HomeMy WebLinkAboutNo 11124 t ~y
. wO~~r 4 19 '`f
-+s. ~ ~ ~
a ~ ~ City of Lakeville
HEATING .PERMIT Permit Fee $29'S~+
8c ReCel pt t State Surcharge .50
TOTAL FEE PAID
Permission is hereby granted to Controlled a9.ir / JOe Miller CAnst: ,
Building on Lot No. 5 Block ll Subdivision ffi Valley Ferk Sth Acidn .
Parcel 22-21.177-959-11 Piat
In the CITY OF LAKEVILLE to be used as Pelt tb in9tsll heating Ry4tem izl clew CcanRtruCtion
This permit. is issued on the express condition that the ERECTION _~1LTERATION -~iEPAIRS
-ENLARGEMENT -JNOVING -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 16289 Fair~reen Avenue Tenn A. I,angorc~
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 the CITY ~ `
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By
Utilities.
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Ct~1st2F LA~KEVMI! Date:
. I~t M CITY OF LAKEVILlE.
IAKEVI~L>r. frlN 660+1 INSPECTION DEPARTMENT - -
APPLICATION FOR HEATINGPERMIT
Site Address • I ~ 'a ~ ~ Alter 1„~ Repair
I Install _ rl Repair
Legal: Lot Block Addition
MAKE _
1.,~ t TYPE OF SYSTEM
SIZE ~ ~ ~
Worm Air Plc>;nts
CONN. LOAD Gravity
FUEL - °~c~.`
Mechanical ~ / f~
FLUE DIA. - l ^ t ~
Air Conditioning
SUPPL`~ OPENINGS Yent System
RETURN OPENINGS
y~ ~ C Heoting or Power Plont
INPUT >
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Special Devices
Other Devices
~
Plan No ~0..~.~ ~ _ Date ~ ~ ~
~
Est. Comp. Date Est. Cost
Heating Permit Fee cam` I `
Gas Piping Permit Fee ~ 5
Total Permit Fees - Q'C~
Owner's Nome ~ ~ r ~ ~
Address ~ ~ ~ ~~_~~c-~.~
~
Heating Contra for ~ ~ i Telephone : ~ ~ w~'%
_
~ . ~ I~)~ ~ ~ ~ _ ~
Address ~)~i~ ~ ~ C~ City ~~G _ Zip ~5~~~
Heoting, Air Conditioning, Ventilation Refrigeration Permit Fee for single family residence in-
stallation ~$?9.50±.50surcharge,
Alteration or RepoirMin. Fee~~L~..5S1fS~sur.charges_________________________$
Non Residential Fee shalt be computed at 1 °lo of the contract _ x$24.50+. 50 surcharge ,Minimum)
Gas Piping Fee for each installation .
Inc luded _ _ _ _ _ _ _ _ _ _ _
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044