Laserfiche WebLink
.... ...,. ...... ,... . . ...4:.._�.... _ <br /> . . �ih� � � , . ^P . <br /> r. � ` <br /> I.. f. . .�` . +! <br /> ri � , � . <br /> '_ . � . � � •�i <br /> �j�; <br /> (.J C j <br /> FIREPLACES �� ��.�_r� � (l ��� = <br /> Gas factory fireplace '`' <br /> Wood burning factory fireplace with flue <br /> � Wood Stove <br /> Wood stove with flue <br /> Brand Name D � - f� <br /> � (�'Z-'� Model No. <br /> 1 � <br /> �i��' <br /> VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfm � <br /> ,. .„�. <br /> No. Bath Exhaust (must be ducted outside) cfm � <br /> No. Other Fans: Locations cfm � ` >� <br /> �UEL STORAGE (MUST BE APPR�VED BY Fit2E NIARSHAL) <br /> Installation Removal <br />,`.": Fuel oil: gallons underground inside outside , 'a� <br /> �: <br /> ' ��� �� LP Gas: gallons � <br /> r, <br /> Other Gas opening �; <br /> r . <br /> PERMIT FEE CALCULATION <br />� -. 1. 1.25% of Contract Price* or Minimu.n Fee ($35.00) <br /> ' � x .0125 $ Q� �O <br /> '� (contract price) <br /> �,;� 2. State Surcharge. ** Add the State Building Code Division � ,�`, <br /> ' Surcharge to each permit. L � � x .0005 $ c2� '� <br /> ° � x: or $.50, whichever is greater ontract price) <br /> r�c ;,;5;�: <br /> ��>�_��� 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 �� <br />� ��. <br />, T °� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �p�/,(p�' <br /> r��:� <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer <br /> for the work done. If any material, eq_uioment, labor, or installation are furnished by the owner, tenant or <br /> any other party the reasonable market value of such items must be added to the estimated cost or contract <br /> price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may <br />�„> <br /> request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. ; <br /> For valuations over $1,000,000 call the Department of Inspectional Services for the price. ``' <br /> �' <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the Minnesota <br /> ,�� <br /> State Building Code, and certifies that all statements made on this application are complete, true <br /> and correct. <br /> Applicant's Signature: � Date: /�—�'�/ <br /> Approved By: Date: <br /> �a <br /> .. . � �. _ ._. �! � �_ _ ., . �.. _ _ . ' . .. �. <br /> .}.. . + <br />