HomeMy WebLinkAboutNo 10662
, June_f3~ , is ~.3_
~~~ifi~ City of Lakeville
HEATING PERMIT Permit Fee . ?.R.SCt
I~eCel pt State Surcharge .50
TOTAL FEE PAID 3O ° QO
I
Permission is hereby granted to Cantra11~c3 .A~.r / J~f~ . 't. Miller Cnnst
Building on Lot No. S Block Subdivision L~nrirays VSlley Park nth Addr,
Parcel ~>~?2^.-211.77-OSC_~,6 Plat
In the CITY OF LAKEVILLE to be used as Per;ztit t~ instil i' 'xe~.ri.n~ iz1 3.1847 CQnstz~ct~>ax~
This permit is issued on the express condition that the ERECTION ALTERATION _~EPAIRS
-ENLARGEMENT -MOVING -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 tolhe construction of buildings.
street address 1-6377 F~rery ~av Glenn A. T~angord
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer ~r
connections, driveways and curbs. Qbtain permitforsuch construction from the CITY ,f ~
OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~-r~
Utilities.
Permit No.
CITY OF LAKEVI
CITY OF LAKEVILLE gUILDiNG INSPECTION DEPARTMENT - 46 -
(612) 469-4431
8747 - 208TH ST. W. -BOX M
LA{<EVILLE, MN 55044 APPLICATION FOR HEATING PERMIT
Site ~ tp ~ C~ ~ ~ 'ti? ~ ~ Alter Repair '
Address Lot Block ~ ddition Install Repair
~r
MAKE __~-?-.~:~'~F~'o,~ ~ 1~Ca~~c~ C~
TYPE OF SYSTEM
SIZE ~i~ ~>C?
Warm Air Plonts
CONN. LOAD ~r Gravity
FUEL c* Lc? o~
Mechanical
11
FLUE DIA. _ C~ ~
Air Conditioning
SUPPLY OPENINGS Yent System
RETURN OPENINGS Heating or Power Plont
INPUT
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM
Special Devices
Other Devices
Plan Na Date
Est. Comp. Date Est. Cost Heating Permit Fee
Gas Piping Permit Fee
Total Permit Fees ~
I Owner's Nome ~ Q ~ ~ ~ C>
Address ~F ' c+.'t` 1~~t ~c''t~ ~fl
~ r.
Heating Contractor ~ ~ ~ ~ } ~ r G'k~
Address _ L: ~1 l Cf ~
Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in-
stallation
Alteration or Repair Min. Fee__________________________________________~$
Non Residential Fee shall be computed at T % of the contract _ _ _
Gas Piping Fee for each installation
Send opplication and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Lakeville, Minn. 55044