HomeMy WebLinkAboutNo 11448
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x City of Lakeville
HEATING PERMIT Permit Fee . `~'~U
ReCel pt State Surcharge .50
TOTAL FEE PAID 3i~'
I
Permission is hereby granted to a.;car,t:~rc-=~~;.ed nr9tX'»
Building on Lot No. Block ~ ~ Subdivision llc~~~~_~y9 t?a7 ~.~~y Perk. $t~b A:idtt.
Parcel t x~.~.;;, ~ L77.. ~ ~ " Plat
In the CITY OF LAKEVILLE to be used as =a~r^rn~Y_ =i.". ~~~t~i.r.~ in rt~c,* car~gtrc~Cinian
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
suctr 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 ~~J~+4 ~"an.t~.:~ia =~v~rtu€~ CSlenn fit. Lan~ar~
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 ~ ~ ~f ,r
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ' ~G~. 1
Utilities.
y
DATE q ~ ~S
CITY OF LAKEVILLE
BUILDING INSPECl`ION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
' Site Address : ~ ~Q ~ ~ ~ ~C~YZ~.~i C`
Alter Repair
Legal : Lot _ Block Addition Install Replace
MAKE _ TYPE OF SYSTEM
SIZE ~ ~ ~ Warm Air Plants
CONN. LOAD Gravity
FUEL ~ ~ ~ ~Cc ~
Mechanical
FLUE DIA. ~ ~
Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OCP~NINGS Renting or Power Plant
INPUT ~J'~ ~ ~
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplace
Plan No. _E~ ~ ~ ~ ~ Date
Est. Comp. Date Est. Cost ~ ~ ` `S
Heating Permit Fee
State Surcharge F
Total Permit Fees
I
Owner's Name ` e~ t ~'_t~
Address ~ C ~ ~jj Y' J~
Heating Contr to7='~ ~ \ Tel . ~-f- ~ ~ ~ ~
~ ~ Ic~~ ~ Zi L
Address ~ ~ ~ ~ ~ ~ a 1 ty p
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
stollotion $29.50 + _50 surcharge)
Alteration or Repair Min. Fee_S$15.50 ±__50 surcharged______________________$
Non Residential Fee shall be computed at 1 % 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 cheek for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.