HomeMy WebLinkAboutNo 10685 T~?~' S~ ,19.3.3
° City of Lakeville
HEATING PERMIT PertnitFee 2~.s~
t7c ReCel pt State Surcharge .50
TOTAL FEE PAID 3~ • fJQ
Cont:rol~.ecl. Air / Jas. filler Ci?+ns*.
Permission is hereby granted to
Buildin on Lot No. ~ Block 1D Subdivision rn~~ a t,
Parcel ~~22-?11.77-~5~J-ltd Plat
' In the CITY OF LAKEVILLE to be used as Permit to -I n ~t•a 1 hPa r i n J : n r,aro rnn~f:1:'~~fr~AFl
This permit is issued on the express condition that the ERECTION -JILTERATION _~iEPAIRS
-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~:Z54 Fernando Way Glenn A. Lan~~rd
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer r
connections, driveways and curbs. Obtain permitforsuch construction from the CITY '~r ~j
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By "
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CITY OF LAKEYN+ii Date
tt~12! ~ CITY OF LAKEVILLE
1747 • 2~T~ 8T. W. • bOD~ M
LAKEVtLLE. MN 66414. _ ~ INSPECTION DEPARTMENT '
A~Pi.ICATION FOR HEATING PERMIT
Site Address : 4 ~j ~ ~~+r ~ g~ ~ ~ Alter Repair
Install ~ Repair
Legal: Lot Block Addition
MAKE ~ ~ TYPE OF SYSTEM
SIZE ~ ~ Warm Air Plonts
CONN.LnO~AD t Gravity
FUEL N0.. T.. ~ ca ~
Mechanical
FLUE DIA. ~ f I Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heating or Power Plont
INPUT
Steam
OUTPUT
Hot Water
EDR
Radiation
CFh1
Speciol Devices
Other Devices
Plan No. Dote
Est. Comp. Date Est. Cost Heating Permit Fee ~ ~
Gas Piping Permit Fee
Total Permit Fees ~ ~ ~
r
Owner's Name ~ ~ ~ ~ + 1~,~~`C~Ot"l~_
Address ~ if1
1
~.D1"1~r~1~~~ Telephone: spa- O o~~
.Heating Contr ctor
Address City ~ U~ Zip J S~r~
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollation
Alteration or Repair Min. Fee
Non Residential Fee shall be computed at 1 % of the contract _ _ _
Gas Piping Fee for each installation______________________________________$
Send application and heatJoss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044.