HomeMy WebLinkAboutNo 11293 ~ Aril l~ ism
City of la~•evil a'
HEATING PERMIT.: z~•Kf,
Permit Fee
R@C@I pt State Surcharge .50
TOTAL FEE PAID 3t1. (li"~
GontrollQd Air / Jae Miller. Con:~t.
Permission is hereby granted to
Building on Lot No. 19 Block ll Subdivision~~~1'~ Val1e~~ Fork k't~ A~~],rs
Parcel ~i22-211.77-190-11 Plat
permit to install heat'nf= in n>?w cnnstrurr~nn
In the CITY OF LAKEVILLE to be used as
This permit is .issued on the express condition that the. _ `ERECTION -ALTERATION -REPAIRS
ENLARGEMENT _JIAOVING DEMOLITION respects to the statements .certified to in the application for
such permit, and that all work shaii be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
.pertaining to the construction of buildings.
Street Address 163,2 Fantagj a Avenue Glenn A. Langort~
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer 4_
connections, driveways and curbs. Obtain permitforsuch construction from the CITY , ,r ~ ` -,~„„;L
OF LAKEVILLE Inspection Department Not Responsible For Any Damages to Public By ' ~ ,
Utilities.
I~
- ~
DATE _ / lr"
CITY OF LAKEVILLE
BUILDING INSPECT"ION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
_
Site Address : ~ ~x' (G C~Y'1 `,:~~t r~.-
Alter Repair
Legal : Lot ~ Block ~
~ Addition Install Replace
MAKE ~I J~.,!
TYPE OF SYSTEM
SIZE _ ~ l~ Warm Air Plants
CONN. LOAD Gravity
FUEL ,c.~_ Mechanical
FLUE DIA. if
r^, Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~ lh'
Steam
OUTPUT
Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplac~•
Plan No. ' C jl ~ Gi Date
t' C%~ ~
Est. Comp. Date Est. Cost Heating Permit Fee ~
State Surcharge
Total Permit Fees `
Owner's Name (1 ~ ~:C' ~ ~ ~ C"~ Yl
Address ~ ~ C~'C_`~~
f~..^ l i - Tel . l C(;~ ~ C.~~~ c57 `r~~
Heating Contractor
Address -~'':~'~X ~ ..{s;?S' f 1'"t~\ " C; City ~1 ~ i \ 1 Zip J' ~C
~
r'
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stallotion ($29_50 + _50 surcharge)
Alteration or Repair Min. Fee_5~15.50_± _50 surcharge)
Non Residential Fee shall be computed at 1 % of the contract up to $10,000; for
balance over $10,000 + :50 surcharge. Minimum=$24.50+.5(L___________$
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check 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.