HomeMy WebLinkAboutNo 10691 3u~.y_ 12, ,19
City of Lakeville
.:.HEATING PERMIT Permit Fee 2'3.50
Revel pt State Surcharge .50
TOTAL FEE PAID ~
Permission is hereby granted to Gol~trt~ 1~.~c~ A:i.r f A~:i.'~1er C~+lst,
Building on Lot No. ~ Block L Subdivision~.3;"~' Val 1 ~v Parma F~~-h ~r_-~~in
Parcel ?'Z?°''177-f19~)-fd~l: Plat
In theClTY OF LAKEVILLE to be used as P~'rtnir in~ta"t1 }te~tin.~ i„ r~ ~ cun~~-rt~rtat~n
This permit is issued on the express condition that the ERECTION _~LTERATION -REPAIRS
-ENLARGEME~AIT -JIIIOVING 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 .~-h~~' ~ r"~z2~n ~o G1e~~tn. e1. ~,an~;~trc1
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer `-I
connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY ~ ~ a' ~
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~
Utilities. ^
CITY OF LAKEVILLE Date : ~ ` ~ l ' 7~
~stz~ ass-44at CITY OF LAKEVILLE
8747 -208TH ST. W. • BOX M
LAKEVILLE, MN 65044 INSPECTION DEPARTMENT -
APPLICATION FOR HEATING PERMIT
Site Address: ~ ~ ~ ~ ~ ~°e.C ~ p,~ Alter Repair
Install Repair
Legal: Lot .j Block i _ Addition
MAKE ~ E TYPE OF SYSTEM
SIZE ~ ~ Worm Air Plonts
CONN. LOAD Gravity
FUEL Q~~ ~ S f,~-"
i t Mechanical
FLUE DIA. Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heoting or Power Plont
INPUT_ ~ I C~ Steam
OUTPUT Hot Water
EDR
Radiation
CFM Special Devices
Other Devices
Plan No. ~ ~ ~ ~ ~ Date t ~
Est. Comp. Date Est. Cost Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees ~C) ,C~
Owner's Name
Address ~ ~ E? ~
Q
INeating Controctor~
Q
~ r~~ ~ ~ C- Telephone : - ~p
Address \ • ~x ~ ~ City T-O.~ (~O pd~J Zip S~ d
Heating, Air. Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
stallation
j Alteration or Repair Min. Fee_______________________~___________________$
Non Residential Fee shall be computed of 1 % of the contract _ _ _
i Gas Piping Fee for each installation______________________________________$
~ Send application and heat loss calculation with check for Permits to:
CItY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044