HomeMy WebLinkAboutNo 11280 w
~ ~ Merch 2~3, a,
~ ~ City of Lakeville '
HEATING PERMIT
pp Permit Fee
at Reee',I pt State Surcharge .50
TOTAL FEE PAID
Contrc~lJ e~~i Air / .Joe Miller Coast .
Permission is hereby granted to
Building on Lot No. 1 Block ~ 1 Subdivision DortnaV ~ ' Val.lev F ~ r~~ t~'~ Addn .
Parcel ~~22-2117?--C?1(?-~21 Piat
In the CITY OF LAKEVILLE to be used as pF>.rntit ' to instal'! heating in new constructi~
Thin permfY is issued on the express condition that ,the ERECTION _~?LTERATION -REPAIRS
ENLARGEMENT -JUIOVING -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.
162C~~' Fern~n,~o Wad Glenn A. Lan ;arci
Street Address
Director, License and Inspection
r,
Attention is particularly called to the cutting up of streets, making. main sewer `
connections, driveways and curbs. Obtain permit for such construction from theClTY ~ r% ti t
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By r ~ ~ ~
Utilities.
Date : ~ /
CI?Y OF LAKEV~
_ ~TM ~ eox ~ CITY OF LAKEVILLE
LAKEVILLE, 1dIN 5504 INSPECTION DEPARTMENT -
APPLICATION FOR HEATING PERMIT
Site Address: ~ r~~(~ ~ ~ Alter Repair
Instal! Repair
Legal : Lot Block ~ ~ Addition
MAKE t~l ~ ~ TYPE OF SYSTEM
slzE ~~~}~~L
Warm Air Plonts
CONN. LOAD v Gravity
FUEL ---1 ~ ~ ~ S
`,.l Mechonicol
FLUE DIA. V ' Air Conditioning
SUPPLY OPENINGS Vent System
RETURN O~P{ENINGS Heoting or Power Plont
INPUT l1 U CJ
Steom
OUTPUT
Hot Water
EDR Rodiation
CFM Special Devices
Other Devices
Plon No. ~ V ~ Date
Est. Comp. Dote Est. Cost Heating Permit Fee ~ C~
Gas Piping Permit Fee ~
Total Permit Fees ~ ~ . ~ ~
Owner's Name ~'1 C:~ ~ ~~'~,~`f~ ~ ~a ~
~ -
' Addr
Heating Controctor ~ ~ ! ~ ~ ~ Telephone : ~j ~
i~ ~ ~t~
Address~~ ~ 1 ~7 i 1` City c~ Zip
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stallotion ($?9.50+_SOsurcharge,______
i Alteration or RepoirMin. Feed.~L~..54f..50su~charge.)_________________________$
Non Residential Fee shall be computed of 1 °~6 of the contract _-x$24.50+, 50 surcharge,Minimum)
Gos Piping Fee for each insta(lotion_
Included______________________________$
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044