HomeMy WebLinkAboutNo 10909 _ _
City of Lakeville ` td
HEATING PERMIT Permit Fee '~~~•50
Recel pt State Surcharge .50
TOTAL FEE PAID
Permission is hereby granted to Contra:.°Led ~,ir l Joe ~[il1~r ~,'onstruction
Building on Lot No. 1. Block 1~ Subdivision ~ 8 Val leq Park. 8 to ~r3dn
Parcel 22-213.77-Q:~~-Q~ Plat
In the CITY OF LAKEVILLE to be used as 3..xtf~tall heatin.f~ syst~~t in rzeW cc~n4tructian
This permit is issued on the express condition that the ERECTION -ALTERATION -REPAIRS
ENLARGEMENT _JIAOVING -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.~1~~ T'anta~ia ~t*en~te ~tenn Largord
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer y,
connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY i~
e
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~ , r ~ k - t ps r,;
Utilities. ~
+ZITY CF ~ Date
m4~ - tom,
w~,
t er~c ~ CiTY OF LAKEVtLLE
LAKEVILLE, MN tiSG# INSPECTION DEPARTMENT
469-4431
APPLICATION FOR HEATING PERMIT
f~ .~D/
Site Address :v--~-~~ ~ <A~1~G S'~ C••._., Alter Repair
Install ~ Repair
Legal : Lot Block Addition~~~~ ~r~'~~\~ ~
MAKE TYPE OF SYSTEM
SIZE b l
~ ~ 1
Warm Air Plants
CONN. LOAD Gravity
FUEL _ IV c~~~ ~ Mechanical
iq
1
FLUE DIA. Air Conditioning ~n - ~ r~ ~
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heating or Power Plcnt
INPUT ~ ~ C~ ~i~
Steam
OUTPUT
Hot Water
EDR Radiation
CFh4
Special Devices
Other Devices
Plan No. ~ ~ Date ti
~ - ~ ~ -
Est. Comp. Dote Est. Cost Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees
,Owner's Name` ~1 C1 V'1 \ ~ ~ G +~l S
Address ~ ~ ~ ~ ~ ~ ~L~.a<.~' ~ ~l
Heatin Con ractor ~ ~ ~ L C' ~ Tele hone : ,
Address ~ c ~`Ci~'~ ~ d~ City Zip ~j;5~`c~-
Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence in-
stallation ~$29.50+_50surchar~e~__________________________________$
Alteration or Repair Min. Fee ~~75_.54fS~sur.charg~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
Non Residential Fee shall be computed of 1 °I° of the contract _ 1$24.50+. 50 surcharge ,Minimum)
Gas Piping Fee for each installation=
Included
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department Notice:
Box M
Lakeville, MN 55044 Call for inspection when work is done