HomeMy WebLinkAboutNo 11249 ~
City of Lakeville ~ cn~~~~~~~
HEATING .PERMIT Permit Fee 2~'
& Receipt state surcharge so
TOTAL FEE PAID C2f)
Controller? t~~.r ! Jc>e. "~~1tPr Cortsr...
Permission is hereby granted to
Building on-Lot No. I-`% Block 1>^ Subdivision~~~T's t~allev Park ~3th Iti
Parcel'~i22-?1177°].~(~°-3 ~ Plat
In theClTY OF LAKEVILLE to be used as r'ermit .i=•t.stall `~+ra*it~g in r~ew cc~nstrt.~c:tzon
This permit is issued on the express condition that the _.~ERECTION ~J?LTERATION -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 '~>271 Fan~~g~s ~ve~~ve ='~nn T3n~or+~
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ,
connections, driveways and curbs. Obtain permit for such construction from the CITY , r
OF LAKEVILLE. Inspection Department Not ResponsibleForAnyDamagestoPublic By ~x-'~'~%~~(/'.'~
Utilities. ~ {
j
DATE c7'` / ~ ' Q
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address: ~ ~ ~
Alter Repair
Legal : Lot _ Block Addition Install Replace
MADE ~ 'C~ TYPE OF SYSTEM
SIZE ~ ~
Worm Air Plants
CONN. LOADp_,._ Gravity
FUEL ! ~ Cl~.~ SCR
Mechanical
FLUE DIA. ~ ~ ~ Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPEpNcINGS Heating or Power Plant
INPUT l~' ~
~ t~ ~ C~
Steam
OUTPUT Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Firepla~p•
Plan No. e ~j Date ~ ° , ~
Est. Comp. Date " Est. Ccst _ Heating Permit Fee ~
State Surcharge ~
Total Permit Fees `~d~ -
I
Owner's Name ~ S~
Address ~ ~ ~
(v ~ - ~ _
Heating Contractor L ~ ~ Tel.
Address ~ S~`_ City ~ ~ Zip ~ ~
Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence in-
stollotion ($29_50 + _50 surcharge)
Alteration or Repair Min. Fee_5~15.50 ~ _50 surcharge)
Non Residential Fee shall be computed at 1 % of the contract up to $10, 000; for
balance over $10,000 + :50 surcharge. Minimum=$24.50+.50____________$
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.