HomeMy WebLinkAboutNo 11269
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w ~ Ci y of Lakeville
HEATING PERMIT .,n,
Permit Fee
& Recei pt st>>Ite surcharge so
TOTAL FEE PAID ~ , +i`
;
Permission is hereby granted to ant rr 11e4i A~ r ~ 30~~ 's_i ~ er ~'n <7 ~ Y .
Building on Lot No. Block 11 Subdivision s~n~is~vs ~I:al7 may' Park Rr}~ Ar?r?n
Parcel ~'`x'-'~~-711.77°~`?~!--:t1, Piat
In theClTY OF LAKEVILLE to be used as S'~"TTRL.` i^,~ti>' ~ h~.~.*i.n~ i.n new ec~tl~truc~or.
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 shall be done 9n accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
pertaining to the construction of buildings.
Street Address ~-~~;^i~ '"<=nt'<:~~i.a Ave~~tx~e - ~1e~n A. Lanford
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer
connections, drivewaysand curbs. Obtain permitforsuch construction from the CITY P'-`.`
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~
Utilities.
DATB ~ ~
CITY OF LAKEVILLE
BUILDING INSPECl`ION DEPARTMENT - (612) 469-4431
APPLICATION FOR HEATING PERMIT
Site Address : ~ ~o ~C~~~~ ~
ii Alter .Repair
Legal : Lot ~ Block ~ l Addition Install Replace.
MAKE ~'1 TYPE OF SYSTEM
SIZE ~~`r?j b~>
Warm Air Plants
CONN. LOAD Gravity
FUEL ~ ~-c. n'L- Mechanical ~ l~-
FLUE DIA. ~ ` ~
Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~%Q~
Steam
OUTPUT Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplar..e'
Plan No.~~C~1~ 5 Date
Est. Comp. Date Est. C~JSt Heating Permit Fee r~~C7 •
State Surcharge
Total Permit Fees ~ ~ C~
Owner's Name ~ 1 L ~ ~ '~C; t~ 3
Address ~ C-L ~ ~
Heating Contr ctor~D ~~~~C`~,\-~'S~ l Tel.
Address ~ ~~'.1 ~~C1 ~ ~ S-I- City \ " ~~--I-`--->-~- IV Zip `j~~~ ~'Z-~
('~,J '
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion __$29.50 + _50 surcharge)
AlterotionorRepoirMin.Fee_5~15.~0 ~ .50 surcharged______________________$
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 check for Permits to:
CITY OF tAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing ~ Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.