HomeMy WebLinkAboutNo 11727 W
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~ . City of Lakeville
. ~1T2'7 HEATING PERMIT
` Permit Fee _ 34 . SQ
I 8c I~eCe) pt State Surcharge .50
f TOTAL FEE PAID • ~C
Permission is hereby granted to CantrOll~d Air/Jo6. Aii].1~r Con~tr
Building on Lot No. ~ ~ Block Subdivision X98-~&~:~~-~8 ~z-~~~
Parcel f~22-21177-.220-k1 .Plat
In the CITY OF LAKEVILLE to be used as ~er~ait to i nstA1,~ hp„arjn~_~n n~?~ ~pnS-tr~IctiCatf
This permit is issued on the express condition that the X ERECTION -ALTERATION -REPAIRS
` ENLARGEMENT -JVIOVING nEMOL1TION 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 164f76 Fantasia Avenne slenn A. Lanford
Director, License and inspection
Attention is particularly called to the cutting up of streets,.. making main sewer
connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY ~s
OF LAKEVIiLE..lhspection Department Not Responsible For Any Damages to Public. By .~~r.,t~a' r
Utilities.
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CITY OF LAK~1/lLLE
BU1LD[NG INSPECTION DEPARTJr1ENT - (612) 469-4431
APPi.lCATlON FOR HEATING PERMIT
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Site Address : ~ L ~ (-1 lt.. ~ ~ \t
Alter Repair
Legal : Lot Block - ~ ~ Addition Install Ls"' Rep Lace
`~1A><E lr'~1 ~ TYPE OF SYSTEM
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SIZE _ a...~ ~ '#~%:..v..:>
Worm Air Plants
CCNN. LOAD
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FUEL i.~ ~ rJ
Mechanical
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FLUE DIA. ~ " ~
Air Conditioning
SUPPLY OPENINGS Vent Systern
RETURN OPENINGS Heating or Power Plant
INPUT ~ c~,~'.
Steam
OUTPUT Hot Water
EDR
Radiation
CFM
otmaercial:
'an No. z Date
st. Comp. Dote Est. Ccst S > C- ~~r-~`
Heafiing Permit Fe_
State Surcharge ~
Tofiai Permit Fees ~4'u'-
owner's Nome ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ `
Address 1 ':1 ~ ~ ~ C~, .
heating Contractor % s' ~,a'~ ~ ~ ti ` ~ ~ c C~ ~ ~ Tel .
-
Address -
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stallation ( 39 50 + .50 surcharge) _____________e
Alteration or Repair Min. Fee _ 5~~,9_.~ 0 ~ ; 50 surcharge Z _ _ _ _
Non Residential Fee shall be computed at 1 °'o of the contract up to $10,000; ~7. for
balance o~ser $10,000 + :SO surcharge. Minamuas$24.50+.50____________$
(GAS PZPING INCLUDID)
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEzlILL>:
Glenn A. (Baraey) Laagord Iaspectian Department Notice:
Plumbaag ~ Heatiag Inspector Box 957 Call far inspection whea
Lakeville, MN 55044 wark is completed. (4b9-4431)