HomeMy WebLinkAboutNo 10851 R , .
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City of Lakeville
HEATING PERMIT Permit Fee 29.53
8t ReCel pt State Surcharge .50
TOTAL FEE PAID 30 • Q0
.Permission is hereby granted to Cptttrplled Air ~ .Ipe Miler. Ct~nst+
Building on Lot No. 2 Block ~ Subdivision DonnaYs ~~1~-~~ ~~rk ~t?'f Aden
Parcel ~#2~-211~~-02~J-f3fi Piat
In the CITY OF LAKEVILLE to be used as ?'er~ait tf~ irtst~3.~. ^Qn~tructtr~n
This permit is issued on the express condition that the ~ ERECTION _~LTERATION REPAIRS
;ENLARGEMENT ~AOVING 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 otLAKEVILLE, Minnesota and the State of Minnesota
pertaining to the construction of buildings.
1~~a? F'arc;ry Gja,~r Tenn A. L~n>sprc3
Street Address
Director, License and Inspection
Attention is particularly called to the cutting up of streets; making main sewer
connections, driveways and curbs. Obtain permit for such construction from the CITY r-tt ,N, j.
OF LAKEVILLE.InspectionDepartmentNotResponsibleForAnyDamagestoPublic By l t .-?1~'~f~~'""~ ~ -
Utilities. T
CITY OF t.1Urt1f11.~ Date
iat2~ ~ CITY OF LAKEVILLE
lT47. 2osTH ST. w.. 800t #A
LAKEVILLE. IAN 5604 INSPECTION DEPARTMENT -
APPLICATION FOR. HEATING PERMIT
Site Address : ' ~ Alter Repair
Install X Repair
Legal: Lot Block ~ Addition
MAKE G~ TYPE OF SYSTEM
SIZE ~ ~ Warm Air Plants
CONN. LnnOAD t / ~ Gravity
FUEL I~~ ~ \ ~,c. ~
i ~ Mechanical -
FLUE DIA. Air Conditioning
SUPPLY OPENINGS ~r'ent System
RETURN OPENINGS Heating or Power Plant
INPUT ~ L: ~ a Steam
1
OUTPUT
Hot Water
EDR
Radiation
CFM
Special Devices
Other Devices
Plan No. _ ~ 7 ~ o Date ~ ` ~ C~ ` ~ L-l
Est. Comp. Date Est. Cost Heating Permit Fee ~ - ~ C~ ~
Gas Piping Permit Fee
Total Permit Fees ~ ~ d
Owner's Nome 1
Address ~ V C ~JJL,;
~~'i Heating Contractor _ L~-~~ ~ ~ Telephone: ~ `,.,1
Address ~ ~ ~ ~ City ~ Q~,~ Zip `j j C1~1
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion ~$29.50+.SOsurcharge,__________________________________$
Alteration or Repair Min. Fee ~~7.5,SQf._5
Osurrharg~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
Non Residential Fee shall be computed at 1 % of the contract _-{$24.50+. 50 sureharge,Minimum)
Gos Piping Fee for each installation -Included _ _ _ _ _ _ _ _ _ _ _ $
Send application and heat loss calculation with check for Permits to:
~ CITY OF LAKEVILLE
Inspection Department
Box M
Lakeville, MN 55044