HomeMy WebLinkAboutNo 10976 ~U~~~ City of Lakeville ,
HEATLNG PERMIT:'. PerrttitFee...........
Rece I pt State Surcharge .50
TOTAL FEE PAID 30 •
i
Controlled Air / 3oseph M. Miller Canst,
Permission is hereby granted to
Building on Lot No. 11 Block 11 Subdivision Donnay~` Ve 11eY ?ark 8th Addy
Parcel 422-21117-11~-11 Plat
In the CITY OF LAKEVILLE to be used as Permit to int3ta11 he3tirig it1 new CaTt~truC tiara
This permit is issued on the express condition that the ERECTION -ALTERATION -~iEPAIRS
_~NLARGEMENT -JIAOVING -~EMOLtTtON 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 16?1$ ~'atlta..~ia Avenue Gl~t~n A. Lan$ard
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ~
connections, drivewaysand curbs. Obtain permitforsuch construction from the CITY ~,/w
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By
Utilities. '
Cln OtR 1LAKE111lI<,; Date : _ 7 4 ~ `-t
°i2~ = CITY OF LAKEVILLE
tT47 - ST. W.. eox M
LAKEVILLE, f~Al~ l660K INSPECTION DEPARTMENT - -
APPLICATION FOR HEATINGPERMIT
Site Address : ~ ~~'n~ ~ S ~i G, Alter- Repair
r Install Repair
Legal: Lot I ~ Block Addition ~ r c~,, Y"
MAKE
TYPE OF SYSTEM
SIZE ~ ~ ~ Worm Air Plants
CONN. LOAD Gravity
FUEL c, ~ a ~
~ i Mechanical ~ ~ fT
FLUE DIA.
1 ~ Air Conditioning
SUPPLY OPENINGS _ Vent System-
RETURN OPENINGS r~
Heating or Power Plant '
INPUT- ~ ~ ~
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Special Devices
Other Devices
Plan No. ~ ~ Date ` 7 -
Est. Comp. Dote Est.. Cost
Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees
Owner's Name ~ ~ `~C
Address ~ ~ r ~ ~ ~ 5 _ .5 ~ ~`c-.k.~v
Heating Contractor ~..r ~S e'1,T rc~ ~ ~ Telephone : L,~, ~jQ ~
Address < City ~ ~ _Zip ~L
Heating, Air Conditioning, Ventilation 8~ Refrigeration Permit Fee for single family residence in-
stallotion ~$29.50+.50surcharge,____________________
Alteration or Repoir Min. Fee~~L~,.54f._59surcharg~__________________________$
Non Residential Fee shall be computed of 1 % of the contract _.{$24 , 50+: 50 surcharge ,Minimum)
Gas Piping. Fee for each installation .
In~.luded _ _ _ _ _ _ _ _ ~
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044