HomeMy WebLinkAboutNo 10815 ~ia~emF~er 1Cl~ 19
1~. City of Lakeville
HEATING PERMIT Permit Fee 29.SJ
ReCel pt State Surcharge
TOTAL FEE PAID 30. Q0
Controlled Air / Jne miller Cangt.
Permission is hereby granted to
Building on Lot No. Block l~} Subdivision Donn~ys Valley Park.Bth .Addn.
Parcel #,y22-21177-p4Q-1t~ Plat
In the CITY OF LAKEVILLE to be used as permit to install Yieat ~ n~ in new t3onstruc tic~n
This permit is issued on the express condition that the ~ ERECTION -ALTERATION REPAIRS
ENLARGEMENT -JVIOVING -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.
16236 Fernando Wow .Glenn Langord
Street Address
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ~
connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY y,~'J~,
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~"~GS~~~ ~~f 1-
Utilities.
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DATE BY
CITY OF tJ?KIM=,~,~ Date : ~1- ~
tetzl, ~ CITY OF LAKEVILLE
lTtT -206TH ST. W. • ~ ~ / _ /
trAKEVILtE, frlM 550~f4 tNSPECTlON DEPARTMENT - - ~
APPLtCATIC?N F4R HEATING PERMIT
Site Address : i jp ~ ~ ~ ~ 0.~ d Alter Repair
Install x Repair
Legal: Lot Block ~Q Addition
MAKE ~ TYPE OF SYSTEM
slzE X60 c~c~c~
t Worm Air Plants
CONN. LOAD Gravity
FUEL ~d~' ~ Mechanical
i!
FLUE DIA. _ D Air. Conditioning l~ F
SUPPLY OPENINGS ~ Yent System
RETURN OPENINGS Heating or Power Plant
INPUT. Q
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Special Devices
Other Devices
J a
Plan No. S Date 1 /
=st. Comp. Dote .Est. Cost Heating Permit Fee -'~0 - ~ ~
Gas Piping Permit Fee
Total Permit Fees ~O ° 0 ~
>Owner's Name ~ ~
Address v
'Heating Contractor YITf`C~~ ~ i ~ Telephone : ~ '2
Address~~ ~ r~~N ~C ~..Q. City GU Zip S~SO~
Heating,. Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
stallotion $29.50+,50surcharge,____ ~
Alterotion or RepoirMin. Feed.~L~.SQf.S_Osurcharg~__________________________$
Non R o
es~denti I F
o ee shall be computed at 1 /o of the contract _-~$2/+. 50+, 50 snrcharge,Minimum)
Gos Pi in -I
Fee for och in II nclude
P e sto ot~on _ _ _ _ _ d
g T
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044
L~