HomeMy WebLinkAboutNo 10670 ~ 3une lfi, ~ 193
~.~s~A City of Lakeville ,
HEATING `'PERMIT P+'rmitFee ~g•~°
Reeel pt State Surcharge .50
TOTAL FEE PAID 3~ ~
Crantroll~c~ ~?.ir { Joy. ~Iill~r Coast.
Permission is hereby granted to
Building on Lot No. ~ Block In Subdivision ,~onrtsys Valley Park. 8th Addn
Parcel ~~`22~-L 1.177-~J3(7-10 Plat
In theClTY OF LAKEVILLE to be used as Ysarmit tai f.nstall reat-ing; in ned7 cor?structian
This permit is issued on the express condition that the ~RECTION~': -~4LTERATION -REPAIRS
-ENLARGEMENT ~AOVING -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~~1$ Ferz~e~cda Way Glan.n 1l. Lanford
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ~,~r~
connections, drivewaysand curbs. Obtain permitforsuch construction from theCITY i r ? '
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ? ? r / ~ 't',~ ~ y
Utilities.
CITY OF LAKEVK~t Date
~12j 4a~t ,CITY `OF LAKEVILLE
16147 • TH 8T. W. • OOIK M
LAKEVltLE, MM 6504 =INSPECTION DEPARTMENT -
APPLICATION FOR HEATING PERMIT -
Site Address : `~i.~ ~ T~~' C `~'~.~,~`1~~ C ` ~l a.--' ~'t Alter Repair
. _ ~ Install X. Repair
Legal: Lot Block Addition
MAKE ~C ~ TYPE OF SYSTEM
~ f=
SIZE
Worm Air Plants
CONN. LOAD.
~ Gravity
FUEL J~ c-~, ~ C~-.~' c_>
1 Mechanical ~ ~ ~ }
FLUE DIA. Cr'
Asr ~Or!dltlOning
SUPPLY OPENINGS _
Vent System
RETURN pPEN1NGS Heating or Power Plant
INPUT Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Special Devices
Other Devices
Plan No. Date lf' ~ , ~ _
Est. Comp. Dote Est. Cost Heating Permit Fee ~ ~~r~'
Gas Piping Permit Fee
Total Permit Fees `,~~-~C'
Owner s Nome - ~ ~'-ti ~
~ ~
Address ~ ~ .~`"cx~`-' ~ 'L
Heating Contractor `~~=F'='+~'1~~~'~~~~ t 'i Telephone: - ~
~ 1 f\ fi n
Address ~ ~-?1 `_C:aC \~1 ~Y~~~~==5`~~' City 1 I t1 Zip ~ ~<-='~~~,I,
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
stallation
Alteration or RepoirMin. Fee___________________________________________$
Non Residential Fee shall be computed at 1 % of the contract . _ _
' Gos Piping Fee for each instollotion______________________________________$
Send application and heat loss cokulation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M
' Lakeville, MN 55044