HomeMy WebLinkAboutNo 10915 r: ..w .
4
Marck 23 ~9 84
~y ~ , ` ,
City of L~al~ville _
HEATING PERMIT Permit Fee $29.5c~
R@C61 pt State Surcharge .50
TOTAL FEE PAID $ 3~ •
Permission is hereby granted to ContrOll~d Alr ~ Joe M9.11er
BuildingonLotNo. 2Q Block 10 Subdivision l~0iitl~.'y` 6 galley Par`~c 8th Adcin.
Parcel 22-2.117.7-2Ot)-I4 Plata
F In the CITY OF LAKEVILLE to be used as uerr~il' tO i7st811 hPatin~ aVStfrm in ri~9w eont>s*_ructis~n
This permit is issued on the .express condition that the k~RECTION -JILTERATION -REPAIRS
ENLARGEMENT -~IIOVING -DEMOLITION respects to the statements certified to in the applicatign for
such. permit, and that all work shalt be done to accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
pertaining to the construction ofbuildings.
Street Address 16253 Fantasia Av+~nue G?enn T.angard
Director, License and Inspection
Attention is particularly called to,the cutting up of streets, making main sewer t V 1•~
connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY j t y,. f
OF LAKEVILLE: Inspection Department Not Responsible For Any Damages to Public By j~d~.~C.d b f
Utilities. C<
CITY OF tAKEV1ltItC Date : ~ ~ ~ ~i ~'I
e~2~ ~ CITY OF LAKEVlLLE
!7q , 8T, W.. Boot M
LAKEVIL~E, t~AN 66W4 INSPECTION DEPARTMENT - -
APPLICATION FOR HEATING PERMIT
Site Address : ~ ~j ~ C~ Q. ~ Alter Repair
1~ / ,n Install Repair
Legal:- Lo/t~ Block Addition jr~G~ Ll~ ,/u f!
MAKE <
TYPE. OF SYSTEM
SIZE ~ ~C';i
Worm Air Plants
CONN. LOAD ~ Gravity
FUEL 1 GR ~ Mechanical r'
r~
FLUE DIA. Air Conditioning
SUPP~I' OPENINGS ~
Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~ C.~ ~j CS C.%
Steam
OUTPUT
Hot Water
EDR Radiation
CFM
Special Devices
Other Devices
~ _
;1 ' /
Plan No. ~ ~ ~ ~ Date ~ ~ ~ - ~
Est. Comp. Date ~ ~ ~ ` Est. Cost Heating Permit Fee
Gas Piping Permit Fee.
Total Permit Fees ~7
Owner's Name ~ ~~t ` ~ 1 ~ ~ ~ ~ E'~ f~
Address ~ ~J ~ > ~G~~~2 Y L,~
Heating Contractor i'. ~ , ~ ~.r ~ Tele hone: ~ Q
~ / p
~ - I' i 7 fi C
Address ~ : ~ ~ C~c %1`~ l l~ .rlJ E~ty- r J ~ d'.~ Zip ~ ~
I
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion ($29.50±_50surchar~e,____
Alteration or Re air Min. Fee ~~Li.54fS~surchar $
P
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.
Box M
Lakeville, MN 55044