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HEATING .PERMIT Permit Fee $2.50
R@C@I pt State Surcharge .50
TOTAL FEE PAID
Permission is hereby granted to ~'on~'rolled ~si.Y / ~T~e ~?:~.~.lez ":tat2=t .
Building on Lot No. Block Subdivision ~~nTYn~~? ~ Ja~~-~"' ~'~r~c $tk1 Addx~ .
' Parcel 2?~-X3177"~~`~"'~-~- Plat
In the CITY OF LAKEVILLE to be used as nerLtit to 1.i~ ~ ``~1I ~e ~ tiny in ne~a Coz2s*rtict:i,on
This permit is Issued on the express condition that the ERECTION -~4LTERATION -REPAIRS
ENLARGEMENT -MOVING -DEMOLITION respects to the statements certified to in the application for
such permit, and that all work shall Ne done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
.pertaining to the construction of buildings.
Street Address 1530$ ~Eantasia Ave, c~lenn ~rig~rd
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer
connections, drivewaysand curbs. Obtain permitforsuch construction from the CITY ~ ~ ~ '
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By j r'`c'~'Lt s 1 t ~iri '1r~~
Utilities.
DATB I ~ t.:i
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
AP`P~LICATION POR HEATING PERMIT
Site Address: ~ ~ 1° 0,,~~ c~_~~ ~
T
Alter Repair
Legal: Lot 61ock Addition Install Replace
MAKE r~~~~_ r~ TYPE OF SYSTEM
SIZE ~ ~ 1~ ~ Worm Air Plants
CONN. LOAD Gravity
Mechonica! ~
FLUE DIA. - ~ ~ ~ % ~ > Air Conditioning
SUPPLY OPENINGS 1
Vent System
RETURN OPENINGS Heating or Power Plant
INPUT - ~-~.C
~ ~ %
Steam
OUTPUT Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplace'
Plan No. Date ~ " l `
Est. Com Date Est. Cost °~C' `1'l
p' Heating Permit Fee ~
State Surcharge
Total Permit Fees _ ~
~ t `
Owner's Name ~°s G ~ s 1~~~~~ ~ E ,
Address ~ ~ ~ l1 ~ s~ e cRa~~.t
,
- -
f
~ '
~ ~ ~ Tel . ~ I ~ ,.fit
Heating Contr cloy c°~ v t' t"' ~ -
Address ~ ~ ~ r} j ~ ~ ~ i ~ ~'v ~ Cit c; j Zip , . _ C~ r
y
t~r
Heating, Air Conditioning, Ventilation 8, Refrigeration Permit Fee for single family residence in-
stallation $29.50 + _50 surcharge)
Alteration or Repoir Min. Fee_S$15.50 ~ _50 surchargeL______________________$
Non Residential Fee shall be computed oft % 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 Inspectian Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.