HomeMy WebLinkAboutNo 11398 ~
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City of Lakeville
HEATING PERMIT Permit Fee 2g°sn
ReCel pt State Surcharge
TOTAL FEE PAID °
Permission is hereby granted to Cozttrol~.e~ ~13.lier ~onstr°
Building on Lot No. 11 Block ' 2 Subdivision ?3onn~ay r S Valle° kith "
Parcel ,'b%~?- 1.17%-11~-~~~ Plat
lntheClTY OF LAKEVILLE to be used as ~?~~>:ti~ t:c~ `.•tt'"~tE3~. ~tc~at:in~ ie rte:' Ct~xx4tx'ta~tl.~n
This permit is issued on the express condition that the ERECTION -~4LTERATION -REPAIRS
-ENLARGEMENT -MOVING 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 1~I~~> >iair~xeen Avenue Tenn L~tn~c~rd
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ~ y~~
connections, driveways and curbs.ObtaihpermitforsuchconstructionfromtheClTY , ~
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By r ~ ' w v~
Utilities. `
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DATE J`
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - {612) 4b9-4431
APPLICATION FOR HEATING PERMIT
Site Address: C ~
Alter Repair
Legal: Lot Block Addition Install Replace
MAKE ~ JJ TYPE OF SYSTEM
SIZE ~--%U Worm Air Plants
CONN. LOAD Gravity
FUEL ~ ~ G',/
£ Mechanical
FLUE DIA. ~ ~
Air Conditioning
SUPPLY OPENINGS Yent System
RETURN OPENINGS Heating or Power Plant
INPUT _ b ~ ~r
Steom
OUTPUT
Hot Woter
EDR
Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplac~•
Plon No. ~ ~,y ~ ~ ~ Date
Est. Comp. Date Est. Cost Heating Permit Fee ~ C~ `
State Surcharge ~ ~ L
Total Permit Fees-~ ~
Owner's Name ~ G f'-- 1~~ ~ ~
Address ~ ~`?J 4 ~ ' ~
^ 3 ~ Tel . ~ ~ ' C: ~ `~Z--'
Heating Controc or`~-- ~ ~ ~ ;1 ~ ~ - ~ ~
Address ~ ~ City Zip
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
~ stallotion ($29.50 + _50 surcharge)
Alteration or Repair Min. Fee_5~15.~0 ~ _50 surcharge)
Non Residentiol Fee shall be computed at t % of the contract up to $10, 000; i7 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 LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.