HomeMy WebLinkAboutNo 10987
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•~Y~~ , 19
City of Lakeville
HEATING ...PERMIT
Permit Fee 2 ~ . ~ t'}
I~eCel pt State Surcharge .50
TOTAL FEE PAID ~I~' eft
CDrrtrOlle~ .'i..r / Ja~c~~h ?~~i~.l~r Cant.
Permission is hereby granted to
Building on Lot No. ~ Block l~? Subdivision Don*zavs Va13.e" ath Llc1;~n'
Parcel ¢~7-a~11,77.-f~~~B-].~ Plat.
In the CITY OF LAKEVILLE to be used as '~prm~~ th in~ta~~ `1eat~..zt~ '9.n t1~u7 ~nnstru~tican
This permit is issued on the express condition .that the ERECTION ALTERATION -REPAIRS
ENLARGEMENT -MOVING 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.
1~>?7? F~>rn~~r~~?r, T~~;r ~s~=Aran A.. Lan~c~rd
Street Address
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer , ~ ,
connections, driveways and curbs. Obtain permit for such construction from theClTY ~ j 1 fr~a ,,-f ,
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By j~~`..-~~~'6~ ~'t'~'~
Utilities.
aA~r~
CITY OF tAKEYttl<$ Date :
_ t ~ ec~t ~ CITY OF LAKEVILLE
IAKEVItLS. ib1M sS604~ lNSPECTlON DEPARTMENT -
469-4431
APPLICATION FOR HEATING PERMIT
Site Address : ~ ~j ~ G'Cl _ Alter Repair
Install Repair
Legal: Lot~_ Block ~ Addition
MAKE ~ L TYPE OF SYSTEM
SIZE ~ ' ~
Warm Air Plants
CONN. LOAD Gravity
FUEL Mechanical
FLUE DIA.
Air Conditioning
SUPPLY OPENINGS
Vent System
RETURN QPENINGS
Heating or Power P{ant
INPUT- ~L~Y
Steam
OUTPUT
Hot Water
EDR Rodiation
CFM
Special Devices
Other Devices
Plan No. Ju ~ t ~5 S U Date ~ -~G ~ L'
Est. Comp. Date ~ ~ Est. Cost Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees ~
Owner s Nnme ~ ~ ~ ~~~~1
Address ~ ~ ~~~c~C ~
Heating Controctor~~C~ l~~.~C't`~ 1~~ EX ~ Telephone : u Ci - ~ O ~
Address ~ ~ City Zip ~
~
~ ~
/
Heating, Air Conditioning, Ventilation 8~ Refrigeration Permit Fee for single family residence in-
stallation ~$29.50+_SOsurchar~e~__________________________________$
Alteration or RepoirMin. Fee~~Li.S.Of.S~surcharged__________________________$
Non Residential Fee shall be computed of 1 % of the contract _-~$2/+. 50+. 50 surcharge,Minimum)
Gas. Piping Fee for each installation-
Included
Send application and heal loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department Notice•
Box M ~Ca11 for inspection when work is done
Lakeville, MN 55044