HomeMy WebLinkAboutNo 11077 {
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ate., ~ 7 , 19 8'~
i~.O`~7 City of Lakeville
HEATING PERMIT Permit Fee 29.50
8t. Recel pt ~ ~ State Surcharge .50
j TOTAL ~EE PAID 30 •
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Controlled Air / Joseph M. A411ar~,Constxuati~n~
Permission is-hereby granted to
,
Building on Lot No. 14 Block 11 Subdivision_1Doanavs V~lla~~Fark nth Addn.
Parcel #r~2-21177-140-~11 Plat
f In the CITY OF LAIfrEVILLE tobe used as p@'~lt iri8ta11 h@Stiag~ in t1B:w cangtruction
This permit is issued on the express .condition that the g ERECTION~ERATION -REPAIRS
-ENLARGEMENT -JVIOVING DEMOLITION rLSpects to the state`men~s certified to in the application for
$uchpermft, and that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
c._;;
pertaining to the construction of buildings.
16272 Fantasia Av@nue &l~enn A. Langord
Street Address
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 ~
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~ ~a~i
"Z~
Utilities. V
DATE : ~ ~ ° iS ~-f
CITY OF LAKEVILIE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address : ~ C~. ~ 1
~ Alter ~ Re
Legal: lot ~ ~ 61ock! ~ Additiori~~h s t~`~ Install _ Replace
MAKE _ ~(''c~~1~
TYPE OF SYSTEM
SIZE E'~U
Worm Air Plants
CONN. LOAD
~ Gravity
FUEL I~rt~' ~~c~ ~ ~
i ~ Mechanical
FLUE DIA. ~ ~
Air Cond'stioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS
~ Heating or Power Pont
INPUT
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM Wood-burning Stove:
Wood-burning Fireplace:
Plan No~ ~ ~ t Date ~ ` ( /
Est. Comp. Dare Est. Cost Heating Permit Fee ~ ~ ~
State Surcharge ` JU
Tota! Permit Fees ~ ~ ~
Owner s Name ii ~ + }
Address 1 ~ i1 ~ G ~ l
Heating Contr ctor~ \ Telephone L~- - f
Address _ y~ _ ~ l ~ ~--1
City {._C Zip
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stallotion _5~29.~.4 ~ ~SQ~.urchax$E~_______--
AlterotionorRepairMin.Fee_.~~15~SQ_±~,~Q~urc~+arge~_____________
Non Residential Fee shall be computed at 1 % of the contract *_-(.$24.50 + .50 minimum)
Gas Piping Fee for each installation=_Inc~yi~~c~,~~Q~______________
*1% up to $10,000-Balance at of contract.
Send application and heat loss calculation with check for Permits to:
C17Y OF LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspect. Box 957 Call for inspection when
Lakeville, I~t 55044 work is completed.
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