HomeMy WebLinkAboutNo 10947
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HEATING PERMIT ~ PermitFee Z~?'~f?
Revel pt State Surcharge ,50'
~ TOTAL FEE PAID
Controlled Air .Fose~h MiL~er C~nst~
Permission is hereby granted to
Building on Lot No, ~1 Block S'ubdivision~s23112,8:~A Va'11Py 'Ark $-th Addn
Parcel f'~2'--22177-21fJ-l~ Plan
In theClTY OF LAKEVILLE to be used as Perini o i gLal1 hsaati»a €18~1;^23ea~i
This permit is issued. on he express condition that the ERECTION ~~1LTERATION -REPAIRS
ENLARGEMENT -JVIOVING -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.
~ ~""~5 Fantasia Avenue ~le~:~n A, i~an.^orc~
Street Address `
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ~ ;
connections,drivewaysandcurbs.ObtainpermitforsuchconstructionfromtheClTY ~ `
OF LAKEVILLE. Inspection Department Not Responsible For AnyDamagestoPublic By t ~ 'fi`t' rf
Utilities. !,1
Date : `.-1. _ ~ ~ l-I
C1T1r O1F LAKEYIL~,!
+ CITY OF LAKEViLLE
~ ~AKEVIIt.~ YM 06~ ~ INSPECTION DEPARTMENT - ~ j G7
469-4431 ~ ~
APPLlCATlON FOR HEATING PERMlT
, ~-e3
Site Address: ~ ~ ~~~`~~:5 j G~~ Alter Repair
~ Install ~ Repair
Legal: L/oft ~ Block Addition -S~ ~i~' ~ t~~ i c~. Y"
MAKE ~x~.o ~ TYPE OF SYSTEM
SIZE o~ ~ ~
Worm Air Plants
CONN. LOAD Gravity
FUEL ~ ~n ~ Mechanical
11 r A
FLUE DIA. ~.1~' Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~
Steam
OUTPUT Hot Water
EDR Radiation
CFM
Special Devices
Other Devices
Plan No. _ ~ i~ ~ + Date ~ ' ~ ~ _
Est. Comp. Dote ~ ~ ~ Est. Cost Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees
Owner's Name G'~ ~ ~ ~ t1
Address ' t> e..
l
Heating Conitr1actor ~ ~ t~ ~ ~ U ~ l ~ , ,'l Telephone : ~ C~J ~
Address ~ + ~ ~ ~ ~ t ~ ~ ~ ~ ~ City Zip ~-j
Heating, .Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion $29.50+.50surcharge,______
Alteration or Repair Min. Fee ~~LS_.54fSDsursharg~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
Non Residential Fee shall be computed of 1 % of the contract _ x$24 , 50+. 50 surcharge ,Minimum)
' Gas Piping Fee for each installation-
Included______________________________$
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department .Notice:
Box M l Call for inspection when work is dons
Lakeville, MN 55044