HomeMy WebLinkAboutNo 10839 ~3;;
?~ee+etnber 1~, 19 83
City of Lakeville
HEATING PERMIT Permit Fee
Revel pt State Surcharge .50
TOTAL FEE PAID ~n
i
Permission is hereby granted to Cnntr.olle~ ~?ir. / ~Ios. "f~.llpr. Ccs~st.
Building on LotNo. Block ~ ~ Subdivision ',~c+zttt~_ys ~7a z ley ~a.rk `?th Addrt
Parcel -`~?2-`11.7"-1?~-1~:) Plat
In theClTY OF LAKEVILLE to be used as Ferfttit try ~i.~7st~11 ~t~aE ding ir.. tzew conatrLtet.inn.
This permit is issued on the express condition that the ERECTION -ALTERATION -REPAIRS
_~NLARGEMENT -JIAOVING -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 645 Fatttasi.a ~ventte ~~f3{!£~XY~Langnrd
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ~ ~
connections, driveways and curbs.ObtainpermitforsuchconstructionfromtheClTY
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By -j~"Y ~ @ 1~=~_; ~
Utilities.
Date: l~4
CITY OF tAKEYt1,ll~t
~a12~ ~ CITY OF LAKEVILLE
~tt~ . aosnt s7 w . 8obt M
IAKEVILIE. frlN 56044 INSPECTION DEPARTMENT - -
APPLICATION FOR HEATING PERMIT
l
.
Site Address : Altcr Repair
Install ~ Repair
Legal: Lot Block Addition ~o~_;~h ~
MAKE ~ TYPE OF SYSTEM
SIZE ~ ~ ~ Worm Air Plonts
CONN. LOAD pp Gravity
FUEL _ ly ~ cz S ~
Mechanical
FLUE DIA. Air Conditioning
SUPPLY OPENINGS _ ~ Vent System
RETURN OPENINGS Heating or Power Plont
INPUT ~'Cr~~ Steam
OUTPUT
Hot Water
EDR
Radiation
CFM Special Devices
Other Devices
Plan No. Date
Est. Comp. Dote Est. Cost
Heating Permit Fee j~ - ~
Gas Piping Permit Fee
Total Permit Fees ~~U ~ ~
Owner's Name ~ `~-'-r 1 ~
Address J ~C ~
j Heating Controctor~0 t' Telephone:
~
Address'C"-L. ~ e~~ ~ c'~'CY~I ~ ~h`~1~1 6~ ~ City ZiP ~SZ~ ,
Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence in-
stollotion ~$29.50+_5_Osurcharge~____________________
Alteration or Repair Min. Fee~~L~.54-~S~surcharg~__________________________$
Non Residential Fee shall be computed of 1 % of the controct_~$2/+. 50+, 50 surcharge,Minimum)
Gas Piping Fee for each installation-
Included______________________________$~~,Di~
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044