HomeMy WebLinkAboutNo 11136
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City of Lakeville
HEATING PERMIT Permit Fee .
& Recei pt state surcharge so
TOTAL FEE PAID •
Permission is hereby granted to G~~")t'1'nl]_tec~ .~~z- / Tc~~ ?°~~.~?-t'_a" ,:~7T~'`-.
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Building on Lot No. ~ ~ Block .i. i Subdivision -~~~tt~: ~y ~ 4 E~~]-~ ~Y P~~'?~ gt.~= dz~ .
Parcel :'?-2"_1> ~023:'3__'~_1, Plat
In the CITY OF LAKEVILLE to be used as -'ax'*'ti~ ~ r~ ~ *~;~~t~;~. ~ ~~~t]-ii~° i~it Rtc??~ ~c't~.gtr'~G ~~ic~z'~
This permit is .issued on the express condition that the ERECTION -ALTERATION -~iEPAIRS
-ENLARGEMENT -JNOVING 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 ~'~/+14 ~'~nt~ sip A.v~ , ~l~~r~.n ~ •
Director, License and Inspection
Attention is particularly called to the cutting. up of streets, making main sewer ~
'
connections, drivewaysand curbs. Obtain permit forsuch construction from the CITY ~ ~
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By d~:,~~t~~ ~.y ,~4.~~~'~'~"'~r`
Utilities.
DATE ~ .~~/~C~
CITY OF LAKEVILLE
BUtLDtNG INSPECTION DEPARTMENT - '"(612) 469-4431
I
APPLICATION FOR HEATING PERMIT
Site Address: ~ ~ ~-C ~1~c; ~ l C=am
Alter Repair
Legal: Lot Block Addition Install Replace
MAKE _ ~ `C'c~ Yl TYPE OF SYSTEM
SIZE ~ ~ Worm Air Ptonts
CONN. LOAD Gravity
FUEL ~ ~ ~ ~ Mechanical fwd
jj i~
FLUE DIA. _ l~ Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS Heating or Power Plant
INPUT ~i '
Steam
OUTPUT Hot Water
EDR Radiation
CFM
Wood-burning Stove:
Wood-burning Fireplace
Plan No. Dote
Est. Comp. Date Est. Cost ~ ~ ..5 L}
Heating Permit Fee
State Surcharge • ~ y
Total Permit Fees ~ C_)
Ov~ner's Nome _c-~G 1 I~~f t \ 1 ~-y' ~'l
Address ~ \`~'GXcti y' ~ l.}
~ - \ Tel. ~ ~ G C' ~
Heating Controc r ~ ~ ~ ~ ~ ~ ~ ~
Address ~ ~ b~,
, f ~ t~~~5~'~ S ~ City ~G ~ ~r
t`~1 Zip C)
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
stollotion ($29.50 + _50 surcharge)
Alteration or RepoirMin. Fee_Si15.50 ~ _50 surchargeZ______________________$
Non Residential Fee shall he computed et i % of the contract up to $10, 000; for
balance over` $10,000 + .:50.sureharge. Minimum=$24.50+.50____________$
(GAS PIPING INCLUDED)
~ Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspection `.Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.