HomeMy WebLinkAboutNo 11452 i ,
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T ~ September Zia, f3~
pity of Lakeville
HEATING PERMIT Permit Fee ~~•Sl~
& Recei t State Surchar a .50
p g
TOTAL FEE PAID 30.0
Permission is hereby granted to ~'entroll~d Aix/,doe ?4illt=r ('gnstr.
Building on Lot No. 1~ Block Ii Subdivision~~~~n~~}s Valleys ~'arl, ~tl~ AddT~,
Parcel+~%2_~i ~.77-~~~J-~.l Plat
In the CITY OF LAKEVILLE to be used as ~ertnit t ~ ~.tl~tall heatim~ ir, rew CanstrtSCtio~
This permit is issued on the express condition that the ERECTION -~4LTERATION -REPAIRS
-ENLARGEMENT ~AOVING -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 ~atzt~si~ A~rex~ue ~Ienn L,an~;ar~
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer f' /
connections,drivewaysandcurbs.ObtainpermitforsuchconstructionfromtheClTY ' ,,;e'
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~ ~r ~
Utilities.
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DATE ~ ' ~ ~ J~
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
n APPLICATION FOR HEATING PERMIT
Site Address: 1 ~ o~q ~ ~~~~,Q ~e
Alter Repair
Legal: Lot_ Block Addition lnstoll~ Replace
MADE ~ 'C~YI
~~pp,~~--,,,, TYPE OF SYSTEM
SIZE ~U~~~
Warm Air Plants
CONN. LOAD ~ Gravity
FUEL ,.~_Ca ~~ZC~ Mechanical
FLUE DIA. ~ ~
Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heating or Power Plant
INPUT tt~~c~
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplar.P'
Plan No. Dote
Est. Comp. Date Est. Cast O~ J .
Heating Permit Fee
State Surcharge ~ J~
Total Permit Fees ~ -
Owner's Name \ 0 )~~~~n~~ Yl
Address ~ ~ ~ ~ ~av~
Heating Contr ctor \
C~~-~ Tel . ~ ~ ~ t~~~
~ Address ~ ~ City iP
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion ($29_50 + _50 surcharge) `~®~n~
Alteration or Repoir Min. Fee_5~15.50 ~ _50 surcharge)
Non Residential Fee shall be computed at 1 % of the contract up to $10,000; for
balance oven $10,000 + :50 surcharge. Minimum=$24.50+.50____________$
(GAS PIPING INCLUDED)
Send application and heat foss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspectian Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.
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