HomeMy WebLinkAboutNo 11696 , _
,
:June 11, ~ 19
Gity of Lakev I Ie
11696 HEATING PERMIT
Permit Fee 39.54
Rec@I pt State Surcharge .50
TOTAL FEE PAID 40.44
Permission is hereby granted to 4ontreslled Air/30>b. Miller C~tlstructian
Building on Lot No, 14 Biock 12 Subdivision ~onriay r S Valley PSrk 8th Addn:
, Parcel #t22-21177-104-12 Plat
in the CITY OF LAKEVILLE to beused as ~lertnit t® inAtaal heatin€ in new eonstrucf_ion
This permit is issued on the .express cdndition that the ERECTION -ALTERATION -REPAIRS
ENLARGEMENT -JIAOVING -DEMOLITION respects to the statements certified to in the application for
such permit, and that all work shall be done n accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
pertaining to the construction of buildings.
street address 1614 Fairgreen Avenge Glenn. A. Lanford
Director, License and Inspection
Attention is particularly. called to the cutting up of streets, making main sewer
connections, drivewaysand curbs,Obtain permitforsuch construction from the CITY ~
OF LAKEVILLE.lnspectionDepartmentNotResponsibleForAnyDamagestoPUblic By
Utilities. ~
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DATE ~ ~ ,.s~j
CITY OF LAKEVILLE '
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address : - r` ~
Alter Repair
Legal : Lot ___L~? Block ~ Addition ~ Install ,t:.,, Replace
MAKE
_ TYPE OF SYSTEM
SIZE ~ ~ Worm Air Plants
CONN. LOAD Gravity
FUEL Mechanical
FLUE DIA. ~
Air Conditioning
SUPPLY OPENINGS
Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~
Steam
OUTPUT
Hot Water
EDR Radiation
CFM
Plan No. ~ ~ Date
Est. Comp. Date Est. Cost Heating Permit Fee
Commercial: Contract Amount $ State Surcharge .~G"~
Total Permit Fees ~-~~-p ~
Owner`s Name c'~ f? 1 1 R~, R~~'_ ~ ~SZ~ Y
Address ~ ~ ~ :
~ ~ ~ ~ C.l_~ ~ ~ -Q_~
_ Tel . ~ ~ ~ ..~C) ~
Heating Cont for C
Address ~ ~ ~4 ~ ~ity Zip ~
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence. in-
stollation 39.50 + .50 surcharge) $
Alteration or Repair Min. Fee_5~19•50 ~ _50 surchargeZ_____________________$
Non Residential Fee shoil be computed nt 1 % of the contract up to $10,000; ~z~: for
balance over $10,000 + :50 surcharge. Minimum=$24.50+.50------------$
(GAS PIPING INCLUDID)
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 whey
Lakeville,. MN 55044 work is completed.