HomeMy WebLinkAboutNo 11078 .r,. r. s:.: ?„Y.'_'<v eu 'A Jr' ,t'^'_ti~1"a-r ~L.+ fi:+.. r'..~2";
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City of Lakeville
HEATfNG PERMLT
Permit Fee 2~ . ~
8c ReCel pt State Surcharge .50
TOTAL FEE PAID n(t
Permission is hereby granted to Conf:rolled Aix / Joseph M . Mi11 er Const
Building on Lot No. ~ Block ~ Subdivision r?r.~o~¢~~~--p-,-
parcel #22-2117-~34_Ob Plat
~ In the CITY OF LAKEVILLE to be used as
This permit is issued on the express condition that the .ERECTION _~LTERATION -REPAIRS
ENLARGEMENT -JVIOVING -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.
Glenn A. Laniard
Street Address,.b&~(~-~ T~'&t:'~tr'TTa,~t~- 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 Notf3esponsible For Any Damages to Public By
Utilities.
DATE : . ~ - ~ ~ f~
CITY OF tAKEVIttE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APPLlCATiON FOR HEATING PERMIT
Site Address: ~ ~ ~
f ~ Alter Repair
Legal: Lot Block Addition ~C_%t.~~~~ i~` 1' irr~lnstoll
Replace
MAKE ~~C~ ~t1~~,,,
TYPE OF SYSTEM
SIZE _ ~ G cr"
- Worm Air Plonts
CONN. LOAD
FUEL ~iG~ ~ c1 Gravity ~
FLUE DIA. _ ~ ~ 1 Mechanical
Air Conditioning
SUPPLY OPENINGS
Vent System
RETURN OPENINGS
~ ~ ~ Heating or Power Plant
INPUT 5 ~ a ~ _
Steam
OUTPUT
Hot Water
EDR
Radiation
CFM Wood-burning Stove:
Wood-burning Fireplace:
Plan No. ` 1 1 Dote
Est. Comp. Dote Est. Cost ~ C,
Heating Permit Fee _ ~ ~
State-Surcharge ~
Total Permit Fees
Owner's Nome ' ~ t~Ck~~~
Address Cs
Heating Contr ctor~~L'`-`t1~ ~ ~ t !i Tele hone ~ ~ c~'~-
Address < < Citq c Zi
P ~ ~
Heoting, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stoltotion _S~?9.~Q_+_~54~.urthargE~_____________
Alteration or RepoirMin. Fee_S$1.5.,.5Q t~SQ~ltrr•harge~__________
Non Residential Fee shall be computed at 1 % of the contract *_-024.50 + . 50 minimum)
Gas Piping Fee for each installation .
_ ~n~isi~cL ~.~Qee_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
*1% up to $10,000-Balance at of contract.
Send application and heat loss calculation with check for Permits to:
Glenn A. (Barne ) Lan or CITY OF tAKEVtLLE
Y d Ins
g ectio
Plumbing & Heating Inspect. Boxp n Department Notice.
-957 Call for inspection when
Lakeville, M~v' 55044 work is completed.