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No 11609
-F x ~ Anril 15, ~s8~ City of Lakeville ~ . 39.5Q 11fii19 HEATING PERMIT Permit Fee , . 8t ReC@1 pt State Surcharge so TOTAL FEE PAID 40.00 Permission is hereby granted to Controlled- Air/Jos *tiller Construction Building on Lot No. 21 Block 1 1 Subdivision Ijonna~ s Va1IeX Park ~ th Addn Parcel ~:?2-21177-21b-1.1 Plat In the CITY. OF LAKEVILLE to be used as hermit t0 in3tall Yceatiri~ in n~W COAStructi©n This permit is issued on the express condition that the __X_ERECTION -ALTERATION --.REPAIRS -ENLARGEMENT ~1AOVING -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. 1698 Fantasia Avenue' Glenn A. Langord Director, License and Inspection Attention is particularly called to the cutting up of streets; making main sewer connections,drivewaysandcurbs.ObtainpermitforsuchconstructionfromtheClTY 1 ' OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public, By 7 r Utilities, _ _ r D ~-~-,~aDS' 3 ~ C~ i _ ,/r DATE ~ i._ lti CITY OF LAKEV(LLE BUILDING INSPECTION DEPARTMENT - (612) 469-4431 APPLICATION FOR HEATING PERMIT Site Address : ~ u' ~ ~ ~ ~ ~ <=`t ; }4 r J Alter Repoir Legal : Lot Block ~ Addition Instoil Replace MAKE TYPE OF SYSTEM SIZE- Warm Air Plants CONN, LOAD Gravity (i S FUEL _ t:; Mechanical FLUE DIA. ~ f Air Conditioning SUPPL Y OPENINGS Vent Srstern RETURN OPENINGS f . Heating or Power Plant INPUT ~ ~:i_~ C,_.,-_ Steam OUTPUT Hot Water EDR Radiation CFM Plon No. 4°°7 ~ Dote Est. Comp. Date Est. Cost Vii' Heating Permit fee ~ ~ ~ ~ CommerciaL•Contract Amount $ State Surcharge ~ L _ Total Permit Fees ~ 1 ~ Owner's Nome i,. ~ ,w.,~ ~ ~ ~ t tX ~ ~ ~ f ' ` Address ~ . ~ ~ c~~~.. ~ ~ `a ~ - K Tel . ` 'r1- Heating Contr or " ~ ~ t ~ ~ r`' ~ ~ t ? ~ ~ - - - Address ~ Z_~' ~ ~ ~ r- ~ ~ ~"'t_ `b> City " _ f'~' ~ Zip ~ ~ f Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in- stollotion ($39.50 + _50 surcharge) Alteration or Repoir Min. Fee_5~19•~0 ~ _5_0 surcharged_____________________$ 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 (ass colculotion with check for Permits to: C(TY OF LAKEV111E Glenn A. {Barney) Langord Iaspectian Department Notice: Plumbing & Heating Inspector Box 957 Call for inspection when Lakeville, MN 55044 work is completed.