HomeMy WebLinkAboutNo 11007 ,ti
.
~ ~ City of Lakev Ie
HEATING PERMIT Permit Fee '~.Si'
REC21 pt State Surcharge .50
TOTAL FEE. PAID
Controlled Air
<l TfJf3. nf~~`L!~at- r43~~Ktt,
Permission is hereby granted to _
Building on Lot No. _ Block Subdivision ~~r~~'~a" ~ t ~`~+r~ `~st°E Ar'+~FJ .
Parcel is ~F` ~-?rt ?_~'T- `;~"`-_,.z=^ Plat
In the CITY OF LAKEVILLE to be used as h t• E ~ T ~ " ' ~ ~ ~
This permit is issued on the express condition that the ERECTION -~4LTERATION -REPAIRS
ENLARGEMENT ~AOVING -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.
?>637~? a:-~.r~t~~sia ~venuc ~~F~rt~:~ ~!t, I,<~~-.~o~,
Street Address
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer r~
connections, driveways and curbs. Obtain permitforsuch construction from the CITY
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~ ~
Utilities.
DATE:
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address. ~Y~~~~~~ ~
Alter Repair
Legal : Lot Block ~ ~ Addition Install Replace
MAKE ~ C° ` ~ - TYPE OF SYSTEM
. SIZE
Warm Air Plants
CONN. LOAD Gravity
FUEL ~ ~cj
Mechanical
FLUE DIA. ~c"~ i ~ 1
Air Conditioning
SUPPLY OPENINGS. 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. ~ ~~'.e~ ~ ~ ~ C Date
Est. Comp. Date Est. Cost
Heating Permit Fee ~ C1
State Surcharge
Total Permit Fees :~G-~C1
Owner's Nome ~C,C'_.
Address l~ ~ ~ ~ ~ ~C.Y'
Heating Contractor ~ Telephone Cs: ~ ~ ' ~ -
Address ~ ~ ~ CCf ~ ~C'.~ ~ City ~ . -~,'~.j . Zip ~
t-,
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stallation _S~?9.50 ~~54~urrhargQ~______________________________$
Alteration or Repair Min. Fee _ S~~S~SQ ± 5Q ~.urchar e
Non Residential Fee shall be computed at 1 % of the contract _ ~~24.50 + . 50 minimum)
Gos Piping Fee for each installation . Inc 7,iid~d ~.1~2v~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
Send application and heat toss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspect. Box M Call for inspection when
Lakeville, DLN 55044 work is completed..