HomeMy WebLinkAboutNo 11616 /~nril iR_ 19 I
City of Lakeville
11~i6
~ - HEATING PERMIT ~ ~s•s
Permit Fee . .
Revel pt State Surcharge .50
TOTAL FEE PAID l+~'
Permission is hereby granted to Coritrs~~.lec1 Air/Jos. *?i.2ler Construction
Building on Lot No. 16 Block Subdivision ~nnna~ Elal Park $th Addn
Parcel ~^^-211.77--160-10 Plat
~ In the CITY OF LAKEVILLE to be used as ~ermj t to install i~earin.$ in neFr construction
This permit is issued on `the express condition that the ~--ERECTION _~4LTERATION -~iEPAIRS
ENLARGEMENT -JIAOVING 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 16325 Fantasia Avenue Clexttt A. 'Langord
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 theClTY' _ r - _
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By { ~ r'
Utilities. '
CITY OF LAKEVILLE
BU1LDlNG INSPECTION DEPARTMENT - (612) 469-4431
APPLfCATIO~N FOR HEATING PERMIT
Site Address : ~ ~
j ~ \ ~ ~
`t ~
Alter Repair
Legal: Lot Block Addition Instoil Replace
MAKE ` ~ ~-i TYPE OF SYSTEM
SIZE r~,
Worm Air Plants
CONN. LOAD Gravity
FUEL , ~w, C~~~ Mechanical
FLUE DIA. _ ~ l }
Air Conditioning
SUPPLY OPENIl~lGS Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~ t` ~ ~
Steam
OUTPUT Hot Water
EDR Radiation
CFM
~ .
Plan No. ~ ~ '7 ~ ~ ~ Date i~ "K
- -,r-•, _
Est. Comp. Date ' ~ " ~ Est. Cost
Heating Permit Fee
Commercial: Contract Amount $ State Surcharge
Total Permit Fees j~ r~' °
1
Owner's Name ~ ` ~ ~ ~ ' _ . ~ M.,..'~
tt _
Address 1 t~Cr. y~ b' ~ ~ ti-g
~ ~ ~ ~ti
~ ~ ~ ~ Tel. r r e
Heotin Contractor i ~ ~ ~F ~ r-
Address ~ ~t._ 's ...1 City ~ ~ . t\~ ~ _ Zip ~ L..;
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion ($39.50 + .50 surcharge)
Alteration or RepoirMin. Fee_S$19,~0 ~ _50 surcharged_____________________$
i Non Residential Fee shoal be computed at 1 % of the contract up to $10, 000; ~7 for
balance over $10,000 + :50 surcharge. Minimum=$24.50+.50_-_---------$ `
i (GAS PIPING INCLUDED)
Send application and heat loss cotcutotion with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Baraey) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.