HomeMy WebLinkAboutNo 10743 Au>rust 29. ,19 8~
~e ~~7~~ City of Lakeville
HEATING PERMIT Permit Fee 29.5
I
8t I~eCel pt State Surcharge .50
TOTAL FEE PAID 30.0(1
Permission is hereby granted to Cpntx'o11er? tlir / Juse~?h i~I. Z~il1~r Ci~nst.
Building on Lot No. 3 Block ~1 Subdivision :?~nt1~y8 Valley Park $th Addy
Parcel X22^21177^~_',~-21 Piat
In the CITY OF LAKEVILLE to be used as Permit to install heating in new sonstrvctian
This permit is issued on the express condition that the ERECTION -~4LTERATION -REPAIRS
-ENLARGEMENT _~IAOVING --.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. Ifi227 Fernsndo 'raTa~ rlenn A. Lanford
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer
connections, drivewaysand curbs. Obtain permit for such construction from the CITY
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~I ' r - -
Utilities.
L
CIT1? OF 1L1tKEVlL~! Date
ef2j CITY OF-LAKEVILLE
m~~ . sT w . e0x M
IrAKEVIILE. iWll1 56014 INSPECTION DEPARTMENT -
APPL1CATtON FOR HEATING PERMIT
Site Address: r ~
I ~ ~ ~ E'-`C ~j G% 1fU .Alter Repair
Install Repair
Legal: Lot ~
~ Block Addition
MAKE - lam, - TYPE OF SYSTEM
SIZE ~ ~ ~3
Warm Air Plants
CONN. LOAD Gravity
FUEL ~ T' ~ ~ S
Mechanical
FLUE DIA.
Air Conditioning
SUPPLY OPENINGS ~ Vent System
RETURN OPENINGS z~
Heating or Power Plant
INPUT ~ U
Steam
OUTPUT Hot Water
EDR
Radiation
CFM
Special Devices
Other Derices
Pian No. Date ~
Est. Comp. Date Est. Cost Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees
Owner's Nome ~ I~
Address ~ ~ ~ ~ C 1r_~Y~, ~C,
y ` ; r
Heating Cont actor~~ ~~~fi'c~l-~~ ~ 1~ ~ Telephone: ~ `~C'' ~7
.
Address` v~ . ~~''~C Cit (Ylt/V " 1~~ r ~ i
q ~ ' Zip -
Heating, Air Conditioning; Ventilation 8 Refrigeration Permit Fee for single. family residence in-
stollotion ~$29.50±;SOsurcharge,____________
Alteration or Repair Min. Fee 1, ~ L'~.S.Qf..S
Os urcha rge~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
Non Residential Fee shall be computed of 1 % of the contract _-~~24 , 50+. 50 surcharge ,Minimum)
Gas Piping. Fee for each installation=
Ine~uded $
Send application and heat loss colculotion with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044