HomeMy WebLinkAboutNo 11134
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C3etcsber 9. 19-~i4
City of Lakeville
HEATLNG PERMlT Perrr~itFee
8l I~eCel pt State Surcharge .50
TOTAL FEE PAID 3fl • 00
Permission is hereby granted to ~pntro7.leti r'~ir ~ ?oe Miller CrJnst .
Building on Lot No. 15 Biock Subdivision Dcsr~ttays ~al~-~~ park ~3tYz Addn
Parcel22-21177--15~-Lt? Plat
In theClTY OF LAKEVILLE to be used as ~e~rmft rn inar~7' Iaaar9na -in nFLS~st~f:rtlCtiOn
This permit is issued on the.: express condition that the ERECTION _~4LTERATION -REPAIRS
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 lf"+343 '~'antasi.a. Avenue t~lenn 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 the CITY _ ~
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By v~ jt ~ t 7 r r' J _
Utilities.
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CITY OF lAKEVJlLl~ Date: I b _ ~ `fj~-~
~t4i' ~ { _ e0x ~ CITY OF LAKEVILLE
irAKEVILLE, MN SSO~t INSPECTION DEPARTMENT -
APPLICATtON FOR HEATING PERMIT
Site Address : ~ ~ ~ ~ C~~~~ ~ Cam' Alter Repoir
Install Repair
Legal: Lot Block ~ Q Addition
MAKE
TYPE OF SYSTEM
SIZE ~ ~ ~'C~J C~
Worm Air Plants
CONN. LOAD
Gravity
FUEL VV~.~ ~~c..
~ [ Mechanical ~
FLUE DIA.
Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~%~~C_.:~
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Special Devices
Other Devices
l
f
Plan No. ~ , ti C' / ' < ~ Date ~ ~ ~ ~
Est. Comp. Date _ L ~ ~ f S M ~ Est. Cost °~2G~ `J
Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees ~ ~ ~
~..:v.-, \
Owner's Nome ' ~ t,t
Address ~ ~ t1 '
' Heatin Contr~ for ~ C~ ~ { ~ l 1 Tele hone :
Address ~ ~ ~ ~ ~e~ t fJ'(~ ~t,~ h~
city zip ~=-,j c~
Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence in-
I' stoNotion ($29.50±, 50surcharge,_____
~ Alteration or Repair Min. Fee ~.~L~.54tS~~uLChe.rgQ.)_ _ _ _ _ $
~ Non Residential Fee shat! be computed of 1 of the contract _.{$24.50+. 50 surcharge ,Minimum)
Gas Piping Fee for each installation ~
Included $
Send application and heat loss calculation with check for Permits to:
CITY OF lAKEV!!!E
Inspection Department
Box M
Lakeville, MN 55044