Conditioning
SUPPLY OPENINGS Vent System
RETURN QPENINGS
in or P wer Plant
Herat g o
INPUT Steam
OUTPUT
Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplace-•
Plan No. ~ J ~ ~ Dote
Est. Comp. Date Est. C:~ast • ~ r~
Heating Permit Fee
State Surcharge t
Total Permit Fees
Owner's Nome c~~C-'`~ ? , ` t ~O n
Address 1 ~ ~J ~J ~ ~r ~ ~ ~ ~"-~~..1~
Heatin Contr for ~ a ~ ~ ~ ~ ~ ~ Tel . ~ ~ ~ ~ ~ -
9 _
' qq Zi `
~ Address ~ ~h.~.__ ~ City - ,ti p ~ L
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion ($29_50 + _50 surcharge)
Alteration or Repair Min. Fee_5~15.50 ~ _50 surcharged______________________$
Non Residential Fee shall be computed of 1 % of the contract up to $10, 000; for
balance over $10,000 + :50 surcharge. Minimum=$24.50+.50-____-__-__-$
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN S5044 work is completed.
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