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HomeMy WebLinkAboutNo 10735 ~~~~s , ~ic:gtsst 17, ~ ig ~3 ~ City of La eville HEATING HERMIT Permit Fee 29.5~J 8t. Rec I pt State Surcharge .50 TOTAL FEE PAID 3©'~~ i Cor.tralle fir / JQt~. Mi..s1~=r Cox~st. Permission is hereby granted to 2 7 ~ I>~nnays ~Ta1ley Park 8th Acidn Building on Lot No. Block ~Subdivision Parcel ~f'?`l-~~~.7~-~?D--O Piat In theClTY OF LAKEVILLE to be used as P~rm3.r to install. hearing in new construction This permit is issued on the express condition that the ERECTION -JILTERATION REPAIRS -ENLARGEMENT -JIAOVING EMOLITION respects to the .statements certified to in the application for such permit, and that all work shall be done in accords ce with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota pertaining to the construction of buildings. Street Address z~,~rrta*~cio Tenn A. Lanp~©r~ Director, License and Inspection Attention is particularly called. to the cutting up of streets, aking main sewer connections, driveways and curbs. Obtainpermitforsuchconstru tionfromtheClTY `fi OF LAKEVILLE. Inspection Department Not ResponsibleFOrAn Damages to Public By ( , Utilities. iL"IT1? OF t.>AKEVM~i Date : ~ ~ ~ >tru _ t ~ soot ~ CIT OF LAKEVILLE LAKEVIItf, i`!M ~ INSPEC ION DEPARTMEWT - APPLICATION FOR HEATING PERMIT Site Address : l ~ ~ ~ .Alter Repair Install _ Repair Legal: Lot ~ Block Add~tion MAKE ~ TYPE OF SYSTEM SIZE j Warm Air Plonts CONN. LOAD ~ Gravity FUEL ~ 0.'rr ~ ~ `s Mechanical FLUE DIA. l Air Conditioning SUPPLY OPENINGS ~ ~ Yent System RETURN OPENINGS ~ ~ Heating or Power Plont INPUT Steam OUTPUT Hot Water EDR Radiation CFM Special Devices Other Devices Plan No. ~ Date n ' Est. Comp. Date Est. Cost I Heating Permitfee Gas Piping Permit Fee Total Permit Fees Owner's Name ~ ~ i Address ~ ~ ~ ~ ~ ~ c-= _CC1^ ~ ~ t ~C911~ FZ~~~~'C~ Heating Contractor ~ Telephone : ~ I Address ~ •Q ~ ~ EL~'~ ~ ~ City c~ ' b\J Zip U I ~ Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence in- i stallation ($29.50+. 50surchar~e,___J' Alteration orRepoirMin.. Fee~~15_.5.0-tS~sur~harg~__________________________$ Non Residential Fee shall be computed at 1 % of t~~e contract _x$2/+.50+. 50 sureharge,Minimum) Gas Piping Fee for each installation= Ineludedl___________________ $ Send application and heat loss calculation with ckeck for Permits to: CITE( OF LAKEVILLE Inspection Department Box M Lakeville, MN 55044