HomeMy WebLinkAboutNo 10961 n5 ~
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Ye City of Lakeville
HEATING PERMIT - Permit Fee ~c~`5"
ReCel pt State Surcharge .50
TOTAL FEE PAID
Gcant~.ol' ~cI ;'\i ~ ,3ES~~u~*z~lz ,F ,..1 n rrt?>'~ •
Permission is hereby granted to y
1? 1]. ~,"4"ST a:1%i'?~£> to tr ~"r3 Y'P ~t t r .':C3.
Building on Lot No. Block Subdivision
..'Parcel j'~'~'~-2?177-1201-11 Plat
In the CITY OF LAKEVILLE to be used as Permit to install heAtiti¢ i~ r:F ~ ti-""~a~ {'x'
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.
street Address 1~'23~ Fant~~ia ~tTenue Glenn A. I.antor
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ri ; ,
connections, driveways and curbs. Obtain permit for such constructionfromtheClTY ~ - _
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~ ' t' ~ r
Utilities. r
Date : ~ ~f
CITY Cf
_ t Itloot ~ CITY OF LAKEVILLE
~AtCEVILIE, irlti 6604 INSPECTION DEPARTMENT -
469-4431 ,
APPLICATION FOR HEATING PERMIT
b°
Site Address: } ~ ~ c~\~cti~, ~ Alter Repair
lnstoll 5[, Repair
Legal : L(o1t, Blotk ~ ~ Addition ~"'r ~ ~
MAKE ~ ~ L
~ TYPE OF SYSTEM
SIZE ~ ('`'1 C.=~
Worm Air Plants
CONN. LOAD \ (emu Gravity
T ~
FUEL _ Mechanical f~
i. w
FLUE DIA. Air Conditioning ~ ~ ~ "
SUPPLY OPENINGS ~ ~ Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~ Steam
OUTPUT Hot Water
EDR Radiation
CFM
Special Devices
Other Devices
Plon No. ~r" ~ c,., ~ i Date ' ~
Est. Comp. Date ~ ~ ~ ? ~ Est. Cost Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees G
i ~ 4"~ _ ,
Owner's Nam ~:3 ~ ` '
r;
Heating Contractor ~ J ~ C' + ti Telephone: ~ ' ~c; ~ r.~--
~ r _ o., .
Address , ~ ~ r` c u,a City ~ r,,. ~ ZiP ~ L ~
Heating, Air Conditioning, Ventilation 8~ Refrigeration Permit Fee for single family residence in-
~ stailotion ($29 50+ 50surchar e
_ ~
Alteration or Re air Min. Fee ~~15_.SQfSDsurchar
P
Non Residential Fee shall be computed at 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 Call for inspection when work is done
II
Lakeville, MN 55044